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Publication :
Exploration of shared decision‐making processes among dieticians and patients during a consultation for the nutritional treatment of dyslipidaemia

bul.description.provenancenag spbfr
bul.rights.dateAccepPubl2014-08-18fr
bul.rights.periodeEmbargoP0Mfr
bul.rights.typeDatedatePublicationfr
dc.audienceProfesseurs (Enseignement supérieur)fr
dc.audienceÉtudiantsfr
dc.audienceDoctorantsfr
dc.audienceDiététistesfr
dc.audience.peerreview1fr
dc.contributor.authorLapointe, Annie
dc.contributor.authorVaillancourt, Hugues
dc.contributor.authorGagnon, Marie-Pierre
dc.contributor.authorDesroches, Sophie
dc.contributor.authorDeschênes, Sarah-Maude
dc.contributor.authorLégaré, France
dc.date.accessioned2017-05-05T15:25:41Z
dc.date.available2017-05-05T15:25:41Z
dc.date.issued2014-08-18
dc.description.abstractBackground: Shared decision making (SDM) holds great potential for improving the therapeutic efficiency and quality of nutritional treatment of dyslipidaemia by promoting patient involvement in decision making. Adoption of specific behaviours fostering SDM during consultations has yet to be studied in routine dietetic practice. Objective: Using a cross-sectional study design, we aimed to explore both dieticians’ and patients’ adoption of SDM behaviours in dietetic consultations regarding the nutritional treatment of dyslipidaemia. Methods: Twenty-six dieticians working in local health clinics in the Quebec City metropolitan area were each asked to identify one dyslipidaemic patient they would see in an upcoming consultation. Based on the Theory of Planned Behaviour (TPB), questionnaires were designed to study two targeted SDM behaviours: ‘to discuss nutritional treatment options for dyslipidaemia’ and ‘to discuss patients’ values and preferences about nutritional treatment options for dyslipidaemia’. These questionnaires were administered to the dietician–patient dyad individually before the consultation. Associations between TPB constructs (attitude, subjective norm and perceived behavioural control) towards behavioural intentions were analysed using Spearman’s partial correlations. Results: Thirteen unique patient-dietician dyads completed the study. Perceived behavioural control was the only TPB construct significantly associated with both dieticians’ and patients’ intentions to adopt the targeted SDM behaviours (P < 0.05). Conclusions: As perceived behavioural control seems to determine dieticians’ and patients’ adoption of SDM behaviours, interventions addressing barriers and reinforcing enablers of these behaviours are indicated. This exploratory study highlights issues that could be addressed in future research endeavours to expand the knowledge base relating to SDM adoption in dietetic practice.fr
dc.identifier.doi10.1111/hex.12250fr
dc.identifier.issn1369-6513fr
dc.identifier.pubmed4900873fr
dc.identifier.urihttp://hdl.handle.net/20.500.11794/13921
dc.languageengfr
dc.publisherBlackwell Sciencefr
dc.rightshttp://purl.org/coar/access_right/c_abf2
dc.subjectBehavioursfr
dc.subjectDieticiansfr
dc.subjectDyslipidaemiafr
dc.subjectNutritional carefr
dc.subjectOPTION scalefr
dc.subjectPatient involvement in decision makingfr
dc.subjectShared decision making,fr
dc.subjectTheory of Planned Behaviourfr
dc.subject.rvmAlimentation -- Prise de décisionfr
dc.subject.rvmDyslipidémies -- Diétothérapiefr
dc.subject.rvmDyslipidémies -- Patients -- Attitudesfr
dc.subject.rvmDiététistes -- Attitudesfr
dc.titleExploration of shared decision‐making processes among dieticians and patients during a consultation for the nutritional treatment of dyslipidaemiafr
dc.typearticle de recherche
dc.type.legacyCOAR1_1::Texte::Périodique::Revue::Contribution à un journal::Article::Article de recherchefr
dcterms.bibliographicCitationHealth Expectations, Vol. 18 (6), 2764–2775 (2015)fr
dspace.accessstatus.time2024-03-23 18:02:15
dspace.entity.typePublication
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rioxxterms.project.funder-nameCanada Research Chairsfr
rioxxterms.versionVersion of Record (VoR)fr
rioxxterms.version-of-recordhttps://doi.org/10.1111/hex.12250fr

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