Abstract
The number of people undergoing bariatric surgery is increasing every year, and their expectations for surgery often differ greatly. The purpose of this study was to develop a patient-centered decision-making aid to help people define their weight loss goals and assist them in discussing their surgical treatment with surgeons. Before the operation, the patients were asked to read the shared decision-making text and conduct a self-assessment. After the operation, we evaluated the program using survey questionnaires. A total of 103 patients were formally included in this study. The results show that patients were very satisfied with the use of patient decision aids (PDAs), with a score of 4.3 points (±0.6), and the postoperative decision-making satisfaction was also very high, at 4.4 points (±0.5), while the postoperative regret score was low, at 1.6 points (±0.6). Their satisfaction with surgical decision making and decision regret were statistically significantly negatively correlated (r = −0.711, p < 0.001). The experience of using PDAs was statistically significantly negatively correlated with decision regret (r = −0.451, p < 0.001); the experience of PDA use was statistically positively correlated with decision satisfaction (r = 0.522, p < 0.001). Patient decision aids are a means of helping patients make informed choices before they seek to undergo bariatric surgery.
Highlights
The relationship between doctors and patients has always been a topic of concern in the medical domain, as poor communication between doctors and patients often impairs patient care, leads to important medical information being missed, delays treatment, hinders efficiency in diagnosis and treatment, and may lead to communication conflicts in serious cases [1]
In order to promote mutual respect and effective communication between doctors and patients, in 1997, Charles proposed the concept of shared decision making (SDM)
129 patients were asked to participate in the SDM plan
Summary
The relationship between doctors and patients has always been a topic of concern in the medical domain, as poor communication between doctors and patients often impairs patient care, leads to important medical information being missed, delays treatment, hinders efficiency in diagnosis and treatment, and may lead to communication conflicts in serious cases [1]. Shared decision making by doctors and patients does not suggest, induce, or encourage the patient to choose, consent to, or follow a particular option, nor is it intended to replace medical staff’s instructions. It is intended to help patients make informed and value-based decisions together with the medical staff [3], and is a win–win decision-making approach for both doctors and patients. In order to promote mutual respect and effective communication between doctors and patients, in 1997, Charles proposed the concept of shared decision making (SDM). In SDM, at least the doctor and the patient should participate together, where the doctor presents the empirical information of various dispositions, while the patient presents their individual preferences and values, and this information exchange and discussion will achieve the best possible treatment options [4]. Patient decision aids (PDAs) can be in the form of leaflets, brochures, films, or web tools that provide a clear description of
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