title: [Development of an interprofessional train-the-trainer programme to implement shared decision-making in medical rehabilitation clinics].
abstract: OBJECTIVE
  Until now, training programmes on shared decision-making (SDM) have been designed exclusively for medical decision-making and predominantly for physicians. How-ever, interprofessional treatment, such as in medical rehabilitation, is very important in the treatment of chronic diseases. This requires an extended understanding of shared decision-making. Therefore the aim of the study is to develop an interprofessional training (IPT) for implementation of shared decision-making (SDM) in rehabilitation clinics.
  
  
  METHODS
  The needs and preferences of the persons undergoing rehabilitation were collected in 4 focus groups, with frequency of answers analyzed by means of inductive category formation. The providers' preferences and requirements concerning a training programme on shared decision-making were assessed through an expert survey and underwent a mainly descriptive-explorative evaluation as well as a partial content analysis.
  
  
  RESULTS
  36 patients took part in the focus groups. Besides the wish for more participation in treatment decisions, they expressed further needs, such as more time and respect. The -experts of the 4 clinics (n=34, rate of response: 71%) also assessed these aspects of the patient-provider interaction as relevant. However, they saw the highest training need in the area of interdisciplinary team interactions.
  
  
  CONCLUSIONS
  The interprofessional training programme "Fit for SDM" was developed on the basis of these results, and consists of 2 modules for the implementation of shared decision-making in medical rehabilitation. Module 1 focuses on external participation (provider-patient interaction), Module 2 on internal participation (team interaction). Module 2 was additionally used for preparing executives in their role as multipliers in the team. The training is currently being evaluated in a cluster-randomized multicentre study.
authors: Albert-Ludwigs-Universität Freiburg, Medizinische Fakultät, Abteilung für Medizinische Psychologie und Medizinische Soziologie, Hebelstraße 29, 79085 Freiburg. mirjam.koerner@medsoz.uni-freiburg.de
authors: M
authors: M
authors: Körner
authors: H
authors: H
authors: Ehrhardt
authors: A-K
authors: AK
authors: Steger
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000534:rehabilitation*; D003299:Cooperative Behavior; D003657:Decision Making; D005260:Female; D017144:Focus Groups; D005858:Germany; D006284:Health Plan Implementation / Q000458:organization & administration*; D006302:Health Services Research; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000458:organization & administration; D010358:Patient Participation; D010865:Pilot Projects; D012047:Rehabilitation Centers / Q000458:organization & administration*; D013663:Teaching / Q000458:organization & administration*; D055815:Young Adult