title: The perception of shared medical decision making of expert and lay people: effects of observing a movie clip depicting a medical consultation.
abstract: OBJECTIVE
  To test for differences between experts and lay people in assessment of the degree to which a doctor engaged in a shared decision making (SDM) with a patient using the OPTION scale and a movie clip as stimulus material.
  
  
  METHODS
  A segment of the movie 'Wit', depicting the communication of the diagnosis and the therapy proposed of a cancer, was shown to (a) university students with no knowledge about doctor-patient communication; (b) nurses working in medicine departments; (c) advanced medical students; (d) hospital physicians. The participants were asked to complete the OPTION scale which measures the extent to which physicians involve patients in medical decisions. An analysis of variance was used to compare OPTION scores across the four groups and to compare males and females.
  
  
  RESULTS
  Being female [F(1,190)=11.9; p<.001] and being familiar with medical issues [F(3,190)=11.09; p<.001] were both significantly associated with a negative evaluations of the doctor's ability to involve the patient in the SDM.
  
  
  CONCLUSIONS
  Lay people and males (including male experts), are less demanding regarding SDM abilities.
  
  
  CONCLUSIONS
  A more systematic use of videos and the OPTION scale as validated outcome measure could be helpful educational strategy for the teaching of SDM.
authors.affiliation: Department of Developmental and Socialization Psychology, University of Padova, Padova, Italy. luciano.arcuri@unipd.it
authors.forename: Luciano
authors.initials: L
authors.lastname: Arcuri
authors.forename: Barbara
authors.initials: B
authors.lastname: Montagnini
authors.forename: Gabriella
authors.initials: G
authors.lastname: Calvi
authors.forename: Claudia
authors.initials: C
authors.lastname: Goss
mesh_terms: D002755:Choice Behavior; D006801:Humans; D008297:Male; D011795:Surveys and Questionnaires; D014956:Writing