title: Occupational therapists' shared decision-making behaviors with patients having persistent pain in a work rehabilitation context: A cross-sectional study.
abstract: OBJECTIVE
  In a work rehabilitation context, we assessed occupational therapists' (OTs) shared decision-making (SDM) behaviors with individuals having persistent pain and explored factors influencing SDM behaviors.
  
  
  METHODS
  A cross-sectional study that used audio-recordings of work rehabilitation consultations between OTs trained in SDM and a convenient sample of patients. Eligible patients were: off work for ≥12 weeks due to persistent pain associated with a musculoskeletal disorder, starting a work rehabilitation program, and French speaking. Transcripts were analyzed using the Observing Patient Involvement in Shared Decision Making (OPTION) instrument and assessed patients' decisional conflict and socioeconomic status.
  
  
  RESULTS
  Of 15 OTs trained in SDM, 11 (90% female), provided audiotaped SDM meetings with 37 patients (40.5% female; aged 18-62 years). Their average OPTION score was 53.94 out of 100 (SD=9.68; range 35.42-70.83), indicating basic skills. Significant factors associated with OPTION scores (R (2)adjusted=21.7%) were the interview length (p=0.008) and level of patient education (p=0.038).
  
  
  CONCLUSIONS
  Basic SDM behaviors were integrated in the practice of OTs trained in SDM.
  
  
  CONCLUSIONS
  Evaluating SDM behaviors is a step toward providing OTs with performance feedback toward achieving client-centered care.
authors: Hôpital CharlesLeMoyne Research Center and School of Rehabilitation, Université de Sherbrooke, Longueuil, Canada. Electronic address: Marie-France.Coutu@USherbrooke.ca.
authors: Marie-France
authors: MF
authors: Coutu
authors: Centre Hospitalier Universitaire de Québec Research Center, Hospital St-François d'Assise, Québec, Canada.
authors: France
authors: F
authors: Légaré
authors: School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, Canada.
authors: Dawn
authors: D
authors: Stacey
authors: Hôpital CharlesLeMoyne Research Center and School of Rehabilitation, Université de Sherbrooke, Longueuil, Canada.
authors: Marie-José
authors: MJ
authors: Durand
authors: Hôpital CharlesLeMoyne Research Center and School of Rehabilitation, Université de Sherbrooke, Longueuil, Canada.
authors: Marc
authors: M
authors: Corbière
authors: University of British Columbia, Vancouver, Canada.
authors: Lesley
authors: L
authors: Bainbridge
authors: Hôpital CharlesLeMoyne Research Center and School of Rehabilitation, Université de Sherbrooke, Longueuil, Canada.
authors: Marie-Elise
authors: ME
authors: Labrecque
mesh_terms: D000062:Accidents, Occupational; D000293:Adolescent; D000328:Adult; D002170:Canada; D003430:Cross-Sectional Studies; D003657:Decision Making; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000534:rehabilitation*; D009788:Occupational Therapy; D010146:Pain / Q000534:rehabilitation*; D016730:Program Development; D015397:Program Evaluation; D011792:Quebec; D012047:Rehabilitation Centers; D062707:Return to Work; D017132:Workplace; D055815:Young Adult
keywords: Injuries; OPTION; Pain; People with disabilities; Rehabilitation; Shared decision-making; Work