title: Assessing the feasibility and quality of shared decision making in China: evaluating a clinical encounter intervention for Chinese patients.
abstract: BACKGROUND
  The aim of this study was to evaluate the feasibility of using the Statin Choice decision aid to have discussions about starting a statin medication for cardiovascular risk reduction in Chinese patients with stable coronary artery diseases.
  
  
  METHODS
  A prospective, pilot study of the Statin Choice decision aid in two teaching hospitals in Northern China was conducted. A total of seven clinicians were enrolled and underwent a 12-hour, group-based, in-person training on shared decision making (SDM) and the Statin Choice decision aid. Then, these clinicians used the Statin Choice decision aid in patients during a clinical encounter. A total of 86 patients aged 40-80 years, who had stable angina, were enrolled. All clinical encounters were video recorded. A team of three researchers viewed and scored all the encounter recordings to evaluate the SDM process and fidelity to the intervention using the OPTION scale and Fidelity scale, respectively. All the patients were followed up for 12 months to record adherence to statin and any major adverse cardiac events (MACEs).
  
  
  RESULTS
  The average scores on the OPTION normalized score and Fidelity scale were 21 (range, 3-32; out of a possible, 48) and 10 (range, 6-10; out of a possible, 10), respectively. This suggested that Chinese clinicians who were using Statin Choice in their patients were able to exhibit behaviors consistent with SDM at a level that is similar to that reported in Western countries. After SDM, the statin adherence was 94.5% (69/73), and the proportion of MACEs was 2.9% (2/69).
  
  
  CONCLUSIONS
  Using an encounter decision aid developed in the US, it was feasible to implement SDM in a referral cardiology practice in Mainland China. Further work to ensure that the encounter aid is pertinent to the Chinese population and that SDM is tested in at-risk patients could contribute to the implementation of SDM across Mainland China.
authors.affiliation: Department of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian.
authors.forename: Rongchong
authors.initials: R
authors.lastname: Huang
authors.affiliation: Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, People's Republic of China.
authors.forename: Xiantao
authors.initials: X
authors.lastname: Song
authors.affiliation: Department of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian.
authors.forename: Jian
authors.initials: J
authors.lastname: Wu
authors.affiliation: Department of Cardiology, Beijing An Zhen Hospital, Capital Medical University, Beijing, People's Republic of China.
authors.forename: Wei
authors.initials: W
authors.lastname: Huang
authors.affiliation: Knowledge and Evaluation Research Unit.
authors.forename: Aaron L
authors.initials: AL
authors.lastname: Leppin
authors.affiliation: Knowledge and Evaluation Research Unit; Mayo Graduate School, Mayo Clinic, Rochester, MN.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Gionfriddo
authors.affiliation: Department of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian.
authors.forename: Yongxian
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Knowledge and Evaluation Research Unit.
authors.forename: Kasey R
authors.initials: KR
authors.lastname: Boehmer
authors.affiliation: Value Institute, New York-Presbyterian Hospital, The University Hospital of Columbia and Cornell, New York, NY.
authors.forename: Henry H
authors.initials: HH
authors.lastname: Ting
authors.affiliation: Knowledge and Evaluation Research Unit; Division of Endocrinology, Mayo Clinic, Rochester, MN, USA.
authors.forename: Victor M
authors.initials: VM
authors.lastname: Montori
keywords: China; Statin Choice; decision aid; shared decision making; stable angina; statin adherence