Developing of an evidence based intervention to improve shared decision making in older persons with multiple chronic conditions

Older persons with multiple chronic conditions (MCC) face many health-related decisions, for example regarding diagnostic procedures, medication use or invasive treatment. For professionals the care for older persons with MCC is challenging; they experience the limitations of single disease focused guidelines, that do not take into account the complexity of MCC and are sometimes contradictory. In older persons with MCC maintaining independence and quality of life becomes more important than survival. Therefore in older persons with MCC shared decision making (SDM) is needed to make decisions that contribute to personal preferences and goals of the patient.
Although in recent years many research has been conducted on developing models for SDM and patient decision aids, Question Prompt Sheets and Option Grids, however the implementation of SDM is yet very limited.
The aim of this PhD project is to develop an intervention, based on the MRC Framework, to facilitate the use of SDM in older persons with MCC.

This project is a collaboration between the University of Amsterdam and Vilans.

Research team: PhD student: drs. Ruth Pel – Littel, Department of internal Medicine, Section of Geriatric Medicine, Academic Medical Center, University of Amsterdam & Vilans Centre of expertise for long-term care
Dr. Bianca Buurman Department of internal Medicine, Section of Geriatric Medicine, Academic Medical Center, University of Amsterdam
Prof. Wilma Scholte op Reimer Amsterdam School of Health Professions, University of Applied Sciences
Prof. Julia van Weert
Prof. Mirella Minkman Vilans Centre of expertise for long-term care & Tilburg University
Dr. Gerben te Riet Department of General Practice, Academic Medical Center, University of Amsterdam
Status: Ongoing since 1 September 2014
Funding: ZonMw: The Netherlands Organisation for Health Research and Development