PT  - JOURNAL ARTICLE
AU  - Karine Toupin-April
AU  - Jennifer Barton
AU  - Liana Fraenkel
AU  - Linda C.  Li
AU  - Peter Brooks
AU  - Maarten  De Wit
AU  - Dawn Stacey
AU  - France Légaré
AU  - Alexa Meara
AU  - Beverley Shea
AU  - Anne Lyddiatt
AU  - Cathie Hofstetter
AU  - Laure Gossec
AU  - Robin Christensen
AU  - Marieke Scholte-Voshaar
AU  - Maria E.  Suarez-Almazor
AU  - Annelies Boonen
AU  - Tanya Meade
AU  - Lyn March
AU  - Christoph Pohl
AU  - Janet Elizabeth  Jull
AU  - Sigogini Sivarajah
AU  - Willemina Campbell
AU  - Rieke Alten
AU  - Suvi Karuranga
AU  - Esi Morgan
AU  - Jessica Kaufman
AU  - Sophie Hill
AU  - Lara J.  Maxwell
AU  - Vivian Welch
AU  - Dorcas Beaton
AU  - Yasser El-Miedany
AU  - Peter S.  Tugwell
TI  - Toward the Development of a Core Set of Outcome Domains to Assess Shared Decision-making Interventions in Rheumatology: Results from an OMERACT Delphi Survey and Consensus Meeting
AID  - 10.3899/jrheum.161241
DP  - 2017 Aug 01
TA  - The Journal of Rheumatology
PG  - jrheum.161241
4099  - http://www.jrheum.org/content/early/2017/07/26/jrheum.161241.short
4100  - http://www.jrheum.org/content/early/2017/07/26/jrheum.161241.full
AB  - Objective The aim of this Outcome Measures in Rheumatology (OMERACT) Working Group was to determine the core set of outcome domains and subdomains for measuring the effectiveness of shared decision-making (SDM) interventions in rheumatology clinical trials. Methods Following the OMERACT Filter 2.0, and based on a previous literature review of SDM outcome domains and a nominal group process at OMERACT 2014, (1) an online Delphi survey was conducted to gather feedback on the draft core set and refine its domains and subdomains, and (2) a workshop was held at the OMERACT 2016 meeting to gain consensus on the draft core set. Results A total of 170 participants completed Round 1 of the Delphi survey, and 116 completed Round 2. Respondents came from 29 countries, with 49% being patients/caregivers. Results showed that 14 out of the 17 subdomains within the 7 domains exceeded the 70% criterion (endorsement ranged from 83% to 100% of respondents). At OMERACT 2016, only 8% of the 96 attendees were patients/caregivers. Despite initial votes of support in breakout groups, there was insufficient comfort about the conceptualization of these 7 domains and 17 subdomains for these to be endorsed at OMERACT 2016 (endorsement ranged from 17% to 68% of participants). Conclusion Differences between the Delphi survey and consensus meeting may be explained by the manner in which the outcomes were presented, variations in participant characteristics, and the context of voting. Further efforts are needed to address the limited understanding of SDM and its outcomes among OMERACT participants.