G Elwyn

Summary

Affiliation: Cardiff University
Country: UK

Publications

  1. pmc EXACKTE(2): exploiting the clinical consultation as a knowledge transfer and exchange environment: a study protocol
    France Legare
    Research Center of the Centre Hospitalier Universitaire de Québec, Quebec, Canada
    Implement Sci 4:14. 2009
  2. pmc Minimal improvement of nurses' motivational interviewing skills in routine diabetes care one year after training: a cluster randomized trial
    Renate Jansink
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, P O Box 9101, Nijmegen 6500 HB, The Netherlands
    BMC Fam Pract 14:44. 2013
  3. doi request reprint Detecting deterioration in patients with chronic disease using telemonitoring: navigating the 'trough of disillusionment'
    Glyn Elwyn
    Department of Primary Care and Public Health, Clinical Epidemiology Interdisciplinary Research Group, Cardiff University, Cardiff, UK
    J Eval Clin Pract 18:896-903. 2012
  4. pmc How to integrate individual patient values and preferences in clinical practice guidelines? A research protocol
    Trudy van der Weijden
    Department of General Practice, Maastricht University, School of Public Health and Primary care Caphri, Maastricht, The Netherlands
    Implement Sci 5:10. 2010
  5. pmc Improving calculation, interpretation and communication of familial colorectal cancer risk: Protocol for a randomized controlled trial
    Nicky Dekker
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Implement Sci 5:6. 2010
  6. pmc Development of a theory of implementation and integration: Normalization Process Theory
    Carl R May
    Institute of Health and Society, Newcastle University, Newcastle, UK
    Implement Sci 4:29. 2009
  7. pmc The effect of different cardiovascular risk presentation formats on intentions, understanding and emotional affect: a randomised controlled trial using a web-based risk formatter (protocol)
    Cherry Ann Waldron
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, UK
    BMC Med Inform Decis Mak 10:41. 2010
  8. pmc Deconstructing patient centred communication and uncovering shared decision making: an observational study
    Michel Wensing
    Centre for Quality of Care Research, University Medical Centre Nijmegen, P, O, Box 9101, 6500 HB, Nijmegen, The Netherlands
    BMC Med Inform Decis Mak 2:2. 2002
  9. pmc Instruments to assess the perception of physicians in the decision-making process of specific clinical encounters: a systematic review
    France Legare
    Research Centre of the Centre Hospitalier Universitaire de Québec, Quebec, Canada
    BMC Med Inform Decis Mak 7:30. 2007
  10. pmc Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation"
    Kymberley Thorne
    School of Medicine, Swansea University, Swansea, UK
    BMC Health Serv Res 8:20. 2008

Collaborators

Detail Information

Publications121 found, 100 shown here

  1. pmc EXACKTE(2): exploiting the clinical consultation as a knowledge transfer and exchange environment: a study protocol
    France Legare
    Research Center of the Centre Hospitalier Universitaire de Québec, Quebec, Canada
    Implement Sci 4:14. 2009
    ....
  2. pmc Minimal improvement of nurses' motivational interviewing skills in routine diabetes care one year after training: a cluster randomized trial
    Renate Jansink
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, P O Box 9101, Nijmegen 6500 HB, The Netherlands
    BMC Fam Pract 14:44. 2013
    ..The nurses participated in a cluster randomized trial in which a comprehensive program (including MI training) was tested on improving clinical parameters, lifestyle, patients' readiness to change lifestyle, and quality of life...
  3. doi request reprint Detecting deterioration in patients with chronic disease using telemonitoring: navigating the 'trough of disillusionment'
    Glyn Elwyn
    Department of Primary Care and Public Health, Clinical Epidemiology Interdisciplinary Research Group, Cardiff University, Cardiff, UK
    J Eval Clin Pract 18:896-903. 2012
    ....
  4. pmc How to integrate individual patient values and preferences in clinical practice guidelines? A research protocol
    Trudy van der Weijden
    Department of General Practice, Maastricht University, School of Public Health and Primary care Caphri, Maastricht, The Netherlands
    Implement Sci 5:10. 2010
    ..be adapted to elicit patient preferences and to support shared decision making? What type of clinical decisions are perceived as most requiring consideration of individual patients' preferences rather than promoting a single best choice?..
  5. pmc Improving calculation, interpretation and communication of familial colorectal cancer risk: Protocol for a randomized controlled trial
    Nicky Dekker
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Implement Sci 5:6. 2010
    ..Our results may also be useful in improving healthcare in other diseases. TRIAL REGISTRATION: ClinicalTrials.gov NCT00929097...
  6. pmc Development of a theory of implementation and integration: Normalization Process Theory
    Carl R May
    Institute of Health and Society, Newcastle University, Newcastle, UK
    Implement Sci 4:29. 2009
    ..CONCLUSION: Normalization Process Theory has been developed through procedures that were properly sceptical and critical, and which were opened to review at each stage of development. The theory has been shown to merit formal testing...
  7. pmc The effect of different cardiovascular risk presentation formats on intentions, understanding and emotional affect: a randomised controlled trial using a web-based risk formatter (protocol)
    Cherry Ann Waldron
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, UK
    BMC Med Inform Decis Mak 10:41. 2010
    ..The aim of this study is to compare the effects of presenting cardiovascular risk in different formats on individuals' intention to change behaviour to reduce risk, understanding of risk information and emotional affect...
  8. pmc Deconstructing patient centred communication and uncovering shared decision making: an observational study
    Michel Wensing
    Centre for Quality of Care Research, University Medical Centre Nijmegen, P, O, Box 9101, 6500 HB, Nijmegen, The Netherlands
    BMC Med Inform Decis Mak 2:2. 2002
    ..Patient centred communication (PCC) has been described as a method for doctor-patient communication. The principles of shared decision making (SDM) have been proposed more recently...
  9. pmc Instruments to assess the perception of physicians in the decision-making process of specific clinical encounters: a systematic review
    France Legare
    Research Centre of the Centre Hospitalier Universitaire de Québec, Quebec, Canada
    BMC Med Inform Decis Mak 7:30. 2007
    ..A systematic review was conducted to identify instruments that assess the perception physicians have of the decision-making process within specific clinical encounters...
  10. pmc Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation"
    Kymberley Thorne
    School of Medicine, Swansea University, Swansea, UK
    BMC Health Serv Res 8:20. 2008
    ..The availability of routinely collected service-related endoscopy data from NHS endoscopy units has never been quantified...
  11. pmc Impact of case management by advanced practice nurses in primary care on unplanned hospital admissions: a controlled intervention study
    Dyfed W Huws
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Neuadd Meirionnydd, Heath Park, Cardiff, CF14 4YS, UK
    BMC Health Serv Res 8:115. 2008
    ..We aimed to study the effect of advanced practice nurse case management on unplanned medical and geriatric hospital admission rates in patients 50 years and over, and on admission risk in a 'higher risk' sub-group of patients in the UK...
  12. pmc Advancing theories, models and measurement for an interprofessional approach to shared decision making in primary care: a study protocol
    France Legare
    Research Center of the Centre Hospitalier Universitaire de Québec, Quebec, Canada
    BMC Health Serv Res 8:2. 2008
    ..The objectives of this study are to develop a conceptual model and propose a set of measurement tools for enhancing an interprofessional approach to SDM in primary healthcare...
  13. pmc Nurse-led motivational interviewing to change the lifestyle of patients with type 2 diabetes (MILD-project): protocol for a cluster, randomized, controlled trial on implementing lifestyle recommendations
    Renate Jansink
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, P, O, Box 9101, 6500 HB Nijmegen, The Netherlands
    BMC Health Serv Res 9:19. 2009
    ..The aim of this paper is to describe the design and methods of a study evaluating the effects of the nurses' training on patient outcomes...
  14. pmc The effects of the Two-Week Rule on NHS colorectal cancer diagnostic services: a systematic literature review
    Kymberley Thorne
    School of Medicine, University of Wales, Swansea, UK
    BMC Health Serv Res 6:43. 2006
    ..Guidelines were available to GPs to facilitate the appropriate TWR referral of patients exhibiting high-risk CRC symptoms...
  15. pmc A randomised controlled trial of the effects of a web-based PSA decision aid, Prosdex. Protocol
    Rhodri Evans
    Department of Primary Care and Public Health, Cardiff University, Wales, UK
    BMC Fam Pract 8:58. 2007
    ..In addition, a mathematical simulation model of the effects of Prosdex will be developed...
  16. pmc Developing a facilitation model to promote organisational development in primary care practices
    Melody Rhydderch
    Centre for Health Sciences Research, Neuadd Meirionydd, Heath Park, CF14 4YS, Cardiff, UK
    BMC Fam Pract 7:38. 2006
    ..A qualitative study based on transcript analysis was adopted...
  17. pmc Primary care nurses struggle with lifestyle counseling in diabetes care: a qualitative analysis
    Renate Jansink
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, P O Box 9101, 6500 HB Nijmegen, The Netherlands
    BMC Fam Pract 11:41. 2010
    ..Based on this information we will develop an implementation strategy to improve lifestyle behavior change in general practice...
  18. pmc Setting up a Paediatric Rapid Access Outpatient Unit: views of general practice teams
    Lisa Williams
    Department of Paediatrics, School of Medicine, Cardiff University, The Children s Hospital for Wales, Heath Park, Cardiff, CF14 4XW, UK
    BMC Fam Pract 9:54. 2008
    ..There are no qualitative data on the views of primary care practitioners regarding these types of facilities. The aim of the study was to explore the opinions of primary care practitioners regarding a newly established RAOU...
  19. pmc Measuring quality through performance. Respecting the subjective: quality measurement from the patient's perspective
    Glyn Elwyn
    Department of Primary Care and Public Health, Cardiff University, Cardiff CF14 4YS
    BMJ 335:1021-2. 2007
  20. ncbi request reprint Case management by nurses in primary care: analysis of 73 'success stories'
    Glyn Elwyn
    Department of Primary Care and Public Health, Cardiff University, Cardiff, Wales, UK
    Qual Prim Care 16:75-82. 2008
    ..There is interest as to whether case management reduces unplanned patient admission to hospital. However, very little is known about how the intervention is delivered and what the most salient outcome measures are...
  21. doi request reprint How to develop web-based decision support interventions for patients: a process map
    Glyn Elwyn
    Decision Laboratory, Clinical Epidemiology Interdisciplinary Research Group, Department of Primary Care and Public Health, Cardiff University, Heath Park, Cardiff CF14 4YS, UK
    Patient Educ Couns 82:260-5. 2011
    ..We propose a systematic process map for others to consider as they develop web-based, perhaps multimedia, decision support interventions and to examine the future challenges faced by developers...
  22. doi request reprint Facilitating organisational development using a group-based formative assessment and benchmarking method: design and implementation of the International Family Practice Maturity Matrix
    Glyn Elwyn
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Neuadd Meirionnydd, Heath Park, Cardiff CF14 4YS, UK
    Qual Saf Health Care 19:e48. 2010
    ..No attempt at all has been made to achieve a method which would be capable of providing comparisons--and the stimulus for further improvement--at an international level...
  23. pmc Influencing referral practice using feedback of adherence to NICE guidelines: a quality improvement report for dyspepsia
    Glyn Elwyn
    Department of General Practice, Centre for Health Sciences Research, Cardiff University, Cardiff, UK
    Qual Saf Health Care 16:67-70. 2007
    ..Rising demand and increasing waiting times for upper gastrointestinal endoscopy (gastroscopy)...
  24. pmc Using a 'peer assessment questionnaire' in primary medical care
    Glyn Elwyn
    Centre for Health Sciences Research, School of Medicine, Cardiff University
    Br J Gen Pract 55:690-5. 2005
    ..The use of peer assessment questionnaires is one of the methods being considered and investigated by the General Medical Council in the UK...
  25. ncbi request reprint [The patient as a partner in decision making: a new healthcare philosophy?]
    G Elwyn
    Primary Care Group, Universität of Wales Swansea, Grossbritannien
    Praxis (Bern 1994) 94:1509-14. 2005
  26. pmc Assessing the quality of decision support technologies using the International Patient Decision Aid Standards instrument (IPDASi)
    Glyn Elwyn
    Department of Primary Care and Public Health, School of Medicine and the School of Psychology, Cardiff University, Cardiff, United Kingdom
    PLoS ONE 4:e4705. 2009
    ..To describe the development, validation and inter-rater reliability of an instrument to measure the quality of patient decision support technologies (decision aids)...
  27. doi request reprint Deliberation before determination: the definition and evaluation of good decision making
    Glyn Elwyn
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, UK
    Health Expect 13:139-47. 2010
    ....
  28. pmc Developing a quality criteria framework for patient decision aids: online international Delphi consensus process
    Glyn Elwyn
    Department of General Practice, Centre for Health Sciences Research, Cardiff University, Cardiff CF14 4YS
    BMJ 333:417. 2006
    ..To develop a set of quality criteria for patient decision support technologies (decision aids)...
  29. pmc Which test is best for Helicobacter pylori? A cost-effectiveness model using decision analysis
    Glyn Elwyn
    Department of Primary Care and Public Health, Cardiff University, Neuadd Meirionnydd Heath Park, CF14 4YS, Wales
    Br J Gen Pract 57:401-3. 2007
    ..pylori in primary care. This has implications for implementing new testing processes and for commissioning new diagnostic pathways for use in primary care...
  30. ncbi request reprint Measuring the involvement of patients in shared decision-making: a systematic review of instruments
    G Elwyn
    Department of General Practice, University of Wales College of Medicine, Canolfan Iechyd Llanedeyrn Health Centre, CF23 9PN, Cardiff, UK
    Patient Educ Couns 43:5-22. 2001
    ..The concept of patient involvement (shared decision-making; informed collaborative choice) is emerging in the literature and requires an accurate method of assessment...
  31. ncbi request reprint Decision analysis in patient care
    G Elwyn
    Department of General Practice, University of Wales College of Medicine, Canolfan Iechyd Llanedeyrn Health Centre, CF23 9PN, Cardiff, UK
    Lancet 358:571-4. 2001
    ....
  32. doi request reprint The design of patient decision support interventions: addressing the theory-practice gap
    Glyn Elwyn
    Clinical Epidemiology Interdisciplinary Research Group, Department of Primary Care and Public Health, School of Medicine, Cardiff University, Heath Park, Cardiff, UK
    J Eval Clin Pract 17:565-74. 2011
    ..The aim of this work was to address this theory-practice gap and to examine how a range of selected decision-making theories could inform the design and evaluation of decision support interventions...
  33. ncbi request reprint Learning to plan? A critical fiction about the facilitation of professional and practice development plans in primary care
    Glyn Elwyn
    Department of General Practice, University of Wales College of Medicine, Canolfan Iechyd Llanedeyrn Health Centre, Cardiff CF23 9PN, UK
    J Interprof Care 16:349-58. 2002
    ..Existing educational policies are based in uniprofessional paradigms and the protected time requirements and funding streams required for PPDPs have not been clarified...
  34. pmc Organisational development in general practice: lessons from practice and professional development plans (PPDPs)
    G Elwyn
    Department of General Practice, University of Wales, College of Medicine, Canolfan Iechyd Llanedeyrn Health Centre CF23 9PN
    BMC Fam Pract 1:2. 2000
    ....
  35. doi request reprint Investing in deliberation: a definition and classification of decision support interventions for people facing difficult health decisions
    Glyn Elwyn
    Clinical Epidemiology Interdisciplinary Research Group, Department of Primary Care and Public Health, Cardiff University, Heath Park, UK
    Med Decis Making 30:701-11. 2010
    ..The interest in decision support interventions for patients heralds a transformation in clinical practice although many important areas remain unresolved...
  36. pmc Assessing organisational development in primary medical care using a group based assessment: the Maturity Matrix
    G Elwyn
    University of Wales, Swansea SA2 8PP, UK
    Qual Saf Health Care 13:287-94. 2004
    ..To design and develop an instrument to assess the degree of organisational development achieved in primary medical care organisations...
  37. ncbi request reprint Exploring doctor and patient views about risk communication and shared decision-making in the consultation
    Ruth E Davis
    School of Care Sciences, University of Glamorgan, Pontypridd, Wales, UK
    Health Expect 6:198-207. 2003
    ..There are few data on the perceptions of patients and professionals about SDM in actual practice...
  38. pmc Understanding risk and lessons for clinical risk communication about treatment preferences
    A Edwards
    Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Llanedeyrn, Cardiff CF3 7PN, UK
    Qual Health Care 10:i9-13. 2001
    ..Lessons from the current literature on how further progress can be made towards improved communication, discussion between professionals and consumers, and enhancing informed choice are discussed...
  39. pmc "Doing prescribing": how might clinicians work differently for better, safer care
    G Elwyn
    Primary Care Group, Swansea Clinical School, University of Wales Swansea, Grove Building, Singleton Park, Swansea SA2 8PP, UK
    Qual Saf Health Care 12:i33-6. 2003
    ....
  40. ncbi request reprint Shared decision making observed in clinical practice: visual displays of communication sequence and patterns
    G Elwyn
    Department of General Practice, University of Wales College of Medicine, Canolfan Iechyd Llanedeyrn Health Centre, Cardiff, UK
    J Eval Clin Pract 7:211-21. 2001
    ..The suggested ideal of a shared decision-making interaction will either require more time than currently allocated, or alternative strategies to enable information exchange outside the consultation...
  41. pmc General practice registrar responses to the use of different risk communication tools in simulated consultations: a focus group study
    A Edwards
    Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Cardiff CF3 7PN
    BMJ 319:749-52. 1999
    ..To pilot the use of a range of complementary risk communication tools in simulated general practice consultations; to gauge the responses of general practitioners in training to these new consultation aids...
  42. pmc Shared decision making and the concept of equipoise: the competences of involving patients in healthcare choices
    G Elwyn
    Department of General Practice, University of Wales College of Medicine, USA
    Br J Gen Pract 50:892-9. 2000
    ....
  43. doi request reprint Understanding patient experience of out-of-hours general practitioner services in South Wales: a qualitative study
    J N Egbunike
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, 2nd Floor, Neuadd Meirionnydd, Heath Park, Cardiff CF144YS, UK
    Emerg Med J 25:649-54. 2008
    ..In the light of recent changes in the structure and provision of out-of-hours service in the UK, there is a need to re-assess the quality of care. One way to assess the quality of care is through patient experience...
  44. pmc Involving patients in primary care consultations: assessing preferences using discrete choice experiments
    Mirella F Longo
    School of Care Science, University of Glamorgan, Pontypridd CF37 1DL, Wales, UK
    Br J Gen Pract 56:35-42. 2006
    ..It is not known whether or to what extent SDM contributes to the welfare arising from a consultation, and how important this contribution is relative to other attributes of a consultation...
  45. ncbi request reprint How should effectiveness of risk communication to aid patients' decisions be judged? A review of the literature
    A Edwards
    Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Cardiff, Wales, UK
    Med Decis Making 19:428-34. 1999
    ..These affective outcomes may be more specific and sensitive measures for risk-communication research. Further development and validation of measurement scales to address these issues is needed...
  46. ncbi request reprint When is a shared decision not (quite) a shared decision? Negotiating preferences in a general practice encounter
    R Gwyn
    Health Communication Research Centre, School of English, Communication and Philosophy, Cardiff University, UK
    Soc Sci Med 49:437-47. 1999
    ....
  47. ncbi request reprint Presenting risk information--a review of the effects of "framing" and other manipulations on patient outcomes
    A Edwards
    Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Llanedeyrn, Cardiff, United Kingdom
    J Health Commun 6:61-82. 2001
    ..These findings can contribute to efforts to improve communication between professionals and patients...
  48. doi request reprint Interventions to improve risk communication in clinical genetics: systematic review
    A Edwards
    Department of Primary Care and Public Health, Cardiff University, and University Hospital of Wales, Cardiff, UK
    Patient Educ Couns 71:4-25. 2008
    ..A systematic review of existing literature on risk communication in genetics, and its effects on key outcomes for clients, was undertaken...
  49. ncbi request reprint Resource effects of training general practitioners in risk communication skills and shared decision making competences
    David Cohen
    University of Glamorgan, Pontypridd, Wales, UK
    J Eval Clin Pract 10:439-45. 2004
    ..The aim of this study was to determine the cost of such training and identify which service resource variables are subsequently affected...
  50. ncbi request reprint Inside the black box of shared decision making: distinguishing between the process of involvement and who makes the decision
    Adrian Edwards
    Department of General Practice, Centre for Health Sciences Research, Cardiff University, Cardiff, UK
    Health Expect 9:307-20. 2006
    ..Shared decision making has practical implications for everyday health care. However, it stems from largely theoretical frameworks and is not widely implemented in routine practice...
  51. ncbi request reprint Prominent strategy but rare in practice: shared decision-making and patient decision support technologies in the UK
    Rhodri Evans
    Department of Primary Care and Public Health, Cardiff University, Cardiff, Wales, UK
    Z Arztl Fortbild Qualitatssich 101:247-53. 2007
    ..3 euro National Programme for IT. The legislative framework in the UK is conducive to the implementation of shared decision-making, and there is a growing body of research literature, albeit focused on PDSTs...
  52. ncbi request reprint Developing a measure of patient access to primary care: the access response index (AROS)
    Glyn Elwyn
    Primary Care Research, Department of Primary Health Care, The Clinical School, University of Wales, Swansea, UK
    J Eval Clin Pract 9:33-7. 2003
    ..Data are represented in clear graphical daily format, either just for one practice or as an anonymous composite graph with other practices in the locality...
  53. pmc Supporting informed decision making online in 20 minutes: an observational web-log study of a PSA test decision aid
    Natalie Joseph-Williams
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, United Kingdom
    J Med Internet Res 12:e15. 2010
    ..We know what decision aids achieve in randomized controlled trials (RCTs), but we still know very little about how they are used and how this relates to the informed decision making outcome measures...
  54. pmc A 'real puzzle': the views of patients with epilepsy about the organisation of care
    Glyn Elwyn
    Primary Care Research Group, Swansea Clinical School, University of Wales, UK
    BMC Fam Pract 4:4. 2003
    ..Little is known about how individuals who have a diagnosis of epilepsy have experienced healthcare services or their views about how they should best be organised to meet their ongoing needs...
  55. ncbi request reprint The problematic of decision-sharing: deconstructing 'cholesterol' in a clinical encounter
    Richard Gwyn
    Health Communication Research Centre, School of English, Communication and Philosophy, Cardiff University, Cardiff, UK
    Health Expect 6:242-54. 2003
    ....
  56. pmc Appraisal of family doctors: an evaluation study
    Malcolm Lewis
    Department of Postgraduate Education for General Practice, University of Wales College of Medicine, Heath Park, Cardiff, CF14 4XN
    Br J Gen Pract 53:454-60. 2003
    ..However, it is not clear from existing proposals for appraisal of doctors whether employers, health authorities or primary care organisations should take responsibility for appraisal processes...
  57. doi request reprint Exploring the requirements for a decision aid on familial breast cancer in the UK context: a qualitative study with patients referred to a cancer genetics service
    Rachel Iredale
    Institute of Medical Genetics, Cardiff University School of Medicine, Cardiff, UK
    J Eval Clin Pract 14:110-5. 2008
    ..These are largely aimed at the North American market. However, no decision aids concerning familial breast cancer exist in the UK...
  58. pmc Practice and professional development plans (PPDPs): results of a feasibility study
    G Elwyn
    Department of General Practice, University of Wales, College of Medicine, Canolfan lechyd Llanedeym Health Centre, Cardiff CF23 9PN, UK
    BMC Fam Pract 2:1. 2001
    ..Dissatisfaction with uniprofessional education structures as a means of improving the quality of healthcare has led to proposals to develop ways of integrating professional learning and organisational development...
  59. ncbi request reprint Consumers' views of quality in the consultation and their relevance to 'shared decision-making' approaches
    A Edwards
    Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Llanedeyrn, Cardiff CF3 7PN, UK
    Health Expect 4:151-61. 2001
    ..However, the outcomes usually assessed for evidence of 'effectiveness' are determined by researchers and have not been based on consumers' views...
  60. ncbi request reprint Using simulated consultations to develop communications skills for neurology trainees
    Philip E M Smith
    Department of Neurology, School of Postgraduate Studies, University of Wales College of Medicine, Cardiff, UK
    Eur J Neurol 9:83-7. 2002
    ..The technique could be used more widely in neurology training, and may have a role in assessment...
  61. ncbi request reprint Advocating mandatory patient 'autonomy' in healthcare: adverse reactions and side effects
    Myfanwy Davies
    Department of Primary Care and Public Health, Cardiff University, Neuadd Meirionnydd, Heath Park, Cardiff CF14 4XN, UK
    Health Care Anal 16:315-28. 2008
    ..Until constraints on individual choice can be understood and addressed, we advocate the model of optional autonomy used in shared decision making and make recommendations for practice, policy, education and research...
  62. pmc Toward a model for field-testing patient decision-support technologies: a qualitative field-testing study
    Rhodri Evans
    Department of Primary Care and Public Health, Cardiff University, Cardiff, Wales, UK
    J Med Internet Res 9:e21. 2007
    ..We incorporated field-testing into the development of a Web-based, prostate-specific antigen PDST called Prosdex, which was commissioned as part of the UK Prostate Cancer Risk Management Programme...
  63. ncbi request reprint How risk is perceived, constructed and interpreted by clients in clinical genetics, and the effects on decision making: systematic review
    Stephanie Sivell
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, 2nd Floor, Neuadd Meirionydd, Heath Park, Cardiff, CF14 4YS, UK
    J Genet Couns 17:30-63. 2008
    ....
  64. pmc "It's a maybe test": men's experiences of prostate specific antigen testing in primary care
    Rhodri Evans
    Department of Primary Care and Public Health, Cardiff University, Neuadd Meirionydd, Heath Park, Cardiff
    Br J Gen Pract 57:303-10. 2007
    ..It is not known whether this policy is actually adhered to in primary care. Furthermore, little is known of the experiences of men who face this decision...
  65. pmc Supporting informed decision making for prostate specific antigen (PSA) testing on the web: an online randomized controlled trial
    Rhodri Evans
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, United Kingdom
    J Med Internet Res 12:e27. 2010
    ..The Web-based PSA decision aid, Prosdex, was developed as part of the UK Prostate Cancer Risk Management Programme in order to help men make such informed decisions...
  66. pmc Identifying future models for delivering genetic services: a nominal group study in primary care
    Glyn Elwyn
    Centre for Health Sciences Research, Cardiff University, 56 Park Place, Cardiff, CF10 3AT, Wales
    BMC Fam Pract 6:14. 2005
    ..To enable primary care medical practitioners to generate a range of possible service delivery models for genetic counselling services and critically assess their suitability...
  67. ncbi request reprint The OPTION scale: measuring the extent that clinicians involve patients in decision-making tasks
    Glyn Elwyn
    Primary Care Group, School of Medicine, University of Wales Swansea, Swansea, UK
    Health Expect 8:34-42. 2005
    ..The OPTION instrument assesses to what degree clinicians involve patients in decision making...
  68. ncbi request reprint Manufactured but not imported: new directions for research in shared decision making support and skills
    Adrian Edwards
    Department of Primary Care, Swansea Clinical School, University of Wales, Singleton Park, Swansea, Wales SA2 8PP, UK
    Patient Educ Couns 50:33-8. 2003
    ..If we can learn these lessons, then wider implementation of shared decision making or consumer involvement may become a nearer prospect...
  69. ncbi request reprint Error and safety in primary care: no clear boundaries
    Lionel Jacobson
    Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Llanedeyrn, Cardiff CF23 9PN, UK
    Fam Pract 20:237-41. 2003
    ..Regardless of definitions, reflection on critical incidents, adverse events or other notable events is important, but requires time and resources to be conducted effectively...
  70. ncbi request reprint Can promoting patient decision making be exclusionary? Moral expectations and cultural difference in the narratives of UK maternity clinicians
    Myfanwy Davies
    Cardiff University, Cardiff, UK
    Commun Med 6:39-48. 2009
    ..We will demonstrate these attributes to be those of passivity and non-rationality which entail some negative moral judgements and which have a complex relationship to gender and power..
  71. ncbi request reprint Tough decisions faced by people living with HIV: a literature review of psychosocial problems
    Paulina Bravo
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Neuadd Meironnydd Heath Park, Cardiff, Wales, UK
    AIDS Rev 12:76-88. 2010
    ..Therefore, the results of this review highlight the requirement to develop interventions to support the psychosocial needs of people living with HIV, to accurately reflect the views and needs of the target users...
  72. doi request reprint What are effective strategies to communicate cardiovascular risk information to patients? A systematic review
    Cherry Ann Waldron
    Department of Primary Care and Public Health, Cardiff University, Heath Park, UK
    Patient Educ Couns 82:169-81. 2011
    ..To compare different interventions used to communicate cardiovascular risk and assess their impact on patient related outcomes...
  73. doi request reprint Developing a dyadic OPTION scale to measure perceptions of shared decision making
    Emma Melbourne
    Department of Primary Care and Public Health, Cardiff University, Cardiff CF14 4XN, United Kingdom
    Patient Educ Couns 78:177-83. 2010
    ..The prime objective was to develop an instrument capable of assessing the extent to which patients have been involved in (shared) decision making from two viewpoints-that of the patient and the clinician...
  74. doi request reprint Understanding surgery choices for breast cancer: how might the Theory of Planned Behaviour and the Common Sense Model contribute to decision support interventions?
    Stephanie Sivell
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, Wales, UK
    Health Expect 14:6-19. 2011
    ....
  75. ncbi request reprint Reactions of GPs to a triage-controlled referral system for cancer genetics
    Glyn Elwyn
    Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Cardiff, UK
    Fam Pract 19:65-71. 2002
    ..In the UK, genetic services vary widely between regions. To manage demand, an all-Wales cancer genetics service based on telephone triage and referral guidelines was designed and implemented...
  76. doi request reprint The importance and complexity of regret in the measurement of 'good' decisions: a systematic review and a content analysis of existing assessment instruments
    Natalie Joseph-Williams
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, Cardiff, UK
    Health Expect 14:59-83. 2011
    ..However, recent research has highlighted the complexity of regret. Given its relevance to shared decision making, it is important to understand its conceptualization and the instruments used to measure it...
  77. doi request reprint A review of decision support technologies for amniocentesis
    M A Durand
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Neuadd Meirionnydd, Health Park CF14 4YS, UK
    Hum Reprod Update 14:659-68. 2008
    ..The purpose of this review was to describe and evaluate existing DSTs for amniocentesis testing...
  78. ncbi request reprint Making interactive decision support for patients a reality
    Rhodri Evans
    Primary Care Group, School of Medicine, University of Wales Swansea, Grove Building, Singleton Park, Swansea SA2 8PP, Wales, UK
    Inform Prim Care 12:109-13. 2004
    ..We suggest that there may be an impact on the doctor-patient relationship and that this presents a number of opportunities. However, there are ethical challenges such as information bias and commercialisation...
  79. ncbi request reprint Snapshots and snippets: general practitioners' reflections on professional space
    Frances Rapport
    Swansea University, School of Medicine, Grove Building, Singleton Park, Swansea SA2 8PP, UK
    Health Place 13:532-44. 2007
    ..Whilst some appear helpless in the face of change, others are making their presence felt through embodied, personalized or authorial spaces...
  80. pmc Consultations about changing behaviour
    Stephen Rollnick
    Department of General Practice, Centre for Health Sciences Research, Cardiff University, Cardiff CF14 4XN
    BMJ 331:961-3. 2005
  81. ncbi request reprint Decision aids for familial breast cancer: exploring women's views using focus groups
    Frances Rapport
    School of Medicine, Centre for Health Information, Research and Evaluation CHIRAL, Swansea University, Singleton Park, Swansea, UK
    Health Expect 9:232-44. 2006
    ..Information currently includes leaflets and computerized decision aids, offering interactive interfaces to clarify complex choices...
  82. ncbi request reprint Attitudes of genetic clinicians in Wales to the future development of cancer genetics services
    Rachel Iredale
    Institute of Medical Genetics, School of Medicine, Cardiff University, Heath Park, Cardiff, UK
    J Eval Clin Pract 13:86-9. 2007
    ..Cancer genetics is one of the fastest-growing areas of clinical genetics and it is imperative to identify how services should be organized and delivered in the future...
  83. doi request reprint Technology identity: the role of sociotechnical representations in the adoption of medical devices
    S Ulucanlar
    Cardiff University, Institute of Primary Care and Public Health, Neuadd Meirionnydd, Heath Park, Cardiff CF14 4YS, United Kingdom Electronic address
    Soc Sci Med 98:95-105. 2013
    ....
  84. pmc The consultation game
    G Elwyn
    Primary Care Group, University of Wales Swansea, Swansea SA2 8PP, UK
    Qual Saf Health Care 13:415-6. 2004
  85. doi request reprint Identifying and prioritizing uncertainties: patient and clinician engagement in the identification of research questions
    Glyn Elwyn
    Department of Primary Care and Public Health School of Medicine, Cardiff University, Neuadd Meirionnydd, UK
    J Eval Clin Pract 16:627-31. 2010
    ....
  86. ncbi request reprint Quality improvement in primary care: ethical issues explored
    Laura Tapp
    Centre for Health Sciences Research, Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff UK
    Int J Health Care Qual Assur 22:8-29. 2009
    ..Therefore this paper aims to identify the experiences of professionals involved in planning and performing QI programmes in European family medicine on the ethical implications involved in those processes...
  87. doi request reprint Where is the theory? Evaluating the theoretical frameworks described in decision support technologies
    Marie Anne Durand
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, UK
    Patient Educ Couns 71:125-35. 2008
    ..To identify and describe the extent to which theory or theoretical frameworks informed the development and evaluation of decision support technologies (DSTs)...
  88. ncbi request reprint 'Can we smell the organizational coffee?' The gap between the theory and practice of 'learning practices'
    Glyn Elwyn
    Primary Care Group, The Clinical School, University of Wales Swansea, UK
    J Eval Clin Pract 10:371-4. 2004
  89. ncbi request reprint Organizational assessment in general practice: a systematic review and implications for quality improvement
    Melody Rhydderch
    Organisational Psychologist, Primary Care Group, University of Wales Swansea, Swansea SA2 8PP, UK
    J Eval Clin Pract 11:366-78. 2005
    ..The aim of this article is to inform the debate by reviewing the international-peer-reviewed literature on organizational assessments used in general practice settings...
  90. pmc Referral management centres: promising innovations or Trojan horses?
    Myfanwy Davies
    Department of General Practice, Centre for Health Sciences Research, Cardiff University, Heath Park CF14 4YS
    BMJ 332:844-6. 2006
  91. ncbi request reprint Presenting risk information to people with diabetes: evaluating effects and preferences for different formats by a web-based randomised controlled trial
    Adrian Edwards
    Centre for Health Sciences Research, Cardiff University, Wales, UK
    Patient Educ Couns 63:336-49. 2006
    ..We therefore evaluated different risk presentation formats - numerical, graphical and others - addressing the pros and cons of tight control versus usual treatment approaches for diabetes...
  92. ncbi request reprint Arriving at the postmodern medical consultation
    Glyn Elwyn
    University of Wales, SA2 8PP Swansea, UK
    Eur J Gen Pract 10:93-7. 2004
    ..Creating the circumstances and the means for creating an effective dialogue in the postmodern consultation is the prime task for physicians...
  93. pmc Explaining risks: turning numerical data into meaningful pictures
    Adrian Edwards
    Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Llanedeyrn, Cardiff CF3 7PN
    BMJ 324:827-30. 2002
  94. ncbi request reprint Assessing the practising physician using patient surveys: a systematic review of instruments and feedback methods
    Richard G Evans
    School of Medicine, Swansea University, Swansea SA2 8PP, UK
    Fam Pract 24:117-27. 2007
    ..In this context, the patient perspective is seen as a potentially valid component. Yet, the theoretical and empirical evidence base for such patient assessments is unclear...
  95. doi request reprint Pre-birth characteristics and 5-year follow-up of women with cryopreserved embryos after successful in vitro fertilisation treatment
    Mareike Stiel
    School of Psychology, Cardiff University, Cardiff, UK
    J Psychosom Obstet Gynaecol 31:32-9. 2010
    ..5%) or frequently (34.6%). The personality differences identified may suggest that women who still have embryos after the end of fertility treatment may be in need of decision support...
  96. pmc Effects of communicating individual risks in screening programmes: Cochrane systematic review
    Adrian Edwards
    Department of Primary Care, University of Wales Swansea Clinical School, Singleton Park, Swansea SA2 8PP
    BMJ 327:703-9. 2003
    ..To assess the effects of different types of individualised risk communication for patients who are deciding whether to participate in screening...
  97. ncbi request reprint Involving patients in decision making and communicating risk: a longitudinal evaluation of doctors' attitudes and confidence during a randomized trial
    Adrian Edwards
    Department of Primary Care, Swansea Clinical School, University of Wales Swansea, UK
    J Eval Clin Pract 10:431-7. 2004
    ..The attitudes of professionals undergoing training in these approaches may inform how to overcome these barriers, but there are few such data yet available...