We recently completed a three-month test of the response rate for telephone message delivery of CollaboRATE. Next up will be an assessment of the efficacy of text messaging. Patients willing to participate will receive three tweet-length texts (one for each of the CollaboRATE questions) to which they can respond by simply texting a score from 0-9. We hope patients will find this to be an easy way to participate in CollaboRATE.
A Spanish version of CollaboRATE is currently undergoing testing for use in US-based clinics. A similar effort is underway in Norway with a Norwegian version of the measure. A Dutch version is in progress as well and a German translation should be in the works soon.
Assessment of CollaboRATE continues in our rural primary care clinic test site. Our efforts are two-fold. First, we want to learn the best way to deliver CollaboRATE. Having used paper surveys and a patient portal, we are now testing response rates to automated phone messages. (We will test the final delivery method, text messages, this spring.) Simultaneously, we are studying the ability of CollaboRATE to reliably assess key aspects of the patient experience. Dozens of providers and scores of patients are generously contributing to this effort. Their openness and willingness to support this research has been humbling.
CollaboRATE will be used in a new study of shared decision-making in Chile. Principal investigator, Dr. Paulina Bravo, needed a brief survey patients could use to rate their experience of participation in medical decision making during childbirth. She requested permission to use CollaboRATE, which we were happy to grant. Dr. Bravo will be using the new Spanish translation when her project begins in December 2014.
Dr. Bravo says, "This is the first time women's participation in medical decision making during childbirth will be measured in Chile. Additionally, this is an innovative SDM-oriented project in the country. We are really excited about it, this is a great opportunity to discuss users' participation and examine the model of care we are offering to women and their families. We are grateful to have Dr. Rachel Thompson in the research team. We thank Prof. Elwyn and his team for giving us the permission to use CollaboRATE"
We’re bilingual! With the goal of expanding access to participation in CollaboRATE, we have developed a Spanish language version of the survey. Final testing of this translation will occur in early December. Look for other translations, including Mandarin, soon!
CollaboRATE developers, Rachel Thompson and Glyn Elwyn, will present their paper, "Developing CollaboRATE: A Fast and Frugal Measure of Shared Decision Making in Clinical Encounters," about the formulation and pilot testing of CollaboRATE at the EACH (European Association for Communication in Health Care) International Conference from September 28 to October 1, 2014, in Amsterdam, the Netherlands. If you can't make it in person, follow the conference on twitter at: @ICCH2014.
Paperless survey testing is underway! CollaboRATE is now being delivered electronically to hundreds of primary care patients using Dartmouth-Hitchcock’s electronic health record system. Staff members love the ease of this method, but the jury is still out about how response rates will compare with paper survey delivery.
Wondering how CollaboRATE will be received in other settings? We’re preparing to test it at two new sites soon. The Team met with partners in Chelsea, MA, and Palo Alto, CA last week to finalize plans for survey delivery at two very different clinics from rural New Hampshire.
"Is that all? That was so easy!" Testing of CollaboRATE is underway at Dartmouth-Hitchcock Heater Road, in New Hampshire, and patients love its brevity and simplicity.
We're studying different ways to deliver CollaboRATE to find out which is most reliable and easiest to deliver to patients. In phase one, over 500 patients completed paper surveys and 30 more participated in recording their clinical encounters. The support we received from patients, staff and providers at Heater Road was fantastic.
Coming soon...phase two in which we'll shift from paper to electronic survey delivery using Dartmouth-Hitchcock's electronic health record.