gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

Shared decisions making on an evidence based framework

Meeting Abstract

  • V. de Graaf-Peters - Royal Dutch Society for Physical Therapy (KNGF), Amersfoort, The Netherlands
  • G. A. Meerhoff - Royal Dutch Society for Physical Therapy (KNGF), Amersfoort, The Netherlands
  • P. van der Wees - Royal Dutch Society for Physical Therapy (KNGF), Amersfoort, The Netherlands; Havard Medical School, Boston, United States of America
  • R. de Bie - Physiotherapy Research at Maastricht University, Maastricht, The Netherlands
  • R. Nijhuis-van de Sanden - Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP149

doi: 10.3205/12gin261, urn:nbn:de:0183-12gin2614

Published: July 10, 2012

© 2012 de Graaf-Peters et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: When developing Physiotherapy guidelines and/or statements one focuses on description of proven effective physiotherapy fitting to the needs of patients. However, research shows that therapists find it hard to make appropriate choices in the clinical reasoning process, predominantly as a result of the overload of outcome measures advised in the guidelines and to implement shared decision-making, especially in case of comorbidity. Additionally, following the guidelines does not ensure adequate patient therapy adherence and optimal health outcomes. Therefore, active involvement of patients in goal setting and intervention decisions is needed to increase adherence and healthcare outcomes.

Objective: To develop a three dimension model which can be used as an algorithm for shared decision-making based on scientific evidence.

Methods: A Delphi method was used with stakeholders (patients, physiotherapists, researchers) to develop a framework in which guidelines can be organized.

Results: A consensus based three dimensional framework was constructed which serves the therapist in choosing a tailor made guide for shared decision-making. In general it was noted that the use of the framework may only work when compatible ICT-solutions are developed to support implementation.

Discussion and Implications for guideline developers/users: At the congress the framework and a prototype of the ICT-solution will be presented. Further research is needed to study the effect of the framework on the implementation of guidelines.