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033 Ensuring diversity and inclusivity in the coproduction of a shared decision-making intervention
  1. Jo Butterworth1,
  2. Suzanne Richards2
  1. 1Exeter Collaboration for Academic Primary Care (APEx), University of Exeter Medical School, Exeter, UK
  2. 2Leeds Unit for Complex Intervention Development, School of Medicine, University of Leeds, Leeds, UK

Abstract

Introduction Shared decision-making (SDM) is central to the provision of high-quality, equitable health care. Doctoral research, focusing on people with multiple long-term conditions (MLTC), showcased the complexities of SDM during general practitioner (GP) consultations. A new intervention ‘VOLITION’ was designed, to support tailored SDM, incorporating a patient’s priorities into the interplay between MLTC and a practitioner’s clinical uncertainties.

VOLITION requires coproduction. Developmental studies were limited to older people from the southwest of England, and their GPs. However, there are likely to be cultural influences on how people perceive SDM.

Methods A Community of Practice (CoP) will give a diverse group of individuals equal voice to discuss SDM and VOLITION. The CoP will include lay individuals from diverse cultural backgrounds across the UK, working alongside academics, clinicians, and educators. CoP membership will be advertised via social media, community networks and professional meetings. Four workshops will have set agendas - relevant to the production of inclusive, accessible, and innovative materials - followed by reflective feedback.

Results Findings will be available at conference. CoP members will coproduce VOLITION components: an invitation to patients (in the form of a handout, for example), to convey their preferences for SDM, as well as their personal priorities, suitable for people from diverse cultural and social backgrounds.Training for clinicians in the VOLITION model, including an expectation for a spectrum of patient preferences for involvement; reflecting (cultural/ethnic/socioeconomic) diversity.

Discussion This project fits with the intentions of policymakers; to empower patients and to train clinicians in SDM. Equality, diversity and inclusion (EDI) in research can improve its relevance to practice and address inequality.

Conclusion This work will inform a national collaborative trial of VOLITION across diverse primary care settings. The EDI approach here will provide a template for coproduction of equitable, person-centred health care interventions.

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