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Using expert opinion rounds to develop valid and realistic manipulations for experimental video-vignette research: Results from a study on clinicians’ (un)reasonable argumentative support for treatment decisions in neonatal care

  • Vrije Universiteit Amsterdam
  • Onze Lieve Vrouwe Gasthuis
  • Leiden University Medical Center
  • Mayo Clinic Rochester, MN
  • Leiden University
  • Vrije Universiteit (VU) Amsterdam and VU Medical Center
  • locatie West Previously Sint Lucas Andreas Ziekenhuis
  • University of Amsterdam

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Objective: To develop valid and realistic manipulations for video-vignette research using expert opinion rounds, in preparation of an experimental study on clinicians’ (un)reasonable argumentative support for treatment decisions in neonatal care. Methods: In three rounds, N = 37 participants (parents/clinicians/researchers) provided feedback on four video-vignette scripts and completed listing, ranking, and rating exercises to determine which (un)reasonable arguments clinicians may provide to support treatment decisions. Results: Round 1: participants deemed the scripts realistic. They judged that, on average, clinicians should provide two arguments for a treatment decision. They listed 13–20 reasonable arguments, depending on the script. Round 2: participants ranked the two most salient, reasonable arguments per script. Round 3: participants rated the most plausible, unreasonable arguments from a predefined list. These results guided the design of 12 experimental conditions. Conclusion: Expert opinion rounds are an effective method to develop video-vignettes that are theoretically sound and ecologically realistic and offer a powerful means to include stakeholders in experimental research design. Our study yielded some preliminary insights into what are considered prevalent (un)reasonable arguments for clinicians’ treatment plans. Practice implications: We provide hands-on guidelines on involving stakeholders in the design of video-vignette experiments and the development of video-based health communication interventions – both for research and practice.
Original languageEnglish
Article number107715
JournalPatient education and counseling
Volume112
DOIs
Publication statusPublished - 1 Jul 2023

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being
  2. SDG 16 - Peace, Justice and Strong Institutions
    SDG 16 Peace, Justice and Strong Institutions

Keywords

  • Argumentation
  • Clinician-patient communication
  • Decision-making
  • Expert opinion rounds
  • Neonatal intensive care unit
  • Parents
  • Preterm infants
  • Stakeholder involvement
  • Video-vignette research

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