--- title: "CollaboRATE, brief pt-reported measure shared dec making | Sutter Health" description: "CollaboRATE, brief pt-reported SDM measure, can be used in diverse primary care settings. A clinic's workflow plays a crucial role in implementation." url: "https://www.sutterhealth.org/research/publications/collaborate-brief-pt-repted-meas-shared-dec-making-1055312361" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. CollaboRATE, brief pt-reported measure shared dec making # Using CollaboRATE, a brief patient-reported measure of shared decision making: results from three clinical settings in the United States. Forcino RC, Barr PJ, O'Malley AJ, Arend R, Castaldo MG, Ozanne EM, Percac-Lima S, Stults CD, Tai-Seale M, Thompson R1, & Elwyn G. _Health Expect. doi: 10.1111/hex.12588. \[Epub ahead of print\]_ 2017-07-05 ## Abstract INTRODUCTION: CollaboRATE is a brief patient survey focused on shared decision making. This paper aims to (i) provide insight on facilitators and challenges to implementing a real-time patient survey and (ii) evaluate CollaboRATE scores and response rates across multiple clinical settings with varied patient populations. METHOD: All adult patients at three United States primary care practices were eligible to complete CollaboRATE post-visit. To inform key learnings, we aggregated all mentions of unanticipated decisions, problems and administration errors from field notes and email communications. Mixed-effects logistic regression evaluated the impact of site, clinician, patient age and patient gender on the CollaboRATE score. RESULTS: While CollaboRATE score increased only slightly with increasing patient age (OR 1.018, 95% CI 1.014-1.021), female patient gender was associated with significantly higher CollaboRATE scores (OR 1.224, 95% CI 1.073-1.397). Clinician also predicts CollaboRATE score (random effect variance 0.146). Site-specific factors such as clinical workflow and checkout procedures play a key role in successful in-clinic implementation and are significantly related to CollaboRATE scores, with Site 3 scoring significantly higher than Site 1 (OR 1.759, 95% CI 1.216 to 2.545) or Site 2 (z=-2.71, 95% CI -1.114 to -0.178). DISCUSSION: This study demonstrates that CollaboRATE can be used in diverse primary care settings. A clinic's workflow plays a crucial role in implementation. Patient experience measurement risks becoming a burden to both patients and administrators. Episodic use of short measurement tools could reduce this burden. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/28678426) ![Cheryl Stults, Ph.D.](https://dyn.mktgcdn.com/p/3IhveEwq-t5WoqAzSNGeAr-4g4yrj4v7x1QcPGdCX_s/fit=crop,gravity=auto,dpr=2,width=188,height=250,quality=100) Cheryl Stults, Ph.D. Principal investigator [View profile](https://www.sutterhealth.org/research/investigators/cheryl-stults-phd-1049681000) ## Research topics - [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Capsule commentary on O'Malley et al., overcoming challenges to teamwork in patient-centered medical homes: a qualitative study.](https://www.sutterhealth.org/research/publications/comment-omalley-et-al-teamwk-challenges-pcmhs-1055312918) Tai-Seale M. J Gen Intern Med. 30(2):239. doi: 10.1007/s11606-014-3128-y. 2015 Feb 01 - Publication ### [What's keeping us so busy in primary care?](https://www.sutterhealth.org/research/publications/what-is-keeping-us-so-busy-in-primary-care-1055312677) Tai-Seale M. N Engl J Med. 363(5):495; author reply 496. doi: 10.1056/NEJMc1006151. 2010 Jul 29 - Publication ### [The public's opinions of physicians: do perceived choice and exercised choice matter?](https://www.sutterhealth.org/research/publications/public-opinion-mds-perceived-exercised-choice-1055312570) Tai-Seale M, Pescosolido B. Am J Manag Care. 9(9):631-8. 2003 Sep 01 - Publication ### [Recognition as a patient-centered medical home: fundamental or incidental?](https://www.sutterhealth.org/research/publications/recognition-as-a-patient-centered-medical-home-1055312554) Dohan D, McCuistion MH, Frosch DL, Hung DY, Tai-Seale M. Ann Fam Med. 11 Suppl 1:S14-8. doi: 10.1370/afm.1488 2013 May 01 - Publication ### [Shared decision-making for syncope in the emergency department: a randomized controlled feasibility trial.](https://www.sutterhealth.org/research/publications/shared-decision-making-for-syncope-in-er-1055312729) Probst MA, Lin MP, Sze J, Hess EP, Breslin M, Frosch DL, Sun BC, Langan MN, Thiruganasambandamoorthy V, Richardson LD. Acad Emerg Med. doi: 10.1111/acem.13955. \[Epub ahead of print\] 2020 Mar 09 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/collaborate-brief-pt-repted-meas-shared-dec-making-1055312361#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"CollaboRATE, brief pt-reported measure shared dec making"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/collaborate-brief-pt-repted-meas-shared-dec-making-1055312361#medicalscholarlyarticle","name":"Using CollaboRATE, a brief patient-reported measure of shared decision making: results from three clinical settings in the United States.","headline":"CollaboRATE, brief pt-reported measure shared dec making","abstract":"INTRODUCTION: CollaboRATE is a brief patient survey focused on shared decision making. This paper aims to (i) provide insight on facilitators and challenges to implementing a real-time patient survey and (ii) evaluate CollaboRATE scores and response rates across multiple clinical settings with varied patient populations. METHOD: All adult patients at three United States primary care practices were eligible to complete CollaboRATE post-visit. To inform key learnings, we aggregated all mentions of unanticipated decisions, problems and administration errors from field notes and email communications. Mixed-effects logistic regression evaluated the impact of site, clinician, patient age and patient gender on the CollaboRATE score. RESULTS: While CollaboRATE score increased only slightly with increasing patient age (OR 1.018, 95% CI 1.014-1.021), female patient gender was associated with significantly higher CollaboRATE scores (OR 1.224, 95% CI 1.073-1.397). Clinician also predicts CollaboRATE score (random effect variance 0.146). Site-specific factors such as clinical workflow and checkout procedures play a key role in successful in-clinic implementation and are significantly related to CollaboRATE scores, with Site 3 scoring significantly higher than Site 1 (OR 1.759, 95% CI 1.216 to 2.545) or Site 2 (z=-2.71, 95% CI -1.114 to -0.178). DISCUSSION: This study demonstrates that CollaboRATE can be used in diverse primary care settings. A clinic's workflow plays a crucial role in implementation. Patient experience measurement risks becoming a burden to both patients and administrators. Episodic use of short measurement tools could reduce this burden.","description":"CollaboRATE, brief pt-reported SDM measure, can be used in diverse primary care settings. A clinic's workflow plays a crucial role in implementation.","keywords":["Health Services"],"datePublished":"2017-07-05","url":"https://www.sutterhealth.org/research/publications/collaborate-brief-pt-repted-meas-shared-dec-making-1055312361","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"28678426"},{"@type":"PropertyValue","propertyID":"DOI","value":"10.1111/hex.12588"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/28678426/","https://doi.org/10.1111/hex.12588"],"isPartOf":{"@type":"Periodical","name":"Health Expect"},"author":[{"@type":"Person","name":"Forcino RC"},{"@type":"Person","name":"Barr PJ"},{"@type":"Person","name":"O'Malley AJ"},{"@type":"Person","name":"Arend R"},{"@type":"Person","name":"Castaldo MG"},{"@type":"Person","name":"Ozanne EM"},{"@type":"Person","name":"Percac-Lima S"},{"@type":"Person","@id":"https://www.sutterhealth.org/research/investigators/cheryl-stults-phd-1049681000","name":"Stults CD","url":"https://www.sutterhealth.org/research/investigators/cheryl-stults-phd-1049681000"},{"@type":"Person","name":"Tai-Seale M"},{"@type":"Person","name":"Thompson R"},{"@type":"Person","name":"Elwyn G"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Health Services","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Health+Services%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/collaborate-brief-pt-repted-meas-shared-dec-making-1055312361","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/collaborate-brief-pt-repted-meas-shared-dec-making-1055312361#breadcrumblist"}}} ```