Communicating risk and shared decision-making in osteopathic practice: a pilot study using focus groups to test a patient information leaflet

Introduction: The aim of this study was to explore the information needs of osteopathic patients and practitioners with respect to understanding of risk and shared decision-making about care. Methods: The study comprised two stages, (i) design of an evidence-based patient information leaflet on the risks and benefits of osteopathic treatment and (ii) pilot focus groups with patients and practitioners to test the leaflet and explore user perceptions. Thematic analysis was used to analyse the transcript of the discussions. Results: Five main themes emerged from the thematic analysis of the discussions. Both patients and practitioners saw the need for change (Theme 1) but perceived a tension between providing more information on risk and benefit, versus allowing adequate time for hands-on treatment within the consultation. This conflict may be exacerbated by complex attitudes to risk (Theme 2), a need for more patient education about osteopathy (Theme 4) and the diverse information preferences of patients (Theme 5). Patients currently exercise choices about their care; they were more positive than practitioners about being provided with choice of treatment (Theme 3). Conclusions: This pilot study provides a valuable basis for the design of further research in order to enhance shared decision making in osteopathic practice. Further research, development and evaluation of the leaflet are required.