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Pilot evaluation of a novel observational tool for collaboration and communication within multidisciplinary team meetings (MDTs)


 
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1. Title Title of document Pilot evaluation of a novel observational tool for collaboration and communication within multidisciplinary team meetings (MDTs) - Teamwork and Team Talk
 
2. Creator Author's name, affiliation, country Amy Gillis; Ireland
 
2. Creator Author's name, affiliation, country Marie Morris
 
2. Creator Author's name, affiliation, country Nikita Bhatt
 
2. Creator Author's name, affiliation, country Paul F. Ridgway
 
3. Subject Discipline(s) Linguistics;
 
4. Subject Keyword(s) team-talk; discourse; assessment; evaluation; group functioning; multidisciplinary team meeting; multidisciplinary tumour board; outcome
 
6. Description Abstract Background: Despite widespread use of multidisciplinary team meetings (MDTs) to facilitate patient care, little evidence exists that MDTs improve patient survival or impact care. Research into MDT function and outcome is limited. This pilot study looks to validate a novel tool developed to assess MDT functioning.
Methods: A tool was developed with predefined Likert behaviour stems in the areas of structure, communication and collaboration. The tool was evaluated in nine MDTs by three independent observers and included participant evaluation. Inter-rater reliability was calculated with intra class-correlation coefficients (ICC); Student’s t-test was used to calculate significance in participant evaluation and matched observations.
Results: The tool was used to evaluate 9 MDTs, discussing 133 cases. The overall ICC for the three coders was 0.935; for each MDT: 0.776–0.917. The inter-rater reliability for each MDT observation ranged from 0.245–0.923; the majority with an ICC >0.8. No significant difference was noted between participant evaluation and observer response.
Discussion: MDTs provide a means of coordinating complex care for patients. This tool provides a means of evaluating group interaction within MDTs and is designed for use by different medical personnel. The pilot study has shown promising ICC; further evaluation is needed using a broader group of MDTs and including case complexity and outcome.
 
7. Publisher Organizing agency, location Equinox Publishing Ltd
 
8. Contributor Sponsor(s)
 
9. Date (YYYY-MM-DD) 01-Jun-2025
 
10. Type Status & genre Peer-reviewed Article
 
11. Type Type
 
12. Format File format PDF
 
13. Identifier Uniform Resource Identifier https://journals.equinoxpub.com/index.php/books/article/view/46088
 
14. Identifier Digital Object Identifier 10.1558/equinox.46088
 
15. Source Journal/conference title; vol., no. (year) Equinox eBooks Publishing; Teamwork and Team Talk
 
16. Language English=en en
 
18. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
19. Rights Copyright and permissions Copyright 2014 Equinox Publishing Ltd