Using the ‘most significant change’ technique to understand the impact of shared decision making
This one-page case study describes work in Cardiff, as part of the Health Foundation's MAGIC programme, using the Most Significant Change technique to understand the impact of shared decision making locally.
The Most Significant Change technique is a form of participatory monitoring and evaluation that ensures a range of stakeholders are involved in providing stories of significant change.
The simplicity of the technique helped to increase participation, with the majority of secondary care team members sharing their stories of significant change by answering the following questions:
- Can you tell me about your involvement with the MAGIC programme during the last nine months?
- From your point of view, what has been the most significant change that has resulted from the MAGIC programme during the last nine months?
- Why is this change significant to you?
- How, if at all, has the work of members of the MAGIC team contributed to the change?
It also enabled identification of clinicians’ perceptions of the key barriers and facilitators to change, alongside their views on the elements of the programme that have been most successful in accomplishing change.