Physicians approach shared decision-making for sports eligibility decisions heterogeneously
Background: There is limited data regarding how clinicians operationalize shared decision-making (SDM) with athletes with cardiovascular diagnoses. This study was designed to explore sports cardiologists' conceptions of SDM and approaches to sports eligibility decisions. Methods: 20 sports card...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-04-01
|
| Series: | American Heart Journal Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666602224000144 |
| _version_ | 1797237971883130880 |
|---|---|
| author | Sarah C. Montembeau Jonathan H. Kim Christine M. Baugh Eric G. Campbell Aaron L. Baggish Neal W. Dickert |
| author_facet | Sarah C. Montembeau Jonathan H. Kim Christine M. Baugh Eric G. Campbell Aaron L. Baggish Neal W. Dickert |
| author_sort | Sarah C. Montembeau |
| collection | DOAJ |
| description | Background: There is limited data regarding how clinicians operationalize shared decision-making (SDM) with athletes with cardiovascular diagnoses. This study was designed to explore sports cardiologists' conceptions of SDM and approaches to sports eligibility decisions. Methods: 20 sports cardiologists were interviewed by telephone or video conference from October 2022 to May 2023. Qualitative descriptive analysis was conducted with the transcripts. Results: All participants endorsed SDM for eligibility decisions, however, SDM was defined and operationalized heterogeneously. Only 6 participants specifically referenced eliciting patient preferences during SDM. Participants described variable roles for the physician in SDM and variable views on athletes' understanding, perception, and tolerance of risk. Participants thresholds for prohibitive annual risk of sudden cardiac death ranged from <1 % to >10 %. Conclusions: These findings reinforce the general acceptance of SDM for sports eligibility decisions and highlight the need to better understand this process and identify the most effective approach for operationalization. |
| first_indexed | 2024-03-07T16:53:04Z |
| format | Article |
| id | doaj.art-71a3476358bf4d32aded8040b2c9d91a |
| institution | Directory Open Access Journal |
| issn | 2666-6022 |
| language | English |
| last_indexed | 2024-04-24T17:28:14Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Heart Journal Plus |
| spelling | doaj.art-71a3476358bf4d32aded8040b2c9d91a2024-03-28T06:38:57ZengElsevierAmerican Heart Journal Plus2666-60222024-04-0140100371Physicians approach shared decision-making for sports eligibility decisions heterogeneouslySarah C. Montembeau0Jonathan H. Kim1Christine M. Baugh2Eric G. Campbell3Aaron L. Baggish4Neal W. Dickert5Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA, USA; Corresponding author at: Emory University School of Medicine, 1750 Haygood Dr NE, Atlanta, GA 30322, USA.Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA, USADivision of General Internal Medicine, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, USA; Center for Bioethics and Humanities, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, USADivision of General Internal Medicine, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, USA; Center for Bioethics and Humanities, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, USACardiovascular Performance Program, Massachusetts General Hospital, Boston, MA, USA; Department of Cardiology, Lausanne University Hospital and Institute for Sport Science, Lausanne, SwitzerlandDepartment of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA, USA; Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USABackground: There is limited data regarding how clinicians operationalize shared decision-making (SDM) with athletes with cardiovascular diagnoses. This study was designed to explore sports cardiologists' conceptions of SDM and approaches to sports eligibility decisions. Methods: 20 sports cardiologists were interviewed by telephone or video conference from October 2022 to May 2023. Qualitative descriptive analysis was conducted with the transcripts. Results: All participants endorsed SDM for eligibility decisions, however, SDM was defined and operationalized heterogeneously. Only 6 participants specifically referenced eliciting patient preferences during SDM. Participants described variable roles for the physician in SDM and variable views on athletes' understanding, perception, and tolerance of risk. Participants thresholds for prohibitive annual risk of sudden cardiac death ranged from <1 % to >10 %. Conclusions: These findings reinforce the general acceptance of SDM for sports eligibility decisions and highlight the need to better understand this process and identify the most effective approach for operationalization.http://www.sciencedirect.com/science/article/pii/S2666602224000144AthletesCardiologistsCardiovascular diseasesReturn to sportShared decision-makingSports |
| spellingShingle | Sarah C. Montembeau Jonathan H. Kim Christine M. Baugh Eric G. Campbell Aaron L. Baggish Neal W. Dickert Physicians approach shared decision-making for sports eligibility decisions heterogeneously American Heart Journal Plus Athletes Cardiologists Cardiovascular diseases Return to sport Shared decision-making Sports |
| title | Physicians approach shared decision-making for sports eligibility decisions heterogeneously |
| title_full | Physicians approach shared decision-making for sports eligibility decisions heterogeneously |
| title_fullStr | Physicians approach shared decision-making for sports eligibility decisions heterogeneously |
| title_full_unstemmed | Physicians approach shared decision-making for sports eligibility decisions heterogeneously |
| title_short | Physicians approach shared decision-making for sports eligibility decisions heterogeneously |
| title_sort | physicians approach shared decision making for sports eligibility decisions heterogeneously |
| topic | Athletes Cardiologists Cardiovascular diseases Return to sport Shared decision-making Sports |
| url | http://www.sciencedirect.com/science/article/pii/S2666602224000144 |
| work_keys_str_mv | AT sarahcmontembeau physiciansapproachshareddecisionmakingforsportseligibilitydecisionsheterogeneously AT jonathanhkim physiciansapproachshareddecisionmakingforsportseligibilitydecisionsheterogeneously AT christinembaugh physiciansapproachshareddecisionmakingforsportseligibilitydecisionsheterogeneously AT ericgcampbell physiciansapproachshareddecisionmakingforsportseligibilitydecisionsheterogeneously AT aaronlbaggish physiciansapproachshareddecisionmakingforsportseligibilitydecisionsheterogeneously AT nealwdickert physiciansapproachshareddecisionmakingforsportseligibilitydecisionsheterogeneously |