Decision aids that facilitate elements of shared decision making in chronic illnesses: a systematic review
Abstract Background Shared decision making (SDM) is a patient-centered approach in which clinicians and patients work together to find and choose the best course of action for each patient’s particular situation. Six SDM key elements can be identified: situation diagnosis, choice awareness, option c...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-05-01
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| Series: | Systematic Reviews |
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| Online Access: | http://link.springer.com/article/10.1186/s13643-019-1034-4 |
| _version_ | 1818203345396957184 |
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| author | Thomas H. Wieringa Rene Rodriguez-Gutierrez Gabriela Spencer-Bonilla Maartje de Wit Oscar J. Ponce Manuel F. Sanchez-Herrera Nataly R. Espinoza Yaara Zisman-Ilani Marleen Kunneman Linda J. Schoonmade Victor M. Montori Frank J. Snoek |
| author_facet | Thomas H. Wieringa Rene Rodriguez-Gutierrez Gabriela Spencer-Bonilla Maartje de Wit Oscar J. Ponce Manuel F. Sanchez-Herrera Nataly R. Espinoza Yaara Zisman-Ilani Marleen Kunneman Linda J. Schoonmade Victor M. Montori Frank J. Snoek |
| author_sort | Thomas H. Wieringa |
| collection | DOAJ |
| description | Abstract Background Shared decision making (SDM) is a patient-centered approach in which clinicians and patients work together to find and choose the best course of action for each patient’s particular situation. Six SDM key elements can be identified: situation diagnosis, choice awareness, option clarification, discussion of harms and benefits, deliberation of patient preferences, and making the decision. The International Patient Decision Aid Standards (IPDAS) require that a decision aid (DA) support these key elements. Yet, the extent to which DAs support these six key SDM elements and how this relates to their impact remain unknown. Methods We searched bibliographic databases (from inception until November 2017), reference lists of included studies, trial registries, and experts for randomized controlled trials of DAs in patients with cardiovascular, or chronic respiratory conditions or diabetes. Reviewers worked in duplicate and independently selected studies for inclusion, extracted trial, and DA characteristics, and evaluated the quality of each trial. Results DAs most commonly clarified options (20 of 20; 100%) and discussed their harms and benefits (18 of 20; 90%; unclear in two DAs); all six elements were clearly supported in 4 DAs (20%). We found no association between the presence of these elements and SDM outcomes. Conclusions DAs for selected chronic conditions are mostly designed to transfer information about options and their harms and benefits. The extent to which their support of SDM key elements relates to their impact on SDM outcomes could not be ascertained. Systematic review registration PROSPERO registration number: CRD42016050320. |
| first_indexed | 2024-12-12T03:23:52Z |
| format | Article |
| id | doaj.art-b569166d9c26498d988e4796b1994a19 |
| institution | Directory Open Access Journal |
| issn | 2046-4053 |
| language | English |
| last_indexed | 2024-12-12T03:23:52Z |
| publishDate | 2019-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Systematic Reviews |
| spelling | doaj.art-b569166d9c26498d988e4796b1994a192022-12-22T00:40:06ZengBMCSystematic Reviews2046-40532019-05-01811910.1186/s13643-019-1034-4Decision aids that facilitate elements of shared decision making in chronic illnesses: a systematic reviewThomas H. Wieringa0Rene Rodriguez-Gutierrez1Gabriela Spencer-Bonilla2Maartje de Wit3Oscar J. Ponce4Manuel F. Sanchez-Herrera5Nataly R. Espinoza6Yaara Zisman-Ilani7Marleen Kunneman8Linda J. Schoonmade9Victor M. Montori10Frank J. Snoek11Department of Medical Psychology, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit AmsterdamKnowledge and Evaluation Research Unit, Mayo ClinicKnowledge and Evaluation Research Unit, Mayo ClinicDepartment of Medical Psychology, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit AmsterdamKnowledge and Evaluation Research Unit, Mayo ClinicKnowledge and Evaluation Research Unit, Mayo ClinicKnowledge and Evaluation Research Unit, Mayo ClinicCollege of Public Health, Temple UniversityKnowledge and Evaluation Research Unit, Mayo ClinicMedical Library, VU UniversityKnowledge and Evaluation Research Unit, Mayo ClinicDepartment of Medical Psychology, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit AmsterdamAbstract Background Shared decision making (SDM) is a patient-centered approach in which clinicians and patients work together to find and choose the best course of action for each patient’s particular situation. Six SDM key elements can be identified: situation diagnosis, choice awareness, option clarification, discussion of harms and benefits, deliberation of patient preferences, and making the decision. The International Patient Decision Aid Standards (IPDAS) require that a decision aid (DA) support these key elements. Yet, the extent to which DAs support these six key SDM elements and how this relates to their impact remain unknown. Methods We searched bibliographic databases (from inception until November 2017), reference lists of included studies, trial registries, and experts for randomized controlled trials of DAs in patients with cardiovascular, or chronic respiratory conditions or diabetes. Reviewers worked in duplicate and independently selected studies for inclusion, extracted trial, and DA characteristics, and evaluated the quality of each trial. Results DAs most commonly clarified options (20 of 20; 100%) and discussed their harms and benefits (18 of 20; 90%; unclear in two DAs); all six elements were clearly supported in 4 DAs (20%). We found no association between the presence of these elements and SDM outcomes. Conclusions DAs for selected chronic conditions are mostly designed to transfer information about options and their harms and benefits. The extent to which their support of SDM key elements relates to their impact on SDM outcomes could not be ascertained. Systematic review registration PROSPERO registration number: CRD42016050320.http://link.springer.com/article/10.1186/s13643-019-1034-4Chronic illnessesDecision aidsShared decision making |
| spellingShingle | Thomas H. Wieringa Rene Rodriguez-Gutierrez Gabriela Spencer-Bonilla Maartje de Wit Oscar J. Ponce Manuel F. Sanchez-Herrera Nataly R. Espinoza Yaara Zisman-Ilani Marleen Kunneman Linda J. Schoonmade Victor M. Montori Frank J. Snoek Decision aids that facilitate elements of shared decision making in chronic illnesses: a systematic review Systematic Reviews Chronic illnesses Decision aids Shared decision making |
| title | Decision aids that facilitate elements of shared decision making in chronic illnesses: a systematic review |
| title_full | Decision aids that facilitate elements of shared decision making in chronic illnesses: a systematic review |
| title_fullStr | Decision aids that facilitate elements of shared decision making in chronic illnesses: a systematic review |
| title_full_unstemmed | Decision aids that facilitate elements of shared decision making in chronic illnesses: a systematic review |
| title_short | Decision aids that facilitate elements of shared decision making in chronic illnesses: a systematic review |
| title_sort | decision aids that facilitate elements of shared decision making in chronic illnesses a systematic review |
| topic | Chronic illnesses Decision aids Shared decision making |
| url | http://link.springer.com/article/10.1186/s13643-019-1034-4 |
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