Tasneem Siyam1, Anmol Shahid2, Megan Perram3, Ines Zuna4, Farhia Haque5, M Carolina Archundia-Herrera6, Sunita Vohra7, Karin Olson8. 1. 3-015 Edmonton Clinic Health Academy (ECHA), Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, AB, T6G 2C9, Canada. Electronic address: tsiyam@ualberta.ca. 2. Vascular Biology Research Group, University of Alberta, Edmonton, AB, T6G 2C9, Canada. Electronic address: ashahid@ualberta.ca. 3. Department of Modern Languages and Cultural Studies, 200 Arts Building1-50A Assiniboia Hall, University of Alberta, Edmonton, AB, T6G 2H4, Canada. Electronic address: mperram@ualberta.ca. 4. Faculty of Medicine & Dentistry, 2J2.00 Walter C Mackenzie Health Sciences Centre, University of Alberta, Edmonton, AB, T6G 2R7, Canada. Electronic address: zuna@ualberta.ca. 5. Neuroscience and Mental Health Institute, Faculty of Medicine & Dentistry - Physiology Dept, 2J2.00 Walter C Mackenzie Health Sciences Centre, University of Alberta, Edmonton, AB, T6G 2R7, Canada. Electronic address: fhaque@ualberta.ca. 6. Nutrition and Metabolism, 6-126 Li Ka Shing Centre for Health Research Innovation, University of Alberta, Edmonton, AB, T6G 2E1, Canada. Electronic address: archundi@ualberta.ca. 7. Department of Pediatrics, Faculty of Medicine and Dentistry Director, Integrative Health Institute, 1702 Suite College Plaza, Edmonton, AB, T6G 2C8, Canada. Electronic address: svohra@ualberta.ca. 8. Faculty of Nursing, Education Director, Integrative Health Institute, Faculty of Nursing, Edmonton Clinic Heath Academy (ECHA), University of Alberta, Edmonton, AB, T6G 1C9, Canada. Electronic address: karin.olson@ualberta.ca.
Abstract
OBJECTIVES: To identify and summarize evidence on interventions to promote the adoption of shared decision-making (SDM) among health care professionals (HCPs) in clinical practice. METHODS: Electronic databases including: MEDLINE, EMBASE, CINAHL, PsycINFO and Cochrane library were searched to determine eligible peer-reviewed articles. Grey literature was searched for additional interventions. Eligibility screening and data extraction were independently completed. Results are presented as written evidence summaries and tables. RESULTS: Our search yielded 238 articles that met our inclusion criteria. Interventions mostly targeted physicians (46%), had multiple educational modalities (46%), and were administered in group settings (44%) before the clinical encounter (71%). Very few were developed based on the learning needs of targeted HCPs (24%). Many of the SDM outcome tools used for evaluation were developed for the respective study and lacked evidence of validity and reliability (30%). CONCLUSION: We identified a sizable number of interventions to promote the adoption of SDM, however, these interventions were heterogeneous in their assessments for effectiveness and implementation. Therefore, it is a challenge to infer which strategies and practices are best to promote SDM adoption. PRACTICE IMPLICATIONS: The need for evidence-based standards for developing SDM interventions targeting HCPs and assessing acceptability, effectiveness and implementation is suggested.
OBJECTIVES: To identify and summarize evidence on interventions to promote the adoption of shared decision-making (SDM) among health care professionals (HCPs) in clinical practice. METHODS: Electronic databases including: MEDLINE, EMBASE, CINAHL, PsycINFO and Cochrane library were searched to determine eligible peer-reviewed articles. Grey literature was searched for additional interventions. Eligibility screening and data extraction were independently completed. Results are presented as written evidence summaries and tables. RESULTS: Our search yielded 238 articles that met our inclusion criteria. Interventions mostly targeted physicians (46%), had multiple educational modalities (46%), and were administered in group settings (44%) before the clinical encounter (71%). Very few were developed based on the learning needs of targeted HCPs (24%). Many of the SDM outcome tools used for evaluation were developed for the respective study and lacked evidence of validity and reliability (30%). CONCLUSION: We identified a sizable number of interventions to promote the adoption of SDM, however, these interventions were heterogeneous in their assessments for effectiveness and implementation. Therefore, it is a challenge to infer which strategies and practices are best to promote SDM adoption. PRACTICE IMPLICATIONS: The need for evidence-based standards for developing SDM interventions targeting HCPs and assessing acceptability, effectiveness and implementation is suggested.
Authors: Noel Engels; Gretchen de Graav; Paul van der Nat; Marinus van den Dorpel; Willem Jan Bos; Anne M Stiggelbout Journal: BMJ Open Date: 2020-02-27 Impact factor: 2.692