A scoping review of interventions to promote the adoption of shared decision-making (SDM) among health care professionals in clinical practice.

Tasneem Siyam, Anmol Shahid, Megan Perram, Ines Zuna, Farhia Haque, M Carolina Archundia-Herrera, Sunita Vohra, Karin Olson

Journal: Patient education and counseling 2020;102(6):1057-1066

PMID: 30642716

Full Text on Elsevier Science View on PubMed

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.

Address: 3-015 Edmonton Clinic Health Academy (ECHA), Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, AB, T6G 2C9, Canada. Electronic address: [email protected].; Vascular Biology Research Group, University of Alberta, Edmonton, AB, T6G 2C9, Canada. Electronic address: [email protected].; Department of Modern Languages and Cultural Studies, 200 Arts Building1-50A Assiniboia Hall, University of Alberta, Edmonton, AB, T6G 2H4, Canada. Electronic address: [email protected].; Faculty of Medicine & Dentistry, 2J2.00 Walter C Mackenzie Health Sciences Centre, University of Alberta, Edmonton, AB, T6G 2R7, Canada. Electronic address: [email protected].; 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: [email protected].; Nutrition and Metabolism, 6-126 Li Ka Shing Centre for Health Research Innovation, University of Alberta, Edmonton, AB, T6G 2E1, Canada. Electronic address: [email protected].; Department of Pediatrics, Faculty of Medicine and Dentistry Director, Integrative Health Institute, 1702 Suite College Plaza, Edmonton, AB, T6G 2C8, Canada. Electronic address: [email protected].; 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: [email protected].

DOI: 10.1016/j.pec.2019.01.001

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MeSH Terms: Decision Making, Decision Support Techniques, Humans, Patient Education as Topic, Patient Participation, Professional-Patient Relations