Knowledge is not power for patients: A systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making

2014 ◽  
Vol 94 (3) ◽  
pp. 291-309 ◽  
Author(s):  
Natalie Joseph-Williams ◽  
Glyn Elwyn ◽  
Adrian Edwards
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Shared Decision Making ◽  
Barriers And Facilitators ◽  
Shared Decision ◽  
Thematic Synthesis ◽  
Patient Reported

scholarly journals Strategies to evaluate healthcare provider trainings in shared decision-making (SDM): a systematic review of evaluation studies

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e026488 ◽  
Author(s):  
Evamaria Müller ◽  
Alena Strukava ◽  
Isabelle Scholl ◽  
Martin Härter ◽  
Ndeye Thiab Diouf ◽  
...  
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Healthcare Provider ◽  
Shared Decision Making ◽  
Evaluation Studies ◽  
Quality Criteria ◽  
Evaluation Framework ◽  
Shared Decision ◽  
Evaluation Strategies ◽  
Patient Reported

Design and objectivesWe performed a systematic review of studies evaluating healthcare provider (HCP) trainings in shared decision-making (SDM) to analyse their evaluation strategies.Setting and participantsHCP trainings in SDM from all healthcare settings.MethodsWe searched scientific databases (Medline, PsycInfo, CINAHL), performed reference and citation tracking, contacted experts in the field and scanned the Canadian inventory of SDM training programmes for healthcare professionals. We included articles reporting data of summative evaluations of HCP trainings in SDM. Two reviewers screened records, assessed full-text articles, performed data extraction and assessed study quality with the integrated quality criteria for review of multiple study designs (ICROMS) tool. Analysis of evaluation strategies included data source use, use of unpublished or published measures and coverage of Kirkpatrick’s evaluation levels. An evaluation framework based on Kirkpatrick’s evaluation levels and the Quadruple Aim framework was used to categorise identified evaluation outcomes.ResultsOut of 7234 records, we included 41 articles reporting on 30 studies: cluster-randomised (n=8) and randomised (n=9) controlled trials, controlled (n=1) and non-controlled (n=7) before-after studies, mixed-methods (n=1), qualitative (n=1) and post-test (n=3) studies. Most studies were conducted in the USA (n=9), Germany (n=8) or Canada (n=7) and evaluated physician trainings (n=25). Eleven articles met ICROMS quality criteria. Almost all studies (n=27) employed HCP-reported outcomes for training evaluation and most (n=19) additionally used patient-reported (n=12), observer-rated (n=10), standardised patient-reported (n=2) outcomes or training process and healthcare data (n=10). Most studies employed a mix of unpublished and published measures (n=17) and covered two (n=12) or three (n=10) Kirkpatrick’s levels. Identified evaluation outcomes covered all categories of the proposed framework.ConclusionsStrategies to evaluate HCP trainings in SDM varied largely. The proposed evaluation framework maybe useful to structure future evaluation studies, but international agreement on a core set of outcomes is needed to improve evidence.PROSPERO registration numberCRD42016041623.

Barriers and facilitators to shared decision-making in oncology: a systematic review of the literature

2019 ◽  
Vol 27 (5) ◽  
pp. 1613-1637 ◽  
Author(s):  
Jordan R. Covvey ◽  
Khalid M. Kamal ◽  
Erin E. Gorse ◽  
Zumi Mehta ◽  
Trupti Dhumal ◽  
...  
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Shared Decision Making ◽  
Barriers And Facilitators ◽  
Shared Decision ◽  
Review Of The Literature

scholarly journals Barriers and facilitators of pediatric shared decision-making: a systematic review

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Laura Boland ◽  
Ian D. Graham ◽  
France Légaré ◽  
Krystina Lewis ◽  
Janet Jull ◽  
...  
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Shared Decision Making ◽  
Barriers And Facilitators ◽  
Shared Decision

scholarly journals Routine patient-reported experience measurement of shared decision-making in the USA: a qualitative study of the current state according to frontrunners

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e037087 ◽  
Author(s):  
Rachel C Forcino ◽  
Marjan J Meinders ◽  
Jaclyn A Engel ◽  
A. James O'Malley ◽  
Glyn Elwyn
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Barriers And Facilitators ◽  
Recruitment Strategy ◽  
Shared Decision ◽  
Snowball Sampling ◽  
Current State ◽  
Patient Reported ◽  
The Usa ◽  
Effective Use

ObjectivesTo identify and describe instances of routine patient-reported shared decision-making (SDM) measurement in the USA, and to explore barriers and facilitators of routine patient-reported SDM measurement for quality improvement.SettingPayer and provider healthcare organisations in the USA.ParticipantsCurrent or former adult employees of healthcare organisations with prior SDM activity and that may be conducting routine SDM measurement (n=21).OutcomesQualitative interview and survey data collected through snowball sampling recruitment strategy to inform barriers and facilitators of routine patient-reported SDM measurement.ResultsThree participating sites routinely measured SDM from patients’ perspectives, including one payer organisation and two provider organisations—with the largest measurement effort taking place in the payer organisation. Facilitators of SDM measurement included SDM as a core organisational value or strategic priority, trialability of SDM measurement programmes, flexibility in how measures can be administered and existing momentum from payer-mandated measurement programmes. Barriers included competing organisational priorities with regard to patient-reported measurement and lack of perceived comparative advantage of patient-reported SDM measurement.ConclusionsPayers have a unique opportunity to encourage emphasis on SDM within healthcare organisations, including routine patient-reported measurement of SDM; however, provider organisations are currently best placed to make effective use of this type of data.

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