A scoping review of interventions to promote the adoption of shared decision-making (SDM) among health care professionals in clinical practice |
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| Institution: | 1. 3-015 Edmonton Clinic Health Academy (ECHA), Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, AB, T6G 2C9, Canada;2. Vascular Biology Research Group, University of Alberta, Edmonton, AB, T6G 2C9, Canada;3. Department of Modern Languages and Cultural Studies, 200 Arts Building1-50A Assiniboia Hall, University of Alberta, Edmonton, AB, T6G 2H4, Canada;4. Faculty of Medicine & Dentistry, 2J2.00 Walter C Mackenzie Health Sciences Centre, University of Alberta, Edmonton, AB, T6G 2R7, Canada;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;6. Nutrition and Metabolism, 6-126 Li Ka Shing Centre for Health Research Innovation, University of Alberta, Edmonton, AB, T6G 2E1, Canada;7. Department of Pediatrics, Faculty of Medicine and Dentistry Director, Integrative Health Institute, 1702 Suite College Plaza, Edmonton, AB, T6G 2C8, Canada;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;1. Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare (IQ healthcare and Institute for Health Service Research), Nijmegen, the Netherlands;2. Radboud university medical cUniversity Medical Center, Radboud Institute for Health Sciences, Department of Primary and Community Care, Nijmegen, the Netherlands;3. NIVEL (Netherlands Institute for Health Services Research), Utrecht, the Netherlands;4. Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway;5. Radboud university medical cUniversity Medical Center, Radboud Institute for Health Sciences, Department of Rheumatology, Nijmegen, the Netherlands;6. HAN University of Applied Sciences, Institute of Nursing, Nijmegen, the Netherlands;1. Gillings School of Global Public Health, University of North Carolina at Chapel Hill, United States;2. School of Medicine, University of North Carolina at Chapel Hill, United States;3. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, United States;4. Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, United States;5. School of Medicine, University of California, San Francisco, United States;1. Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, NC, United States;2. Division of General Internal Medicine, and Departments of Population Health Sciences and Psychiatry and Behavioral Sciences, School of Medicine, and School of Nursing, Duke University, Durham, NC, United States;1. Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Mailbox 85500, 3508 GA Utrecht, The Netherlands;2. NIVEL (Netherlands Institute for Health Services Research), Mailbox 1568, 3500 BN Utrecht, The Netherlands;3. Faculty of Social and Behavioural Science, Utrecht University, Postbus 80140, 3508 TC Utrecht, The Netherlands;4. Groningen University, University Medical Centre Groningen, Dept. of General Practice Groningen A. Deusinglaan 1, 9712 CP Groningen, The Netherlands;1. Canada Research Chair in Shared Decision Making and Knowledge Translation, Research Axis of Population Health and Practice-Changing Research, CHU de Québec – Université Laval Research Centre, Saint-François-d’Assise Hospital, Quebec City, Quebec, G1L 3L5, Canada;2. Department of Family Medicine and Emergency Medicine, Pavillon Ferdinand-Vandry, Quebec City, Quebec, G1V 0A6, Canada;1. Knowledge and Evaluation Research Unit, Department of Medicine, Mayo Clinic, Rochester, MN, USA;2. Division of Health Policy and Management, School of Public Health, University of Minnesota, MN, USA;3. Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands |
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| Abstract: | ObjectivesTo identify and summarize evidence on interventions to promote the adoption of shared decision-making (SDM) among health care professionals (HCPs) in clinical practice.MethodsElectronic 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.ResultsOur 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%).ConclusionWe 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 implicationsThe need for evidence-based standards for developing SDM interventions targeting HCPs and assessing acceptability, effectiveness and implementation is suggested. |
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| Keywords: | Shared decision-making Health care professionals Interventions |
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