Shared decision making within goal setting in rehabilitation settings: A systematic review |
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| Institution: | 1. Frankel Cardiovascular Center, University of Michigan Medical Center, Ann Arbor, MI, USA;2. Institute for Healthcare Policy and Innovation, University of Michigan Medical Center, Ann Arbor, MI, USA;3. Division of Cardiovascular Medicine, Department of Medicine, Vanderbilt University, Nashville, TN, USA;4. Taubman Health Science Library, University of Michigan Medical Center, Ann Arbor, MI, USA;5. Department of Medicine, University of Michigan Medical Center, Ann Arbor, MI, USA;6. Division of Clinical Pharmacology and Toxicology, Department of Medicine, McMaster University, Hamilton, ON, Canada;7. Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA;8. VA Salt Lake City, Salt Lake City, UT, USA |
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| Abstract: | ObjectiveTo map out and synthesise literature that considers the extent of shared decision-making (SDM) within goal-setting in rehabilitation settings and explore participants’ views of this approach within goal-setting.MethodsFour databases were systematically searched between January 2005–September 2015. All articles addressing SDM within goal-setting involving adult rehabilitation patients were included. The literature was critically appraised followed by a thematic synthesis.ResultsThe search output identified 3129 studies and 15 articles met the inclusion criteria. Themes that emerged related to methods of SDM within goal-setting, participants’ views on SDM, perceived benefits of SDM, barriers and facilitators to using SDM and suggestions to improve involvement of patients resulting in a better process of goal-setting.ConclusionsThe literature showed various levels of patient involvement existing within goal-setting however few teams adopted an entirely patient-centred approach. However, since the review has identified clear value to consider SDM within goal-setting for rehabilitation, further research is required and practice should consider educating both clinicians and patients about this approach.Practice implicationsTo enhance the use of SDM within goal-setting in rehabilitation it is likely clinicians and patients will require further education on this approach. For clinicians this could commence during their training at undergraduate level. |
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| Keywords: | Shared decision-making Goal-setting Rehabilitation Systematic review |
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