Training health professionals in shared decision making: Update of an international environmental scan

Patient Educ Couns. 2016 Nov;99(11):1753-1758. doi: 10.1016/j.pec.2016.06.008. Epub 2016 Jun 14.


Objective: To update an environmental scan of training programs in SDM for health professionals.

Methods: We searched two systematic reviews for SDM training programs targeting health professionals produced from 2011 to 2015, and also in Google and social networks. With a standardized data extraction sheet, one reviewer extracted program characteristics. All completed extraction forms were validated by a second reviewer.

Results: We found 94 new eligible programs in four new countries and two new languages, for a total of 148 programs produced from 1996 to 2015-an increase of 174% in four years. The largest percentage appeared since 2012 (45.27%). Of the 94 newprograms, 42.55% targeted licensed health professionals (n=40), 8.51% targeted pre-licensure (n=8), 28.72% targeted both (n=27), 20.21% did not specify (n=19), and 5.32% targeted also patients (n=5). Only 23.40% of the new programs were reported as evaluated, and 21.28% had published evaluations.

Conclusions: Production of SDM training programs is growing fast worldwide. Like the original scan, this update indicates that SDM training programs still vary widely. Most still focus on the single provider/patient dyad and few are evaluated.

Practice implications: This update highlights the need to adapt training programs to interprofessional practice and to evaluate them.

Keywords: Environmental scan; Implementation; Patient centered care; Shared decision making; Training.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Decision Making*
  • Decision Support Techniques*
  • Health Knowledge, Attitudes, Practice
  • Health Personnel / education*
  • Humans
  • Interprofessional Relations
  • Patient Participation*
  • Patient-Centered Care

Grant support