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

doi:10.1016/j.pec.2019.01.001

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

Patient Educ Couns. 2019 Jun;102(6):1057-1066. doi: 10.1016/j.pec.2019.01.001. Epub 2019 Jan 3.

Authors

Tasneem Siyam¹, Anmol Shahid², Megan Perram³, Ines Zuna⁴, Farhia Haque⁵, M Carolina Archundia-Herrera⁶, Sunita Vohra⁷, Karin Olson⁸

Affiliations

¹ 3-015 Edmonton Clinic Health Academy (ECHA), Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, AB, T6G 2C9, Canada. Electronic address: tsiyam@ualberta.ca.
² Vascular Biology Research Group, University of Alberta, Edmonton, AB, T6G 2C9, Canada. Electronic address: ashahid@ualberta.ca.
³ Department of Modern Languages and Cultural Studies, 200 Arts Building1-50A Assiniboia Hall, University of Alberta, Edmonton, AB, T6G 2H4, Canada. Electronic address: mperram@ualberta.ca.
⁴ Faculty of Medicine & Dentistry, 2J2.00 Walter C Mackenzie Health Sciences Centre, University of Alberta, Edmonton, AB, T6G 2R7, Canada. Electronic address: zuna@ualberta.ca.
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. Electronic address: fhaque@ualberta.ca.
⁶ Nutrition and Metabolism, 6-126 Li Ka Shing Centre for Health Research Innovation, University of Alberta, Edmonton, AB, T6G 2E1, Canada. Electronic address: archundi@ualberta.ca.
⁷ Department of Pediatrics, Faculty of Medicine and Dentistry Director, Integrative Health Institute, 1702 Suite College Plaza, Edmonton, AB, T6G 2C8, Canada. Electronic address: svohra@ualberta.ca.
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. Electronic address: karin.olson@ualberta.ca.

PMID: 30642716
DOI: 10.1016/j.pec.2019.01.001

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.

Keywords: Health care professionals; Interventions; Shared decision-making.

Publication types

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

MeSH terms

Decision Making*
Decision Support Techniques
Humans
Patient Education as Topic
Patient Participation*
Professional-Patient Relations*