Related Experiment Video
Updated: Jun 21, 2026
05:48
The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
Shared Decision Making in Pediatrics: A Systematic Review and Meta-analysis
Kirk D Wyatt1, Betsy List2, William B Brinkman3
1Pediatric and Adolescent Medicine Residency Program, Mayo School of Graduate Medical Education, Mayo Clinic, Rochester, Minn; Mayo Medical School, Mayo Clinic, Rochester, Minn; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minn.
Academic Pediatrics
|May 19, 2015
Summary
Shared decision making (SDM) interventions in pediatrics significantly improve patient knowledge and reduce decisional conflict. However, their impact on satisfaction remains unclear, indicating a need for further research.
Area of Science:
- Pediatric Healthcare Research
- Clinical Decision Making
- Evidence Synthesis
Background:
- Limited understanding of shared decision making (SDM) interventions' impact on pediatric patients.
- Need to evaluate patient-centered outcomes in pediatric healthcare.
Purpose of the Study:
- To systematically review and summarize the efficacy of SDM interventions in pediatrics.
- To assess the impact of SDM interventions on patient-centered outcomes.
Main Methods:
- Comprehensive literature search across multiple databases (Ovid Medline, Embase, Cochrane Library, Web of Science, Scopus, PsycInfo) up to December 2013.
- Inclusion of studies engaging pediatric patients and/or parents in medical decisions.
- Meta-analysis conducted on knowledge, decisional conflict, and satisfaction outcomes.
Main Results:
- 54 interventions from 61 citations were included; 15 were eligible for meta-analysis.
- SDM interventions significantly improved patient knowledge (SMD 1.21) and reduced decisional conflict (SMD -1.20).
- A non-significant trend towards increased patient satisfaction was observed (SMD 0.37).
Conclusions:
- Pediatric SDM interventions effectively enhance patient knowledge and decrease decisional conflict.
- The evidence base for SDM interventions in pediatrics is limited and heterogeneous.
- Further research is needed to clarify the impact of SDM on other patient-centered outcomes.
Related Concept Videos
01:09Decision Making: P-value Method
The process of hypothesis testing based on the P-value method includes calculating the P- value using the sample data and interpreting it.
First, a specific claim about the population parameter is proposed. The claim is based on the research question and is stated in a simple form. Further, an opposing statement to the claim is also stated. These statements can act as null and alternative hypotheses: a null hypothesis would be a neutral statement while the alternative hypothesis can have a...
First, a specific claim about the population parameter is proposed. The claim is based on the research question and is stated in a simple form. Further, an opposing statement to the claim is also stated. These statements can act as null and alternative hypotheses: a null hypothesis would be a neutral statement while the alternative hypothesis can have a...
01:14Decision Making: Traditional Method
The process of hypothesis testing based on the traditional method includes calculating the critical value, testing the value of the test statistic using the sample data, and interpreting these values.
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
01:30Ethical Dilemmas II
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
01:23Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
01:24Pharmacokinetics in Pediatric Patients: Drug Metabolism
In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
01:20Decision Making
Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
Automatic decision-making is fast, intuitive, and relies on gut feelings...
Automatic decision-making is fast, intuitive, and relies on gut feelings...