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Shared decision making within goal setting in rehabilitation settings: A systematic review
Alice Rose1, Sheeba Rosewilliam2, Andrew Soundy2
1South Bristol Rehabilitation Centre, 30 Inns Court Green, Knowle, Bristol BS4 1TF, UK.
Patient Education and Counseling
|August 4, 2016
Summary
Shared decision-making (SDM) in rehabilitation goal-setting shows varied patient involvement. Further education for clinicians and patients is recommended to enhance this patient-centered approach for better goal-setting processes.
Area of Science:
- Rehabilitation Medicine
- Health Psychology
- Patient-Centered Care
Background:
- Shared decision-making (SDM) is crucial in rehabilitation goal-setting.
- Understanding patient perspectives on SDM within goal-setting is essential.
Purpose of the Study:
- To synthesize literature on the extent of SDM in rehabilitation goal-setting.
- To explore patient views on SDM within the goal-setting process.
Main Methods:
- Systematic literature search across four databases (Jan 2005-Sep 2015).
- Inclusion of articles on SDM in adult rehabilitation goal-setting.
- Critical appraisal and thematic synthesis of 15 included studies.
Main Results:
- Identified 15 relevant articles from 3129 studies.
- Themes included SDM methods, patient views, benefits, barriers, facilitators, and improvement suggestions.
- Varied patient involvement was observed, with few fully patient-centered approaches.
Conclusions:
- SDM in rehabilitation goal-setting holds significant value.
- Further research is needed to optimize SDM implementation.
- Education for clinicians and patients on SDM is recommended.
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