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Development of a program theory for shared decision-making: a realist review protocol
Gary Groot1, Tamara Waldron2, Tracey Carr2
1Department of Community Health and Epidemiology, Health Sciences Building, University of Saskatchewan College of Medicine, 107 Wiggins Road, Saskatoon, SK, S7N 5E5, Canada. gary.groot@usask.ca.
This realist review explores how shared decision-making (SDM) between patients and healthcare providers improves health outcomes. It identifies contextual factors influencing SDM
Area of Science:
- Health Services Research
- Evidence-Based Practice
- Patient-Centered Care
Background:
- Implementing evidence-based practices in healthcare systems faces challenges.
- Shared decision-making (SDM) aims to improve patient and system outcomes by fostering collaboration.
- Gaps exist between SDM theory and real-world implementation.
Purpose of the Study:
- To explore the contextual factors influencing the effectiveness of SDM.
- To understand in which situations, how, why, and for whom SDM contributes to improved decision-making.
Main Methods:
- A realist review protocol will be employed.
- A seven-step iterative process includes theory development, literature search, appraisal, data extraction, and synthesis.
- Stakeholder input from patients, providers, and policymakers will refine the program theory.
Main Results:
- The review aims to identify and refine a program theory for SDM.
- Mechanisms influencing the success or failure of SDM will be identified.
- Understanding contextual influences on SDM effectiveness is the primary goal.
Conclusions:
- This study will advance the understanding of SDM implementation in healthcare.
- Refining SDM program theory can guide effective practice and policy.
- Identifying contextual factors is crucial for successful SDM integration.
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