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A Framework and Resources for Shared Decision Making: Opportunities for Improved Physical Therapy Outcomes.
Cindy L Moore1, Sandra L Kaplan2
1Holy Redeemer HomeCare, 160 E 9th Ave, Runnemede, NJ 08708 (USA).
Physical Therapy
|November 20, 2018
Summary
Shared decision making (SDM) enhances patient-centered care by integrating evidence with patient preferences. Implementing SDM in physical therapy improves patient outcomes and goal alignment.
Area of Science:
- Rehabilitation Science
- Health Services Research
- Patient-Centered Care
Background:
- Shared decision making (SDM) is a collaborative process integrating clinical evidence with patient values and preferences.
- SDM can improve patient satisfaction, engagement, adherence, and self-management.
- SDM is underutilized in physical therapy, leading to goal mismatches between patients and therapists.
Purpose of the Study:
- To present a model for SDM in physical therapy.
- To explain the association between SDM and improved patient outcomes.
- To describe resources and strategies for integrating SDM into physical therapy practice.
Main Methods:
- The paper proposes a model for SDM.
- It reviews evidence-based strategies and freely available resources for SDM implementation.
- It discusses facilitators, barriers, and a theoretical framework for addressing them.
Main Results:
- SDM integration in physical therapy can enhance patient-centered care and outcomes.
- Freely available resources like teach-back, motivational interviewing, and decision aids support SDM.
- Addressing facilitators and barriers is crucial for successful SDM implementation.
Conclusions:
- SDM is relevant to physical therapy and associated with improved patient outcomes.
- Physical therapists can utilize various tools and strategies to implement SDM.
- Promoting SDM in physical therapy education, practice, and research is essential.
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