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Related Experiment Video

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More work needed on decision analysis for shared decision-making: A scoping review.

Brittany Humphries1, Montserrat León-García2, Ena Niño de Guzman Quispe2

  • 1Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.

Journal of Clinical Epidemiology
|October 10, 2021
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Summary

Decision analysis tools can broadly benefit shared decision-making, but more rigorous research is needed. Future studies should confirm effectiveness and explore implementation strategies for shared decision-making interventions.

Keywords:
Shared decision-makingclinical decision-makingdecision analysispatient preferencesreview articlescoping review

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Area of Science:

  • Health Services Research
  • Decision Science
  • Patient Engagement

Background:

  • Shared decision-making (SDM) is crucial for patient-centered care.
  • Decision analysis offers a structured approach to support SDM.
  • Evidence on the application of decision analysis in SDM needs comprehensive review.

Purpose of the Study:

  • To systematically explore and characterize published evidence on decision analysis in SDM.
  • To identify how decision analysis has been applied to inform SDM encounters.

Main Methods:

  • A comprehensive scoping review was conducted.
  • Searched five bibliographic databases, reference lists, trial registries, and relevant websites.
  • Included studies evaluated decision analysis in SDM encounters; data were narratively synthesized.

Main Results:

  • Identified 27 diverse studies on decision analysis applications in SDM.
  • Evaluated a range of outcomes, finding decision analysis broadly beneficial.
  • Limited information was found regarding the implementation process of these interventions.

Conclusions:

  • Decision analysis shows promise for enhancing SDM.
  • Rigorous randomized controlled trials are needed to confirm effectiveness.
  • Qualitative research is essential to understand implementation challenges and facilitators.