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Shared decision-making conceptual models for physiotherapy: a theory analysis.

Lissa Pacheco-Brousseau1, Dawn Stacey2, Sarah Ben Amor3

  • 1School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ontario, Canada.

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Summary
This summary is machine-generated.

This study analyzed shared decision-making (SDM) models for physiotherapy, identifying two suitable conceptual models to guide clinical practice and enhance patient-centered care.

Keywords:
Conceptual modelsPhysiotherapyShared decision-makingTheory analysis

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Area of Science:

  • Physiotherapy
  • Health Sciences
  • Decision Science

Background:

  • Shared decision-making (SDM) is crucial for patient-centered care.
  • Understanding theoretical foundations of SDM in physiotherapy is needed.
  • Existing SDM models require analysis for physiotherapy relevance.

Purpose of the Study:

  • To conduct a theory analysis of shared decision-making (SDM) conceptual models.
  • To identify models relevant to physiotherapy (PT).
  • To understand the theoretical underpinnings of SDM for the PT discipline.

Main Methods:

  • A systematic review and updated literature search were performed.
  • Theory analysis followed Walker and Avant's approach.
  • Models were assessed for relevance to six PT competency domains.

Main Results:

  • Three of 42 identified SDM models were eligible: PT-SDM, Dynamic Model-SDM, and Dual Layer-SDM.
  • Two models (PT-SDM, Dynamic Model-SDM) represent SDM as iterative and are inductive, logical, and clear.
  • Strengths include key SDM elements and stakeholder involvement; limitations include lack of testing and poorly described development processes.

Conclusions:

  • Two conceptual models, PT-SDM and Dynamic Model-SDM, can support physiotherapists in clinical practice.
  • These models offer a foundation for implementing SDM within physiotherapy.
  • Further research is needed to address model limitations, such as testing and multidisciplinary integration.