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How are patient-related characteristics associated with shared decision-making about treatment? A scoping review of
Sascha M Keij1, Joyce E de Boer1, Anne M Stiggelbout1
1Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands.
Objectives:
To identify what patient-related characteristics have been reported to be associated with the occurrence of shared decision-making (SDM) about treatment.
Design:
Scoping review.
Eligibility Criteria:
Peer-reviewed articles in English or Dutch reporting on associations between patient-related characteristics and the occurrence of SDM for actual treatment decisions.
Information Sources:
COCHRANE Library, Embase, MEDLINE, PsycInfo, PubMed and Web of Science were systematically searched for articles published until 25 March 2019.
Results:
The search yielded 5289 hits of which 53 were retained. Multiple categories of patient characteristics were identified: (1) sociodemographic characteristics (eg, gender), (2) general health and clinical characteristics (eg, symptom severity), (3) psychological characteristics and coping with illness (eg, self-efficacy) and (4) SDM style or preference. Many characteristics showed no association or unclear relationships with SDM occurrence. For example, for female gender positive, negative and, most frequently, non-significant associations were seen.
Conclusions:
A large variety of patient-related characteristics have been studied, but for many the association with SDM occurrence remains unclear. The results will caution often-made assumptions about associations and provide an important step to target effective interventions to foster SDM with all patients.
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