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Pediatric Shared Decision-Making for Simple and Complex Decisions: Findings From a Delphi Panel.
Sarah M Eaton1,2, Jonna D Clark3, Christy L Cummings4
1Institute of Biomedical Ethics.
Pediatrics
|October 11, 2022
Summary
This study developed 79 recommendations for pediatric shared decision-making (SDM) to personalize care for children and families. Key findings emphasize tailoring the decision process to individual needs and preferences for better outcomes.
Area of Science:
- Pediatric healthcare research
- Clinical decision-making
- Health services research
Background:
- Shared decision-making (SDM) is crucial in pediatric care.
- Developing evidence-based recommendations for pediatric SDM is essential.
Purpose of the Study:
- To develop comprehensive recommendations for pediatric shared decision-making (SDM).
- To differentiate recommendations for simple versus complex pediatric decisions.
Main Methods:
- A 2020-2021 Delphi study involved an international panel of 21 experts (clinicians, researchers, parents).
- Semistructured interviews and content analysis identified key SDM processes.
- A two-round Likert scale questionnaire assessed processes for simple and complex decisions.
Main Results:
- 79 recommendations were generated, comprising 29 fundamental and 14 additional processes for complex decisions.
- Personalization of the decision-making process emerged as a critical theme.
- Recommendations include assessing family/child roles, directiveness, values, preferences, and goals.
Conclusions:
- An international expert panel established recommendations for pediatric SDM in simple and complex decisions.
- The developed recommendations underscore the importance of personalized care in pediatric decision-making.
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