Comprehensive Implementation of Shared Decision Making in a Neuromedical Center Using the SHARE TO CARE Program

Area of Science:

• Healthcare Management
• Patient Engagement
• Clinical Implementation Science

Background:

• Shared decision-making (SDM) is crucial for patient-centered care.
• Implementing SDM programs requires comprehensive strategies.
• The SHARE TO CARE (S2C) program offers a multi-module approach to SDM.

Purpose of the Study:

• To evaluate the effectiveness of the S2C program's full implementation.
• To assess the impact of S2C on patient involvement in medical decision-making.
• To examine S2C's outcomes within a specialized neurological center.

Main Methods:

• The S2C program integrated physician training, patient activation (ASK-3), digital decision aids, and nurse-led support.
• Retrospective assessment of SDM levels using the Perceived Involvement in Care Scale (PICS_PDM).
• Statistical comparison of pre- and post-implementation patient scores using t-tests.

Main Results:

• Physician training completion rate was 89%.
• 12 digital decision aids were developed, and two nurse decision coaches were trained.
• Patients (n=261) reported a significant increase in perceived involvement in medical decision-making (p<0.001).

Conclusions:

• The S2C program was successfully implemented in the Kiel Neuromedical Center.
• The intervention demonstrated effectiveness, leading to a moderate increase in patient participation.
• Future research should explore S2C's long-term sustainability and incorporate observer-based data.