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Related Experiment Video

Updated: Aug 11, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Shared decision making with black patients: A scoping review.

Nada Mhaimeed1, Narjis Mhaimeed1, Omar Mhaimeed2

  • 1Weill Cornell Medicine-Qatar, Doha, Qatar.

Patient Education and Counseling
|February 5, 2023
PubMed
Summary

Black patients highly value shared decision-making (SDM) in their care, but face barriers like poor communication and mistrust. Decision aids show promise for improving SDM, but more research is needed.

Keywords:
Black PatientsShared Decision Making

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Area of Science:

  • Health Services Research
  • Health Equity
  • Patient-Centered Care

Background:

  • Shared decision-making (SDM) is crucial for quality healthcare but is underutilized by Black patients.
  • Understanding barriers and facilitators to SDM in this population is essential for improving health equity.

Purpose of the Study:

  • To conduct a scoping review of research on SDM in the care of Black patients.
  • To identify existing interventions and their effectiveness in enhancing SDM for Black patients.

Main Methods:

  • A comprehensive scoping review was performed using PRISMA guidelines.
  • Searches of PubMed, Embase, and Google Scholar identified 30 relevant articles.
  • Thematic analysis was employed for data extraction and synthesis.

Main Results:

  • Black patients and clinicians often have differing understandings of SDM, with patients highly valuing its practice.
  • Interventions to improve SDM yielded mixed results; decision aids were most effective.
  • Patient-clinician communication barriers, exacerbated by racial discordance and mistrust, were significant obstacles.

Conclusions:

  • SDM holds potential for improving Black patients' health outcomes when tailored to their experiences.
  • Addressing barriers like mistrust and communication is vital for equitable SDM implementation.
  • Further research on large-scale, long-term interventions is recommended.