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A systematic review of shared decision making training programs for general practitioners.

Jasmien Jaeken1, Cathoo Billiouw2, Lien Mertens2

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|May 29, 2024
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Summary

Shared decision making (SDM) training enhances skills for general practitioners (GPs). Blended learning formats show the most significant improvements in patient-centered care outcomes.

Keywords:
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Area of Science:

  • Healthcare
  • Medical Education
  • Primary Care

Background:

  • Shared decision making (SDM) is crucial for patient-centered care, especially in primary care settings.
  • General Practitioners (GPs) require enhanced SDM skills to improve patient care quality.
  • A need exists to review and evaluate existing SDM training programs for primary care.

Purpose of the Study:

  • To systematically review and analyze SDM training interventions for GPs in primary care.
  • To explore the evaluation methods used for these SDM training programs.
  • To identify the effectiveness of different training formats.

Main Methods:

  • Systematic review adhering to PRISMA guidelines.
  • Searches conducted across eight databases (December 2022, updated September 2023).
  • Risk of bias assessed using ICROMS; training effectiveness analyzed using Kirkpatrick model and categorized by format (online, live, blended).

Main Results:

  • Identified 29 distinct SDM training programs for GPs.
  • SDM training demonstrated a moderate impact on patient and observer-reported SDM skills.
  • Blended training programs showed a high impact on quality of life and patient-reported SDM skills.

Conclusions:

  • SDM training effectively improves GPs' patient and observer-reported SDM skills.
  • Blended learning formats appear more effective than online or live formats for SDM training.
  • Further research is needed for standardized evaluation and direct comparison of educational formats.