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Interventions to Facilitate Shared Decision-Making Using Decision Aids with Coronary Heart Disease Patients:

Haoyang Zheng1, Duo Zhang2, Wei Xiang1

  • 1Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, China.

Reviews in Cardiovascular Medicine
|July 30, 2024
PubMed

Insights

Shared decision-making (SDM) using patient decision aids improves knowledge and reduces conflict for coronary heart disease (CHD) patients. This approach enhances decision quality and treatment outcomes in CHD management.

Area of Science:

  • Cardiology
  • Health Decision Science
  • Evidence-Based Medicine

Background:

  • Coronary heart disease (CHD) is a leading global cause of mortality.
  • Managing CHD involves complex decisions regarding chest pain, treatments, and stent selection, often complicated by unstable patient conditions.
  • Shared decision-making (SDM) with decision aids can improve decision quality but has not been evaluated in CHD.

Purpose of the Study:

  • To systematically review and assess the effects of SDM interventions on patients with coronary heart disease.
  • To evaluate the impact of SDM on decision-making quality and treatment outcomes in CHD patients.

Main Methods:

  • A systematic review and meta-analysis of randomized controlled trials (RCTs) of SDM interventions in CHD patients.
  • Searched multiple databases (PubMed, Embase, Cochrane, Web of Science, CNKI, Wan Fang) from inception to June 2022.
  • Primary outcomes: patient knowledge and decision conflict. Secondary outcomes: satisfaction, participation, trust, acceptance, quality of life, and psychological condition.

Main Results:

  • Ten studies involving 8244 retrieved articles were included.
  • SDM interventions significantly improved patient knowledge, decision satisfaction, participation, and medical outcomes compared to control groups.
  • SDM interventions effectively reduced decision-making conflict, with no significant impact on patient trust.

Conclusions:

  • SDM interventions, particularly using patient decision aids, are beneficial for improving decision-making quality and treatment outcomes in patients with CHD.
  • Further evaluation of SDM interventions in diverse settings is warranted to confirm these benefits.
Abstract

Keywords:
coronary heart diseasemeta-analysispatient decision aidsshared decision makingsystematic review

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