Fostering Shared Decision-Making Between Patients and Health Care Professionals in Clinical Practice Guidelines:...

Area of Science:

• Health Services Research
• Medical Informatics
• Patient Engagement

Background:

• Clinical practice guidelines (CPGs) often lack shared decision-making (SDM) integration, particularly for preference-sensitive recommendations.
• Patient decision aids (PDAs) are proposed to enhance SDM within CPGs, but systematic methods for their integration are missing.

Purpose of the Study:

• Develop a tool to systematically identify and prioritize CPG recommendations relevant for SDM.
• Create a platform for PDAs to support practical SDM implementation in clinical settings.

Main Methods:

• A 6-work package project involving scoping reviews, expert interviews, and a modified Delphi study.
• Development and iterative refinement of a prioritization tool and a PDA platform.
• International focus with German healthcare context, involving patient partners and an advisory board.

Main Results:

• Project approved by ethics committee; international advisory board and patient partners engaged.
• Scoping review and literature assessment are underway (as of Feb 20, 2024).
• Project completion is anticipated by December 31, 2026.

Conclusions:

• The developed tool will enable systematic incorporation of SDM into CPG development.
• The tool and PDA platform will link CPGs, SDM, and PDAs, facilitating SDM in clinical practice.
• This initiative aims to improve patient-practitioner interaction through guideline-based decision support.