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Measures of shared decision-making for multiple long-term condition consultations: a scoping review protocol
Joanne Butterworth1, Karen Mattick1, Suzanne Richards2
1Department of Health and Community Sciences, St Luke's Campus, University of Exeter, Exeter, UK.
JBI Evidence Synthesis
|August 26, 2025
Summary
This review maps shared decision-making measures for older adults with multiple conditions in primary care. It identifies evidence gaps to guide better patient-centered care and self-management strategies.
Area of Science:
- Geriatric Medicine
- Primary Care Research
- Health Services Research
Background:
- Rising global prevalence of multiple long-term conditions (MLTCs) strains primary care.
- Shared decision-making (SDM) is crucial for patient-centered care, self-management, and efficiency in MLTC management.
- A need exists for pragmatic guidance and validated SDM measures applicable to older adults with MLTCs in primary care.
Purpose of the Study:
- To conduct a scoping review to understand the extent and type of evidence on shared decision-making (SDM) measures.
- To identify SDM measures suitable for consultations involving older people with multiple long-term conditions (MLTCs) in primary care settings.
Main Methods:
- Adherence to Joanna Briggs Institute (JBI) methodology for scoping reviews.
- Comprehensive literature search across major databases (PubMed, Embase, CINAHL, Cochrane) and gray literature.
- Inclusion of studies reporting SDM measures for adult-patient-practitioner consultations within Westernized healthcare systems, with no date or language restrictions.
Main Results:
- The review will map the breadth of domains and content covered by existing SDM measures.
- Analysis will identify the applicability and limitations of current measures for the target population and setting.
- Evidence gaps regarding SDM measurement in older adults with MLTCs in primary care will be highlighted.
Conclusions:
- This scoping review will provide a comprehensive overview of SDM measures relevant to older adults with MLTCs in primary care.
- Findings will inform the development of best practices and pragmatic guidance for implementing SDM in this complex patient group.
- The review aims to enhance patient involvement, self-management, and the effectiveness of care for individuals with multiple chronic conditions.
Keywords:
general practicemultiple long-term conditions (multimorbidity)patient-centered careprimary careshared decision-makingMore Related Videos
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