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The impact of shared decision making on transitional preparation in children with recurrent pneumonia

Fan Zhang1, Nan Li1, Yang Kang1

  • 1Department of Pediatrics, The Third Affiliated Hospital of Qiqihar Medical University, Qiqihar, Heilongjiang, China.

Frontiers in Medicine
|October 3, 2025
PubMed

Insights

Shared Decision-Making (SDM) significantly improves transition readiness and quality of life in children with recurrent pneumonia. This approach supports patient-centered care and precision medicine strategies.

Area of Science:

  • Pediatric Health
  • Health Services Research
  • Precision Medicine

Background:

  • Recurrent pneumonia poses challenges for children's transitional care.
  • Optimizing transitional preparation is crucial for improving long-term health outcomes.
  • Shared Decision-Making (SDM) is increasingly recognized for its potential in patient-centered care.

Purpose of the Study:

  • To evaluate the impact of SDM on transitional preparation in pediatric patients with recurrent pneumonia.
  • To assess the effect of SDM on the quality of life for children with recurrent pneumonia.
  • To explore the role of SDM within the framework of precision medicine.

Main Methods:

  • A retrospective cohort study design adhering to STROBE guidelines.
  • Inclusion of 124 children hospitalized for recurrent pneumonia between January 2023 and February 2025.
  • Comparison of a control group (standard nursing care) with an observation group (SDM interventions) on transition readiness and PedsQL 4.0 scores at pre-intervention, 1 month, and 3 months post-discharge.

Main Results:

  • Transition readiness significantly improved over time, with notable effects for time, group, and their interaction (P < 0.05).
  • The SDM intervention group demonstrated consistently higher transition readiness levels compared to the control group.
  • Quality of life scores (PedsQL 4.0) also showed significant improvements favoring the SDM group (P < 0.05).

Conclusions:

  • Shared Decision-Making is an effective strategy for enhancing transition readiness and quality of life in children with recurrent pneumonia.
  • The findings underscore the value of SDM in precision medicine, tailoring care to individual patient needs.
  • Recommendations include further longitudinal studies, SDM training for healthcare professionals, and policy development to support patient-centered care.
Abstract

Keywords:
childdecision makingpatient care managementpneumoniaprecision medicinequality of lifeshared

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