儿童和青少年的决策:对增加参与决策的干预措施的范围审查
Inga Bosch1, Hermann Siebel1, Maike Heiser1
1Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Pediatric research
|October 6, 2024
概括
干预措施可以帮助儿童和青少年更多地参与医疗保健决策. 然而,它们的有效性各不相同,需要更多的研究来确认它们的益处.
科学领域:
- 儿科医疗保健研究 儿科医疗保健研究
- 医疗保健服务研究 医疗服务研究
- 患者参与研究 患者参与研究
背景情况:
- 共享决策 (SDM) 对于儿科护理至关重要.
- 赋予儿童和青少年在医疗选择中的权力可以提高结果.
- 关于儿童SDM干预的文献需要综合.
研究的目的:
- 系统地审查和综合有关促进共享决策 (SDM) 或参与儿科医疗保健的干预措施的文献.
- 专注于针对儿童和青少年的干预措施.
主要方法:
- 三个电子数据库的系统文献搜索 (2021年9月,更新至2022年9月).
- 包括研究,无论设计或结果,专注于增加儿童/青少年参与决策.
- 使用MMAT和叙事合成方法的质量评估.
主要成果:
- 21项研究符合纳入标准,采用信息提供和鼓励合作等策略.
- 干预措施包括数字应用程序,治疗方案,问卷,视觉辅助和教育课程.
- 对一些结果观察到积极影响,但研究异质性限制了一致的结论.
结论:
- 各种干预措施旨在加强SDM和参与儿科护理.
- 干预效应在结果变量之间不一致.
- 研究中的方法限制限制了关于有效性的最终结论.
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