A systematic review of shared decision making interventions in chronic conditions: A review protocol

被引：22

作者：

Gionfriddo M.R. ^{[1
,2
]}

Leppin A.L. ^{[1
]}

Brito J.P. ^{[1
,3
]}

LeBlanc A. ^{[1
,4
]}

Boehmer K.R. ^{[1
]}

Morris M.A. ^{[4
]}

Erwin P.J. ^{[5
]}

Prokop L.J. ^{[5
]}

Zeballos-Palacios C.L. ^{[1
,6
,7
]}

Malaga G. ^{[6
,7
]}

Miranda J.J. ^{[7
,8
]}

McLeod H.M. ^{[1
]}

Rodríguez-Gutiérrez R. ^{[9
]}

Huang R. ^{[1
,10
]}

Morey-Vargas O.L. ^{[1
,3
]}

Murad M.H. ^{[1
,4
,11
]}

Montori V.M. ^{[1
,3
]}

机构：

[1] Knowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN

[2] Mayo Graduate School, Mayo Clinic, 200 First Street SW, Rochester, MN

[3] Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, 200 First Street SW, Rochester, 55905, MN

[4] Division of Health Care Policy and Research, Mayo Clinic, 200 First Street SW, Rochester, MN

[5] Mayo Clinic Libraries, Mayo Clinic, Rochester, MN

[6] Unidad de Conocimiento y Evidencia (CONEVID), Universidad Peruana Cayetano Heredia, Lima

[7] Department of Medicine, School of Medicine, Universidad Peruana Cayetano Heredia, Lima

[8] CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima

[9] Endocrinology Division, University Hospital 'Dr. José E Gonzalez', Universidad Autónoma de Nuevo León, Monterrey

[10] Department of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian

[11] Division of Preventive, Occupational and Aerospace Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN

来源：

Systematic Reviews | / 3卷 / 1期

基金：

美国国家卫生研究院;

关键词：

Chronic condition; Chronic disease; Chronic illness; Decision aid; Decision making; Decision support tool; Protocol; Shared decision making; Systematic review;

D O I：

10.1186/2046-4053-3-38

中图分类号：

学科分类号：

摘要：

Background: Chronic conditions are a major source of morbidity, mortality and cost worldwide. Shared decision making is one way to improve care for patients with chronic conditions. Although it has been widely studied, the effect of shared decision making in the context of chronic conditions is unknown.Methods/Design: We will perform a systematic review with the objective of determining the effectiveness of shared decision making interventions for persons diagnosed with chronic conditions. We will search the following databases for relevant articles: PubMed, Scopus, Ovid MEDLINE, Ovid EMBASE, Ovid EBM Reviews CENTRAL, CINAHL, and Ovid PsycInfo. We will also search clinical trial registries and contact experts in the field to identify additional studies. We will include randomized controlled trials studying shared decision making interventions in patients with chronic conditions who are facing an actual decision. Shared decision making interventions will be defined as any intervention aiming to facilitate or improve patient and/or clinician engagement in a decision making process. We will describe all studies and assess their quality. After adjusting for missing data, we will analyze the effect of shared decision making interventions on outcomes in chronic conditions overall and stratified by condition. We will evaluate outcomes according to an importance ranking informed by a variety of stakeholders. We will perform several exploratory analyses including the effect of author contact on the estimates of effect.Discussion: We anticipate that this systematic review may have some limitations such as heterogeneity and imprecision; however, the results will contribute to improving the quality of care for individuals with chronic conditions and facilitate a process that allows decision making that is most consistent with their own values and preferences. © 2014 Gionfriddo et al.

引用

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