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

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• 作者：Michael R Gionfriddo (12) (13)
  Aaron L Leppin (12)
  Juan P Brito (12) (14)
  Annie LeBlanc (12) (15)
  Kasey R Boehmer (12)
  Megan A Morris (15)
  Patricia J Erwin (16)
  Larry J Prokop (16)
  Claudia L Zeballos-Palacios (12) (17) (18)
  German Malaga (17) (18)
  J Jaime Miranda (18) (19)
  Heidi M McLeod (12)
  Ren茅 Rodr铆guez-Guti茅rrez (20)
  Rongchong Huang (12) (21)
  Oscar L Morey-Vargas (12) (14)
  Mohammad Hassan Murad (12) (15) (22)
  Victor M Montori (12) (14)
  
  12. Knowledge and Evaluation Research Unit ; Mayo Clinic ; 200 First Street SW ; Rochester ; MN ; USA
  13. Mayo Graduate School ; Mayo Clinic ; 200 First Street SW ; Rochester ; MN ; USA
  14. Division of Endocrinology ; Diabetes ; Metabolism ; and Nutrition ; Mayo Clinic ; 200 First Street SW ; Rochester ; MN ; 55905 ; USA
  15. Division of Health Care Policy and Research ; Mayo Clinic ; 200 First Street SW ; Rochester ; MN ; USA
  16. Mayo Clinic Libraries ; Mayo Clinic ; Rochester ; MN ; USA
  17. Unidad de Conocimiento y Evidencia (CONEVID) ; Universidad Peruana Cayetano Heredia ; Lima ; Peru
  18. Department of Medicine ; School of Medicine ; Universidad Peruana Cayetano Heredia ; Lima ; Peru
  19. CRONICAS Center of Excellence in Chronic Diseases ; Universidad Peruana Cayetano Heredia ; Lima ; Peru
  20. Endocrinology Division ; University Hospital 鈥楧r. Jos茅 E Gonzalez鈥? Universidad Aut贸noma de Nuevo Le贸n ; Monterrey ; Mexico
  21. Department of Cardiology ; the First Affiliated Hospital of Dalian Medical University ; Dalian ; 116011 ; China
  22. Division of Preventive ; Occupational and Aerospace Medicine ; Mayo Clinic ; 200 First Street SW ; Rochester ; MN ; USA
  
• 关键词：Protocol ; Systematic review ; Chronic condition ; Chronic disease ; Chronic illness ; Shared decision making ; Decision making ; Decision support tool ; Decision aid
• 刊名：Systematic Reviews
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：3
• 期：1
• 全文大小：193 KB
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• 刊物主题：Medicine/Public Health, general; Biomedicine general; Statistics for Life Sciences, Medicine, Health Sciences;
• 出版者：BioMed Central
• ISSN：2046-4053

文摘

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. Trial registration PROSPERO Registration Number: CRD42013005784