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

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 unk...

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Main Authors: Gionfriddo, Michael R., Leppin, Aaron L., Brito, Juan P., LeBlanc, Annie, Boehmer, Kasey R., Morris, Megan A., Erwin, Patricia J., Prokop, Larry J., Zeballos Palacios, Claudia L., Malaga, German, Miranda, J. Jaime, McLeod, Heidi M., Rodríguez Gutiérrez, René, Huang, Rongchong, Morey Vargas, Oscar L., Murad, Mohammad Hassan, Montori, Victor M.
Format: Article
Language:English
Published: 2014
Online Access:http://eprints.uanl.mx/15133/1/244.pdf
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author Gionfriddo, Michael R.
Leppin, Aaron L.
Brito, Juan P.
LeBlanc, Annie
Boehmer, Kasey R.
Morris, Megan A.
Erwin, Patricia J.
Prokop, Larry J.
Zeballos Palacios, Claudia L.
Malaga, German
Miranda, J. Jaime
McLeod, Heidi M.
Rodríguez Gutiérrez, René
Huang, Rongchong
Morey Vargas, Oscar L.
Murad, Mohammad Hassan
Montori, Victor M.
author_facet Gionfriddo, Michael R.
Leppin, Aaron L.
Brito, Juan P.
LeBlanc, Annie
Boehmer, Kasey R.
Morris, Megan A.
Erwin, Patricia J.
Prokop, Larry J.
Zeballos Palacios, Claudia L.
Malaga, German
Miranda, J. Jaime
McLeod, Heidi M.
Rodríguez Gutiérrez, René
Huang, Rongchong
Morey Vargas, Oscar L.
Murad, Mohammad Hassan
Montori, Victor M.
author_sort Gionfriddo, Michael R.
collection Repositorio Institucional
description 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.
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spelling eprints-151332019-03-29T21:31:27Z http://eprints.uanl.mx/15133/ A systematic review of shared decision making interventions in chronic conditions: a review protocol Gionfriddo, Michael R. Leppin, Aaron L. Brito, Juan P. LeBlanc, Annie Boehmer, Kasey R. Morris, Megan A. Erwin, Patricia J. Prokop, Larry J. Zeballos Palacios, Claudia L. Malaga, German Miranda, J. Jaime McLeod, Heidi M. Rodríguez Gutiérrez, René Huang, Rongchong Morey Vargas, Oscar L. Murad, Mohammad Hassan Montori, Victor M. 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 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/15133/1/244.pdf http://eprints.uanl.mx/15133/1.haspreviewThumbnailVersion/244.pdf Gionfriddo, Michael R. y Leppin, Aaron L. y Brito, Juan P. y LeBlanc, Annie y Boehmer, Kasey R. y Morris, Megan A. y Erwin, Patricia J. y Prokop, Larry J. y Zeballos Palacios, Claudia L. y Malaga, German y Miranda, J. Jaime y McLeod, Heidi M. y Rodríguez Gutiérrez, René y Huang, Rongchong y Morey Vargas, Oscar L. y Murad, Mohammad Hassan y Montori, Victor M. (2014) A systematic review of shared decision making interventions in chronic conditions: a review protocol. Systematic Reviews, 3 (1). ISSN 2046-4053 http://doi.org/10.1186/2046-4053-3-38 doi:10.1186/2046-4053-3-38
spellingShingle Gionfriddo, Michael R.
Leppin, Aaron L.
Brito, Juan P.
LeBlanc, Annie
Boehmer, Kasey R.
Morris, Megan A.
Erwin, Patricia J.
Prokop, Larry J.
Zeballos Palacios, Claudia L.
Malaga, German
Miranda, J. Jaime
McLeod, Heidi M.
Rodríguez Gutiérrez, René
Huang, Rongchong
Morey Vargas, Oscar L.
Murad, Mohammad Hassan
Montori, Victor M.
A systematic review of shared decision making interventions in chronic conditions: a review protocol
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title A systematic review of shared decision making interventions in chronic conditions: a review protocol
title_full A systematic review of shared decision making interventions in chronic conditions: a review protocol
title_fullStr A systematic review of shared decision making interventions in chronic conditions: a review protocol
title_full_unstemmed A systematic review of shared decision making interventions in chronic conditions: a review protocol
title_short A systematic review of shared decision making interventions in chronic conditions: a review protocol
title_sort systematic review of shared decision making interventions in chronic conditions a review protocol
url http://eprints.uanl.mx/15133/1/244.pdf
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