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

Michael R. Gionfriddo, Aaron L. Leppin, Juan Brito Campana, Annie Leblanc, Kasey R. Boehmer, Megan A. Morris, Patricia J. Erwin, Larry J. Prokop, Claudia L. Zeballos-Palacios, German Malaga, J. Jaime Miranda, Heidi M. McLeod, René Rodríguez-Gutiérrez, Rongchong Huang, Oscar L. Morey-Vargas, Mohammad H Murad, Victor Manuel Montori

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

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. 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. 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. PROSPERO Registration Number: CRD42013005784.

Original languageEnglish (US)
Pages (from-to)38
Number of pages1
JournalSystematic Reviews
Volume3
DOIs
StatePublished - 2014

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Decision Making
Quality of Health Care
PubMed
MEDLINE
Registries
Patient Care
Randomized Controlled Trials
Clinical Trials
Databases
Morbidity
Costs and Cost Analysis
Mortality

ASJC Scopus subject areas

  • Medicine (miscellaneous)

Cite this

A systematic review of shared decision making interventions in chronic conditions : a review protocol. / Gionfriddo, Michael R.; Leppin, Aaron L.; Brito Campana, Juan; 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 H; Montori, Victor Manuel.

In: Systematic Reviews, Vol. 3, 2014, p. 38.

Research output: Contribution to journalArticle

Gionfriddo, MR, Leppin, AL, Brito Campana, J, Leblanc, A, Boehmer, KR, Morris, MA, Erwin, PJ, Prokop, LJ, Zeballos-Palacios, CL, Malaga, G, Miranda, JJ, McLeod, HM, Rodríguez-Gutiérrez, R, Huang, R, Morey-Vargas, OL, Murad, MH & Montori, VM 2014, 'A systematic review of shared decision making interventions in chronic conditions: a review protocol.', Systematic Reviews, vol. 3, pp. 38. https://doi.org/10.1186/2046-4053-3-38
Gionfriddo, Michael R. ; Leppin, Aaron L. ; Brito Campana, Juan ; 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 H ; Montori, Victor Manuel. / A systematic review of shared decision making interventions in chronic conditions : a review protocol. In: Systematic Reviews. 2014 ; Vol. 3. pp. 38.
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