Patient Education and Continuing Medical Education to Promote Shared Decision-Making. A Systematic Literature Review

Wagner, Anke; Radionova, Natalia; Siegel, Achim

doi:10.3390/ijerph16142482

Cited by 18 publications

(14 citation statements)

References 26 publications

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“…There is evidence that greater patient-perceived involvement in decision making is associated with greater trust in the clinician (49)(50)(51). Studies of communication training tools for clinicians and communication aids for patients suggest training clinicians is more effective than decision-making tools for patients, but neither improves patient experience (52)(53)(54)(55)(56)(57). For instance, one trial in oncology randomized clinicians to receive SDM communication skills training or not, and patients to receive a communication aid or not.…”

Section: Discussion and Conclusion Discussionmentioning

confidence: 99%

Patient Perceived Involvement in Their Treatment is Influenced by Factors Other Than Independently Rated Clinician Communication Effectiveness

Rossenberg

Ring

Jacobs

et al. 2021

Journal of Patient Experience

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We analyzed (1) the correspondence of patient and clinician perceived patient involvement in decision making and ratings made by independent observer's independent ratings, as well as (2), factors associated with patient-perceived involvement, among patients seeking hand specialty care. During 63 visits, the patient, their hand specialist, and 2 independent observers each rated patient involvement in decision making using the 9-item shared decision-making questionnaire for patients and clinicians, and the 5-item observing patient involvement scale (OPTION-5). We also measured health literacy (Newest Vital Sign), patient and visit characteristics (gender, age, race, years of education, occupation, marital status, and family present). There was no correlation ( ρ = 0.17; P = .17) between patient (median 42, IQR 36-44.5) and clinician (38, IQR 35-43) ratings of patient involvement in decision making. Independently rated patient involvement correlated moderately with a specialist ( ρ = 0.35, P <.01), but not patient ( ρ = 0.22, P = .08) ratings. The finding that patient perception of their involvement in decision making has little or no relationship to independently rated clinician communication effectiveness and effort, suggests that other aspects of the encounter—such as empathy and trust—may merit investigation as mediators of the patient agency.

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Section: Discussion and Conclusion Discussionmentioning

confidence: 99%

Patient Perceived Involvement in Their Treatment is Influenced by Factors Other Than Independently Rated Clinician Communication Effectiveness

Rossenberg

Ring

Jacobs

et al. 2021

Journal of Patient Experience

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show abstract

“…Furthermore, feedback was provided according to the PRESS Guideline [ 35 ] by a health services researcher with experience in conducting reviews (A.W.) [ 36 , 37 , 38 ]. The developed PubMed search string was adapted to each of the other databases CINAHL, PsycInfo, and PSYNDEX (see Appendix A ).…”

Section: Methodsmentioning

confidence: 99%

Work-Related Health Literacy: A Scoping Review to Clarify the Concept

Ehmann

Ög

Siegel

2021

IJERPH

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The overall aim of this scoping review is to outline the current state of research on health literacy (HL) in the workplace: the primary objective is to clarify the concept of individual work-related HL; the secondary aims are to report on interventions that promote individual work-related HL and to present respective measurement instruments validated to date. A high level of work-related HL could support work ability and in the longer run employability. These topics are becoming increasingly important in current circumstances and in view of ongoing developments (e.g., digitalization and “new” work). A basic understanding and measurement of HL as an individual competence in the context of working life is necessary to develop future interventions to promote HL among people of working age. According to the participants, concept, and context (PCC) framework, we included articles on health literacy (concept) in the target group of people of working age in the workplace (population and context). Key information sources were the databases PubMed, CINAHL, PsycInfo, and PSYNDEX. A total of 30 articles were included. There are several terms for “health literacy in the workplace” (including individual work-related or occupational HL). The conceptualizations of the individual employee’s competence covered all aspects of HL (“access”, “understand”, “appraise”, and “apply” health information). The conceptualizations differed, among others, in the covered time horizon (referring either only to employees’ current work situation or additionally to their employability in the lifespan) or whether they referred also to the viability of the respective company. Published interventions attempting to promote individual work-related HL seem mostly to be targeted at the promotion of mental HL. A variety of outcomes have been measured in intervention studies, while specific measurement instruments for individual work-related HL seem to be scarce. We recommend the development of country-specific instruments for the assessment of individual work-related health literacy and to measure mental and physical work-related health literacy.

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“…SDM is composed of the following important elements: (1) it involves healthcare professionals and patients, (2) both sides share information, (3) both sides are in a course to build a consensus of the preferred treatment, and (4) a treatment agreement is reached and implemented [13]. Patient education plays an important role in the SDM [14]. It helps patients to be capable of asking more questions and expressing a greater desire for involvement during a consultation.…”

Section: Plos Onementioning

confidence: 99%

Clinician-created educational video for shared decision-making in the outpatient management of acne

et al. 2022

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Shared decision-making (SDM) provides patient-centered care. However, the limited consultation time was the main factor hindering the application. Patient education is crucial in the process of SDM. The use of visual aids as health education materials is an effective way to improve patients’ health literacy and medication adherence. This study aimed to determine the effectiveness of the clinician-created educational video of acne, accessed by patients during the waiting time, including knowledge level and satisfaction. This study was conducted in dermatology outpatient clinics and collected patient responses through electronic devices. During the waiting time, patients with acne would read educational pamphlets and complete the test first. Then, a clinician-created 8-minute educational video, as a patient decision aid (PDA), was accessed by patients using their own mobile smart devices, followed by a test and questionnaire about the satisfaction of the pamphlet and video. We enrolled 50 patients with acne, including 33 males and 17 females. The mean age is 25.55 ± 6.27 years old, ranging from 15 to 47 years old. About the patients’ knowledge, the test score improved significantly after watching the video (P < .001). The same findings were observed in the subgroup analysis of gender and different age groups. A higher proportion of patients preferred the educational video over the pamphlet in both genders and different age groups. All patients agreed with the video helped them to understand the educational information and impressed them more than reading pamphlets. The application of clinician-created educational videos in patient education seems to be an efficient solution to implement SDM in the daily clinical work. Besides, we could remind patients to watch the video anytime when they were not sure about the treatment choices, side effects, or the precautions of medications.

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Patient Education and Continuing Medical Education to Promote Shared Decision-Making. A Systematic Literature Review

Cited by 18 publications

References 26 publications

Patient Perceived Involvement in Their Treatment is Influenced by Factors Other Than Independently Rated Clinician Communication Effectiveness

Patient Perceived Involvement in Their Treatment is Influenced by Factors Other Than Independently Rated Clinician Communication Effectiveness

Work-Related Health Literacy: A Scoping Review to Clarify the Concept

Clinician-created educational video for shared decision-making in the outpatient management of acne

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