Shared Decision-Making and Its Correlation with Demographic Characteristics of Iranian Patients

Mostafaie, Hadi; Parniyanfard, Neda; Ghojazadeh, Morteza; Pourmalek, Ariyan; Madanlou, Kimia; Abbaspour, Morteza; Pashazadeh, Fariba; Hajebrahimi, Sakineh; Hajebrahimi, Ahmad

doi:10.9734/bjmmr/2014/8841

Cited by 8 publications

(4 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As in many other countries, some Iranian physicians think that if they ask for the patient's opinion about a decision, they will be perceived as having a lack of knowledge and experience (Rahimi, Alizadeh, & Légaré, ). In Iran, patients are more typically interested in receiving information about their medical condition from their physician rather than being significantly involved in the decision‐making process (Mostafaie et al, ) and, as a result, most patients prefer their doctor to make the decisions (Mira, Guilabert, Pérez‐Jover, & Lorenzo, ). Therefore, physicians have an important role to play in engaging patients in safe care by exchanging information, building good interpersonal relationships and by sharing decision‐making (Sutker, ;Wu, ).…”

Section: Discussionmentioning

confidence: 99%

Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study

et al. 2019

View full text Add to dashboard Cite

AimTo investigate barriers to patient engagement in the delivery of safe hospital care.DesignQualitative exploratory study.MethodsA qualitative study with 35 Iranian health professionals was conducted from February to April 2019 using semi‐structured interviews to elicit their opinions. MAXQDA 11 software was used for data management, and the data were analysed using framework analysis.ResultsBarriers, which potentially have negative impact on patient engagement in the delivery of safer care, were categorized into four themes. The first category included patient‐related barriers such as low levels of health literacy, ineffective education, patient unwillingness and cultural barriers. The second category included staff‐related barriers such as the existence of negative attitudes towards engaging patients in matters relating to patient safety, ineffective communication, high workload and the reluctance on the part of physicians to engage with patients. Barriers created by limited resources and inadequate training provided by universities and in the workplace formed the third category and community‐related barriers such as the inadequate dissemination of information via the mass media and a lack of community‐based services formed the fourth category.ConclusionResults demonstrate the multilayered nature of the significant barriers to the engagement of patients in the delivery of safe care and reflect the need for a collaborative approach between the recipients of care, researchers, care providers and policy makers if these are to be overcome.

show abstract

Section: Discussionmentioning

confidence: 99%

Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In line with our results, a study in Washington by Seo et al [ 53 ] showed that people with higher health literacy levels were generally 2 times more likely to participate in treatment decisions than people with lower literacy levels. Mostafaie et al also showed that people with higher education levels are more inclined to make shared decisions [ 54 ]. These results support the findings of our study.…”

Section: Discussionmentioning

confidence: 99%

Comparison of shared decision making in patients undergoing hemodialysis and peritoneal dialysis for choosing a dialysis modality

2021

View full text Add to dashboard Cite

Background Shared decision making (SDM) is recognized as the gold standard for patient-centered care. This study aimed to assess and compare the SDM among patients undergoing hemodialysis and peritoneal dialysis for choosing a dialysis modality. Methods This is a cross-sectional study that was performed on 300 dialysis patients (218 HD and 82 PD) referred to two Dialysis Centers. Data were collected using demographic information and a 9-item Shared Decision Making Questionnaire (SDM-Q-9). The data were analyzed using ANOVA and independent t-test by SPSS software. Results The mean SDM-Q-9 score in all samples (PD and HD) was 21.94 ± 15.08 (in a possible range of 0 to 45). Results of the independent t-test showed that the mean SDM-Q-9 score in PD patients (33.11 ± 10.08) was higher than HD patients (17.14 ± 74.24) (p < 0.001). The results showed a statistically significant difference in mean SDM-Q-9 score based on patients’ age, educational level, and income (p < 0.05). Conclusion Implementing shared decision making and providing information on RRT should be started in the early stage of CKD. The health care providers should involve patients with CKD and their families in dialysis-related decisions and it should be started in the early stage of CKD.

show abstract

“…Patients’ participation and awareness of their preferences improve the quality of care and treatment outcomes [ 13 ]. The results of a systematic review (2007) demonstrated that patients with greater participation in treatment decisions were more informed of their options and had realistic expectations about what might happen.…”

Section: Introductionmentioning

confidence: 99%

Effect of shared decision making on mode of delivery and decisional conflict and regret in pregnant women with previous cesarean section: a randomized clinical trial

Hadizadeh-Talasaz

Ghoreyshi

Mohammadzadeh

et al. 2021

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background The promotion of vaginal birth after cesarean section (VBAC) is the best method for the reduction of repeated cesarean sections. Nonetheless, the decisional conflict which often results from inadequate patient involvement in decision making, may lead to delayed decision making and regret about the choices that were made. The present study aimed to determine the effect of shared decision making on the mode of delivery and decisional conflict and regret in pregnant women with previous cesarean section. Methods This randomized clinical trial was conducted on 78 pregnant women with a previous cesarean section referring to community health centers in Torbat-e Jam, Iran, in 2019. They were randomly assigned to two groups of intervention and control. During weeks 24-30 of pregnancy, the Decisional Conflict Scale (DCS) was completed by pregnant mothers. Apart from the routine care, the experimental group received a counseling session which was held based on the three-talk model of shared decision making. This session was moderated by a midwife; moreover, a complementary counseling session was administered by a gynecologist. During weeks 35–37 of pregnancy, DCS was completed, and the Decision Regret Scale (DRS) was filled out for both groups at the 8th weeks postpartum and they were asked about the mode of delivery. Data were analyzed in SPSS software (version 19) using the Mann-Whitney, Chi-squared and Fisher’s exact tests. p-value less than 0.05 was considered statistically significant. Results After the intervention, the decisional conflict score was significantly lower in the shared decision making (SDM) group, compared to that in the control group (14.90 ± 9.65 vs. 25.41 ± 13.38; P < 0.001). Moreover, in the SDM group, the rate of vaginal birth was significantly higher than that in the control group (P < 0.001). Two month after the delivery, the mean score of decision regret was lower in the SDM group, in comparison to that in the control group (15.67 ± 23.37 vs. 27. 30± 26.75; P = 0.007). Conclusions Based on the results of the study, shared counseling can be effective in the reduction of decisional conflict and regret, as well as rate enhancement of VBAC. Therefore, it can be concluded that this counseling method can be used in prenatal care to reduce the rate of repeated cesarean section. Trial registration IRCT20190506043499N1; Name of the registry: Iranian Registry of Clinical Trials; Registered 10. August 2019. URL of registry: https://en.irct.ir/trial/39538. Date of enrolment of the first participant to the trial: August 2019.

show abstract

Shared Decision-Making and Its Correlation with Demographic Characteristics of Iranian Patients

Cited by 8 publications

References 26 publications

Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study

Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study

Comparison of shared decision making in patients undergoing hemodialysis and peritoneal dialysis for choosing a dialysis modality

Effect of shared decision making on mode of delivery and decisional conflict and regret in pregnant women with previous cesarean section: a randomized clinical trial

Contact Info

Product

Resources

About