Shared decision making in musculoskeletal pain consultations in low- and middle-income countries: a systematic review

Sam, Sreya; Sharma, Ram Babu; Corp, Nadia; Igwesi-Chidobe, Chinonso Nwamaka; Babatunde, Opeyemi

doi:10.1093/inthealth/ihz077

Cited by 14 publications

(7 citation statements)

References 34 publications

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“…This complements findings from other developing countries that have reported low patients' participation in decision making during their treatment. [21][22][23] In Uganda, a study among breast cancer patients showed that 80% of them were not given a chance to participate in the selection of their treatment options. 11 However, higher participation in SDM has been reported in some developed countries.…”

Section: Discussionmentioning

confidence: 99%

Patients’ Involvement in Decision-Making During Healthcare in a Developing Country: A Cross-Sectional Study

Nuwagaba¹,

Olum²,

Bananyiza³

et al. 2021

PPA

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Patient autonomy and participation have a significant impact on patient satisfaction and compliance with treatment. We aimed to establish and describe the level of shared decision-making (SDM) among the patients in a developing country. Uganda is a low resource country with a 2019 GDP of 35.17 billion US dollars. In some regions, over 60% of Ugandans live below the national poverty line and most of them depend on the underfunded health care system. Methods: A cross-sectional, quantitative study was carried out among the outpatients attending Kisenyi Health center IV, Kampala, Uganda. An interviewer-administered questionnaire with a 5-point Likert scale was used to assess patients' SDM. All statistical analysis was performed using STATA 15 software. Results: A total of 326 patients participated in this study. Majority of the participants were females (n=241, 73.9%) and aged 18-35 years (n=218, 66.9%). Only 22 (7%) of the participants knew the name of their consulting doctor. Most of the participants, 84% were given enough time to narrate their symptoms. Overall, only 11.3% (n=37) of the participants had adequately participated in SDM. The overall mean score of participation in SDM was 2.7 (SD:0.8). Participants who knew the name of their consulting doctor were approximately 11 times more likely to participate in SDM (OR: 10.7, 95% CI: 4.2-27.0, P<0.0001). Conclusion:The majority of patients attending Kisenyi Health Center IV did not adequately participate in SDM. Continued medical education should be organized for healthcare professionals to promote SDM.

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Section: Discussionmentioning

confidence: 99%

Patients’ Involvement in Decision-Making During Healthcare in a Developing Country: A Cross-Sectional Study

Nuwagaba¹,

Olum²,

Bananyiza³

et al. 2021

PPA

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“…For instance, patients from lowand middle-income countries are less likely to engage in SDM for reasons that may include limited awareness of their medical condition and differing cultural beliefs. 24 However, a recent meta-analysis found that SDM is more beneficial for patients with low health literacy compared to patients with high health literacy. 25 Future intervention studies engaging women with a GDM history in SDM for type 2 diabetes prevention should include women across the spectrum of educational attainment and should not exclude women with low health literacy.…”

Section: Discussionmentioning

confidence: 99%

Educational Attainment, Decision-Making Preferences, and Interest in Evidence-Based Diabetes Prevention among Women with a History of Gestational Diabetes Mellitus

Panchal

Turk

Moin

et al. 2021

Women's Health Reports

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Background: The Diabetes Prevention Program (DPP) showed that lifestyle change or metformin is equally efficacious in preventing diabetes in women who have had gestational diabetes mellitus (GDM). Few studies have investigated the relationship between education and willingness to engage in either intervention and between education and preferred decision-making style. Methods: Within a large health system, we surveyed insured women 18–64 years old with a history of GDM, identified through the electronic health record. We estimated preference for decision-making style and interest in DPP lifestyle change and/or metformin by educational level, using multivariate logistic regression models controlling for age, race, and ethnicity. Results: Our sample ( n = 264) was 36% Latino, 29% Asian, 28% non-Latino white, and 5% African American, with a mean age of 37 years. In terms of education, 31% had a postgraduate degree, 41% were college graduates, and 29% did not graduate from college. In multivariate analyses, willingness to engage in either intervention did not vary by education. Women who did not graduate from college were more likely to leave medical decisions to their provider ( p = 0.004) compared to women with a college or postgraduate degree. However, regardless of education, over 80% of women preferred to make medical decisions themselves or jointly with their provider. Conclusions: Most women prefer to play an active role in their own medical decisions and have an interest in both evidence-based diabetes prevention strategies. This suggests that shared decision-making is appropriate for many women with a history of GDM and different levels of educational attainment.

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“…É uma condição multifatorial pois envolve interações complexas entre estruturas físicas, psicológicas, sociais, de estilo de vida e comorbilidades (Caneiro, Bunzli, & O'Sullivan, 2021). Requerem uma gestão a longo prazo e aumentam a pressão sobre os serviços de saúde (Sam, Sharma, Corp, Igwesi-Chidobe, & Babatunde, 2020). Para tentar compreender a resposta comportamental de um paciente à dor ME devemos avaliar (Quadro 4).…”

Section: A Resposta Comportamental Do Paciente Aos Seus Sintomasunclassified

As Competências dos profissionais de saúde ao serviço do envelhecimento saudável

Fonseca

2021

JIM

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As práticas clínicas têm evoluído de um modelo biomédico para um modelo biopsicossocial. Neste sentido, a investigação em literacia em saúde tem vindo a tornar-se mais robusta devido a esta evolução positiva de avaliar e acompanhar a pessoa como um todo, no centro da relação terapêutica. Torna-se, porém, necessário continuar a investir numa maior consciencialização dos profissionais de saúde para que invistam no desenvolvimento de técnicas de literacia em saúde. Neste artigo é abordado especificamente o método Teach-back no âmbito das práticas clínicas. Com uma revisão de literatura e a experiencia prática da autora através da evidência de aplicação deste método procura-se apresentar a utilidade prática da técnica Teach-back aos profissionais e equipas de saúde e compreender os múltiplos fatores (as vantagens) que podem aumentar a adesão dos profissionais de saúde aa técnica Teach-back na sua prática clínica diária.

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Shared decision making in musculoskeletal pain consultations in low- and middle-income countries: a systematic review

Cited by 14 publications

References 34 publications

Patients’ Involvement in Decision-Making During Healthcare in a Developing Country: A Cross-Sectional Study

Patients’ Involvement in Decision-Making During Healthcare in a Developing Country: A Cross-Sectional Study

Educational Attainment, Decision-Making Preferences, and Interest in Evidence-Based Diabetes Prevention among Women with a History of Gestational Diabetes Mellitus

As Competências dos profissionais de saúde ao serviço do envelhecimento saudável

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