دورية أكاديمية
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Technology-supported shared decision-making in chronic conditions: A systematic review of randomized controlled trials.

التفاصيل البيبلوغرافية
العنوان: Technology-supported shared decision-making in chronic conditions: A systematic review of randomized controlled trials.
المؤلفون: Vaseur RME; Department of Biomedical Signals and Systems; University of Twente, Enschede, The Netherlands. Electronic address: r.m.e.vaseur@utwente.nl., Te Braake E; Department of Biomedical Signals and Systems; University of Twente, Enschede, The Netherlands; Roessingh Research and Development, Enschede, The Netherlands., Beinema T; Department of Human-Media Interaction; University of Twente, Enschede, The Netherlands., d'Hollosy WON; Department of Biomedical Signals and Systems; University of Twente, Enschede, The Netherlands., Tabak M; Department of Biomedical Signals and Systems; University of Twente, Enschede, The Netherlands.
المصدر: Patient education and counseling [Patient Educ Couns] 2024 Jul; Vol. 124, pp. 108267. Date of Electronic Publication: 2024 Mar 21.
نوع المنشور: Systematic Review; Journal Article; Research Support, Non-U.S. Gov't; Review
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Ireland NLM ID: 8406280 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5134 (Electronic) Linking ISSN: 07383991 NLM ISO Abbreviation: Patient Educ Couns Subsets: MEDLINE
أسماء مطبوعة: Publication: Limerick : Elsevier
Original Publication: Princeton, N.J. : Excerpta Medica, c1983-
مواضيع طبية MeSH: Decision Making, Shared* , Randomized Controlled Trials as Topic* , Patient Participation* , Decision Support Systems, Clinical*, Humans ; Chronic Disease/therapy ; Decision Support Techniques ; Health Personnel/psychology
مستخلص: Objectives: To describe the role of patients with a chronic disease, healthcare professionals (HCPs) and technology in shared decision making (SDM) and the use of clinical decision support systems (CDSSs), and to evaluate the effectiveness of SDM and CDSSs interventions.
Methods: Randomized controlled studies published between 2011 and 2021 were identified and screened independently by two reviewers, followed by data extraction and analysis. SDM elements and interactive styles were identified to shape the roles of patients, HCPs and technology.
Results: Forty-three articles were identified and reported on 21 SDM-studies, 15 CDSS-studies, 2 studies containing both an SDM-tool and a CDSS, and 5 studies with other decision support components. SDM elements were mostly identified in SDM-tools and interactions styles were least common in the other decision support components.
Conclusions: Patients within the included RCTs mainly received information from SDM-tools and occasionally CDSSs when it concerns treatment strategies. HCPs provide and clarify information using SDM-tools and CDSSs. Technology provides interactions, which can support more active SDM. SDM-tools mostly showed evidence for positive effects on SDM outcomes, while CDSSs mostly demonstrated positive effects on clinical outcomes.
Practice Implications: Technology-supported SDM has potential to optimize SDM when patients, HCPs and technology collaborate well together.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
فهرسة مساهمة: Keywords: CDSSs; Chronic diseases; Clinical decision support systems; Patient-provider communication; SDM; Shared Decision Making
تواريخ الأحداث: Date Created: 20240328 Date Completed: 20240504 Latest Revision: 20240709
رمز التحديث: 20240709
DOI: 10.1016/j.pec.2024.108267
PMID: 38547638
قاعدة البيانات: MEDLINE
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