Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

328 questions · 328 findings · 22 reviews · Consumers and Communication

No studies found 126 · 38.4%GRADE not reported 3 · 0.9%Very low 68 · 20.7%Low 92 · 28%Moderate 39 · 11.9%High 0 · 0%

Interventions for involving patients in decision‐making about their health care vs usual care

Psychiatric symptoms Brief Psychiatric Rating Scale (BPRS; Overall 1988): 16 items with 7‐item Likert scale ('not present' to 'extremely severe') measured 6 months after intervention (Yamaguchi 2017). · patients with mental health disorders
1 finding from 1 review

Interventions for involving patients in decision‐making about their health care vs usual care

Depression (6 months or more) MADRS measured 6 months after intervention (Aljumah 2015). PHQ‐9 measured 6 months after intervention (LeBlanc 2015). QIDS‐J measured 6 months after intervention (Aoki 2019a). Hospital Anxiety and Depression Scale (HA... · patients with mental health disorders
1 finding from 1 review

Interventions for involving patients in decision‐making about their health care vs usual care

Patient readmissions · patients with mental health disorders

It is very uncertain whether shared decision‐making interventions changes readmission (6 months or more) Rehospitalisation at 8 months after… compared with usual care (very low certainty).

1 finding from 1 review

Interventions for involving patients in decision‐making about their health care vs usual care

Participation (SDM‐specific‐reported outcomes, immediately after intervention) Combined Outcome Measure for Risk Communication and Treatment Decision‐making Effectiveness (COMRADE; Edwards 2003) measured immediately after decision‐making (Aoki 201... · patients with mental health disorders
1 finding from 1 review

Interventions for involving patients in decision‐making about their health care vs attention control

Health status (a) Patient‐reported high self‐rated health at 6 months after baseline CDC Healthy Days Measure (CDC 2000): dichotomised as low (1 to 3) and high (4 to 5) · older patients with multi‐morbidity
1 finding from 1 review

Interventions for involving patients in decision‐making about their health care vs attention control

Patient evaluation of care/the intervention Patient reports that the intervention changed management of his or her health at 6 months after baseline (3‐point scale: dichotomised into 'a great deal' vs 'somewhat' + 'not at all') (Stanford 2018) Hig... · older patients with multi‐morbidity

Interventions for involving patients in decision‐making about their… may leads to higher patient evaluation of care/the intervention Patient reports that the… compared with attention‐control conditions (low certainty).

1 finding from 1 review

Interventions for involving patients in decision‐making about their health care vs attention control

Resource use and cost Number of general practice visits in the 6 months following baseline (patient self‐report via questionnaire) · older patients with multi‐morbidity
1 finding from 1 review

Interventions for involving patients in decision‐making about their health care vs attention control

Adverse event** Less patient involvement as a result of the intervention Not measured · older patients with multi‐morbidity

The review found no eligible studies for this question.

1 finding from 1 review

Interventions for involving older patients with multi‐morbidity in decision‐making about their health care vs usual care

Health status (a) Patient‐reported high self‐rated health at 6 months after baseline CDC Healthy Days Measure (CDC 2000): dichotomised as low (1 to 3) and high (4 to 5) · older patients with multi‐morbidity

It is very uncertain whether interventions for involving older patients with multi‐morbidity in… changes health status (a) Patient‐reported high self‐rated health at 6… compared with usual care (very low certainty).

1 finding from 1 review

Interventions for involving older patients with multi‐morbidity in decision‐making about their health care vs usual care

Patient enablement and engagement (b) Morisky Medication Adherence Scale at 15 months after baseline (8‐item yes‐no survey. Range of scores from 0 to 8. Lower scores suggest non‐adherence) (Morisky 2008) · older patients with multi‐morbidity
1 finding from 1 review