Cochrane · systematic review · CD006732
Interventions for increasing the use of shared decision making by healthcare professionals
Légaré, F, Adekpedjou, R, Stacey, D, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
44
current version
GRADE rated
30
No studies
14
Included studies
NR
No studies 14 · 31.8%Ungraded 0 · 0%Very low 27 · 61.4%Low 3 · 6.8%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyInterventions targeting patients compared to usual care or interventions of the same type for shared decision making
Population: patients, including healthcare consumers and simulated patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Shared decision making (observer based outcome measure (OBOM), continuous measures) ( Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | 424 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Shared decision making (patient reported outcome measure (PROM), continuous measures) ( Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | 1386 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Shared decision making (PROM), dichotomous measures ( Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | 754 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Decision regret ( Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | 212 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Health‐related quality of life (physical) ( Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | 116 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Health‐related quality of life (mental) ( Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | 116 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Consultation length (minutes) Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | 224 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Cost (£) Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | 105 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Shared decision making (OBOM, continuous) (post‐visit) Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | 271 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Shared decision making (PROM, continuous) ( Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | 1906 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Shared decision making (PROM, categorical or dichotomous) ( Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | 2272 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Decision regret Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Health‐related quality of life (physical) Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Health‐related quality of life (mental) Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Cost Interventions targeting patients vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Interventions targeting healthcare professionals compared to usual care or interventions of the same type for shared decision making
Population: healthcare professionals responsible for patient care
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Shared decision making (OBOM, continuous) ( Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | 479 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Shared decision making (PROM, continuous) ( Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | 5772 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Shared decision making (PROM, categorical or dichotomous) ( Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | 6303 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Decision regret ( Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | 326 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Health‐related quality of life (physical) ( Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | 359 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Health‐related quality of life (mental) ( Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | 359 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Consultation length (minutes) Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | 175 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Cost Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Shared decision making (OBOM, continuous) (post‐visit) Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | 20 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Shared decision making (PROM, continuous) ( Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | 1459 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Decision regret Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Health‐related quality of life (physical) Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Health‐related quality of life (mental) Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Consultation length Interventions targeting healthcare professionals vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Interventions targeting healthcare professionals and patients compared to usual care or interventions of the same type for shared decision making
Population: healthcare professionals and patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Shared decision making (OBOM, continuous) ( Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | 1270 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Shared decision making (PROM, continuous) ( Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | 1479 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Shared decision making (PROM, categorical or dichotomous) (post‐visit) Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | 266 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Decision regret ( Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | 369 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Health‐related quality of life (physical) ( Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | 75 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Health‐related quality of life (mental) ( Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | 75 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Consultation length (minutes) Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | 536 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Cost Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Shared decision making (OBOM, continuous) (post‐visit) Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | 20 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Shared decision making (OBOM, categorical or dichotomous) (post‐visit) Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | 134 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Shared decision making (PROM, continuous) (post‐visit) Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | 150 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Decision regret Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Health‐related quality of life (physical) Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Health‐related quality of life (mental) Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Consultation length Interventions targeting healthcare professionals and patients vs usual care or interventions of the same type | no estimate extracted | NR | No studies |
Comparison
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Observer‐based SDM measures | no estimate extracted | NR | No studies |
Patient‐reported SDM measures | no estimate extracted | NR | Very low Downgraded: risk of bias |