Department of Medical Psychology, VU University Medical Center (VUMC), De Boelelaan 1117, 1081 HV, Amsterdam, the Netherlands.
Amsterdam Public Health research institute, VU University Medical Center and Academic Medical Center, Amsterdam, the Netherlands.
Syst Rev. 2017 Aug 7;6(1):155. doi: 10.1186/s13643-017-0557-9.
Shared decision-making (SDM) is a patient-centred approach in which clinicians and patients work side-by-side to decide together on the best course of action for each patient's particular situation. Six key elements of SDM can be distinguished: situation diagnosis, choice awareness, option clarification, discussion of harms and benefits, deliberation of patient preferences and making the decision. Decision aids (DAs) are tools that facilitate SDM. The impact of DAs for chronic illnesses on SDM, clinical and patient reported outcomes remains uncertain.
We will perform a systematic review aiming to describe (a) which SDM elements are incorporated in DAs for adult patients with chronic conditions and (b) the effects of DA use on SDM, clinical and patient reported outcomes. This manuscript reports on the protocol for this systematic review. The following databases will be searched for relevant articles: PubMed, Embase, Web of Science, CINAHL and PsycINFO, from their inception to October 2016. We will ascertain ongoing research by querying experts and searching trial registries. To enhance feasibility, we will limit the review to randomized controlled trials (RCTs) including patients with chronic cardiovascular and/or respiratory diseases and/or diabetes. SDM elements incorporated in DAs, DA effects and DA itself will be described.
This study will characterize DAs for chronic illness and will provide an overview of their effects on SDM, clinical and patient reported outcomes. We anticipate this review will bring to light knowledge gaps and inform further research into the design and use of DAs for patients with chronic conditions.
PROSPERO registration number: CRD42016050320 .
共同决策（SDM）是以患者为中心的方法，临床医生和患者并肩合作，共同决定每个患者特定情况下的最佳行动方案。SDM 可以区分出六个关键要素：情况诊断、选择意识、方案澄清、利弊讨论、患者偏好的审议以及决策。决策辅助工具（DAs）是促进 SDM 的工具。对于慢性疾病，DAs 对 SDM、临床和患者报告结果的影响尚不确定。
我们将进行系统评价，旨在描述：（a）哪些 SDM 要素被纳入慢性疾病成年患者的 DAs；（b）DA 使用对 SDM、临床和患者报告结果的影响。本手稿报告了该系统评价的方案。将从这些数据库的开始日期到 2016 年 10 月搜索相关文章：PubMed、Embase、Web of Science、CINAHL 和 PsycINFO。我们将通过询问专家和搜索试验登记处来确定正在进行的研究。为了提高可行性，我们将该综述限制在随机对照试验（RCTs）中，包括患有慢性心血管和/或呼吸系统疾病和/或糖尿病的患者。将描述 DAs 中纳入的 SDM 要素、DA 效应和 DA 本身。
本研究将描述慢性疾病的 DAs，并概述其对 SDM、临床和患者报告结果的影响。我们预计该综述将揭示知识空白，并为进一步研究设计和使用慢性疾病患者的 DAs 提供信息。
PROSPERO 注册号：CRD42016050320。
