RT Journal Article
SR Electronic
T1 A systematic review of shared decision-making interventions for people living with chronic respiratory diseases
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 498
DO 10.1183/13993003.congress-2022.498
VO 60
IS suppl 66
A1 A Barradell
A1 C Gerlis
A1 L Houchen-Wolloff
A1 H Bekker
A1 N Robertson
A1 S Singh
YR 2022
UL http://erj.ersjournals.com/content/60/suppl_66/498.abstract
AB Introduction: Shared Decision-Making (SDM) supports patients informed and value-based decision-making. Patients with Chronic Obstructive Pulmonary Disease (COPD) express barriers accessing Pulmonary Rehabilitation (PR) perhaps exacerbated by poor decision-making. We are developing a SDM intervention to support patients’ PR decision-making. To inform this, the efficacy of SDM within Chronic Respiratory Disease (CRD) warrants exploration.Aim: To evaluate the impact of SDM interventions upon patient decision-making (primary outcome), downstream decision outcomes (cognitive/behavioural; (secondary outcome)), and adherence to the MIND-IT model of SDM (exploratory outcome).Method: We searched electronic databases for quantitative or mixed method randomised/non-randomised controlled trials evaluating SDM interventions in patients with CRD. We used the Cochrane Risk of Bias and GRADE tools and a narrative synthesis to evaluate the review’s objectives.Results: Eight studies [n=1,596 (of 17,466 citations identified)] fulfilled the inclusion criteria. All primary and 3 [of 4] secondary outcomes improved post intervention. No outcome was reported consistently across studies. Three studies had high risk of bias, three had low quality of evidence. Interventions reported inconsistent adherence to the MIND-IT model of SDM (5/8 studies adhered fully).Conclusion: There is evidence SDM interventions for patients with CRD improve patient decision-making and decision outcomes. Few interventions comply with all components of SDM and thus limit the scope for systematic evaluation of their efficacy. Further high-quality research is required (e.g., a robust, theory-driven PR SDM intervention).FootnotesCite this article as Eur Respir J 2022; 60: Suppl. 66, 498.This article was presented at the 2022 ERS International Congress, in session “-”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).