Fostering Shared Decision-Making Between Patients and Health Care Professionals in Clinical Practice Guidelines: Protocol for a Project to Develop and Test a Tool for Guideline Developers.

Autor:	Fischer L; Institute for Health Services and Health System Research, Faculty of Health Sciences Brandenburg, Brandenburg Medical School (Theodor Fontane), Rüdersdorf, Germany.; Center for Health Services Research, Brandenburg Medical School (Theodor Fontane), Rüdersdorf, Germany., Scheibler F; National Competency Center for Shared Decision Making, University Hospital Schleswig-Holstein, Kiel, Germany.; SHARE TO CARE, Patient-Centered Care GmbH, Cologne, Germany., Schaefer C; German Agency for Quality in Medicine, Berlin, Germany., Karge T; CGS Clinical Guideline Services GmbH, Berlin, Germany., Langer T; German Network for Evidence-Based Medicine, Berlin, Germany., Schewe LV; SHARE TO CARE, Patient-Centered Care GmbH, Cologne, Germany., Florez ID; Department of Pediatrics, University of Antioquia, Medellin, Colombia.; Pediatric Intensive Care Unit, Clínica Las Américas-AUNA, Medellin, Colombia.; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada., Hutchinson A; National Institute for Health and Care Excellence (NICE), Manchester, United Kingdom., Li S; Department of Endocrinology and Metabolism, Cochrane China Centre, MAGIC China Centre, Chinese Evidence-Based Medicine Centre, West China Hospital, Sichuan University, Chengdu, China., Maes-Carballo M; General Surgery Department, Hospital Público de Verín, Ourense, Spain.; Department of General Surgery, University of Santiago de Compostela, Santiago de Compostela, Spain.; Deontological Committee of the College of Physicians of Ourense, Ourense, Spain.; Healthcare Ethics Committee of Ourense, Ourense, Spain., Munn Z; Health Evidence Synthesis, Recommendations and Impact (HESRI), School of Public Health, University of Adelaide, Adelaide, Australia., Perestelo-Perez L; Evaluation Unit (SESCS), Canary Islands Health Service (SCS), Tenerife, Spain.; Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain.; Spanish Network of Agencies for Assessing National Health System Technologies and Performance (RedETS), Tenerife, Spain., Puljak L; Center for Evidence-Based Medicine and Healthcare, Catholic University of Croatia, Zagreb, Croatia., Stiggelbout A; Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands.; Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, Netherlands., Pieper D; Institute for Health Services and Health System Research, Faculty of Health Sciences Brandenburg, Brandenburg Medical School (Theodor Fontane), Rüdersdorf, Germany.; Center for Health Services Research, Brandenburg Medical School (Theodor Fontane), Rüdersdorf, Germany.
Jazyk:	angličtina
Zdroj:	JMIR research protocols [JMIR Res Protoc] 2024 Nov 04; Vol. 13, pp. e57611. Date of Electronic Publication: 2024 Nov 04.
DOI:	10.2196/57611
Abstrakt:	Background: Clinical practice guidelines (CPGs) are designed to assist health care professionals in medical decision-making, but they often lack effective integration of shared decision-making (SDM) principles to reflect patient values and preferences, particularly in the context of preference-sensitive CPG recommendations. To address this shortcoming and foster SDM through CPGs, the integration of patient decision aids (PDAs) into CPGs has been proposed as an important strategy. However, methods for systematically identifying and prioritizing CPG recommendations relevant to SDM and related decision support tools are currently lacking. Objective: The aim of the project is to develop (1) a tool for systematically identifying and prioritizing CPG recommendations for which SDM is considered particularly relevant and (2) a platform for PDAs to support practical SDM implementation. Methods: The project consists of 6 work packages (WPs). It is embedded in the German health care context but has an international focus. In WP 1, we will conduct a scoping review in bibliographic databases and gray literature sources to identify methods used to foster SDM via PDAs in the context of CPGs. In WP 2, we will conduct semistructured interviews with CPG experts to better understand the concepts of preference sensitivity and identify strategies for fostering SDM through CPGs. WP 3, a modified Delphi study including surveys and focus groups with SDM experts, aims to define and operationalize preference sensitivity. Based on the results of the Delphi study, we will develop a methodology for prioritizing key questions in CPGs. In WP 4, the tool will be developed. A list of relevant items to identify CPG recommendations for which SDM is most relevant will be created, tested, and iteratively refined, accompanied by the development of a user manual. In WP 5, a platform for creating and digitizing German-language PDAs will be developed to support the practical application of SDM during clinical encounters. WP 6 will conclude the project by testing the tool with newly developed and revised CPGs. Results: The Brandenburg Medical School Ethics Committee approved the project (165122023-ANF). An international multidisciplinary advisory board is involved to guide the tool development on CPGs and SDM. Patient partners are involved throughout the project, considering the essential role of the patient perspective in SDM. As of February 20, 2024, we are currently assessing literature references to determine eligibility for inclusion in the scoping review (WP 1). We expect the project to be completed by December 31, 2026. Conclusions: The tool will enable CPG developers to systematically incorporate aspects of SDM into CPG development, thereby providing guideline-based support for the patient-practitioner interaction. Together, the tool for CPGs and the platform for PDAs will create a systematic link between CPGs, SDM, and PDAs, which may facilitate SDM in clinical practice. International Registered Report Identifier (irrid): DERR1-10.2196/57611. (©Lena Fischer, Fülöp Scheibler, Corinna Schaefer, Torsten Karge, Thomas Langer, Leon Vincent Schewe, Ivan D Florez, Andrew Hutchinson, Sheyu Li, Marta Maes-Carballo, Zachary Munn, Lilisbeth Perestelo-Perez, Livia Puljak, Anne Stiggelbout, Dawid Pieper. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 04.11.2024.)
Databáze:	MEDLINE
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