دورية أكاديمية

Shared Decision Making Tools for People Facing Stroke Prevention Strategies in Atrial Fibrillation: A Systematic Review and Environmental Scan

التفاصيل البيبلوغرافية
العنوان: Shared Decision Making Tools for People Facing Stroke Prevention Strategies in Atrial Fibrillation: A Systematic Review and Environmental Scan
المؤلفون: Torres Roldan, Victor D., Brand-McCarthy, Sarah R., Ponce, Oscar J., Belluzzo, Tereza, Urtecho, Meritxell, Espinoza Suarez, Nataly R., Toloza, Freddy J. K., Thota, Anjali D., Organick, Paige W., Barrera, Francisco, Liu-Sanchez, Carolina, Jaladi, Soumya, Prokop, Larry, Ozanne, Elissa M., Fagerlin, Angela, Hargraves, Ian G., Noseworthy, Peter A., Montori, Victor M., Brito, Juan P.
المساهمون: patient-centered outcomes research institute, American Heart Association
المصدر: Medical Decision Making ; volume 41, issue 5, page 540-549 ; ISSN 0272-989X 1552-681X
بيانات النشر: SAGE Publications
سنة النشر: 2021
الوصف: Objective Shared decision making (SDM) tools can help implement guideline recommendations for patients with atrial fibrillation (AF) considering stroke prevention strategies. We sought to characterize all available SDM tools for this purpose and examine their quality and clinical impact. Methods We searched through multiple bibliographic databases, social media, and an SDM tool repository from inception to May 2020 and contacted authors of identified SDM tools. Eligible tools had to offer information about warfarin and ≥1 direct oral anticoagulant. We extracted tool characteristics, assessed their adherence to the International Patient Decision Aids Standards, and obtained information about their efficacy in promoting SDM. Results We found 14 SDM tools. Most tools provided up-to-date information about the options, but very few included practical considerations (e.g., out-of-pocket cost). Five of these SDM tools, all used by patients prior to the encounter, were tested in trials at high risk of bias and were found to produce small improvements in patient knowledge and reductions in decisional conflict. Conclusion Several SDM tools for stroke prevention in AF are available, but whether they promote high-quality SDM is yet to be known. The implementation of guidelines for SDM in this context requires user-centered development and evaluation of SDM tools that can effectively promote high-quality SDM and improve stroke prevention in patients with AF.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1177/0272989x211005655
DOI: 10.1177/0272989X211005655
الإتاحة: https://doi.org/10.1177/0272989x211005655Test
حقوق: https://creativecommons.org/licenses/by-nc/4.0Test/
رقم الانضمام: edsbas.81613B8C
قاعدة البيانات: BASE