TY - JOUR
T1 - Training health professionals in shared decision-making
T2 - An international environmental scan
AU - Légaré, France
AU - Politi, Mary C.
AU - Drolet, Renée
AU - Desroches, Sophie
AU - Stacey, Dawn
AU - Bekker, Hilary
N1 - Funding Information:
This study was funded by a catalyst grant in primary and community-based healthcare from the Canadian Institutes of Health Research (CIHR; 2010–2011; Grant # 247587-200910PCH-PCH-212366-I006-9115-TIBAA ). Ethical approval for this study was received from the Research Ethics Board Committee of the Centre Hospitalier Universitaire de Québec (CHUQ) on 21 June 2010. The following authors and members of the SDM CPD team were the authors or co-authors of training programs included in this environmental scan: JC, NDB, MH, TK, ML, FL, NM, DS, and MS. FL holds a Canada Research Chair in Implementation of Shared Decision-Making in Primary Care. SD is a CIHR New Investigator, and at the time of this study was a Fonds de la recherche en santé du Québec Junior 1 Scholar. We thank GLS Réseaux, a consulting firm which provides organizations with research, strategic intelligence and knowledge management services for their help in the search of training programs in shared decision-making. We thank Adriana Freitas, Genevieve Malboeuf, Catherine Nadeau, Audrey Ferron-Parayre, and Kiyang-Lawrence Nodh for their involvement in identifying programs and extracting data. We also thank the authors who gave us information about their training activity. Jennifer Petrela edited this article.
PY - 2012/8
Y1 - 2012/8
N2 - Objective: To identify and analyze training programs in shared decision-making (SDM) for health professionals. Methods: We conducted an environmental scan looking for programs that train health professionals in SDM. Pairs of reviewers independently analyzed the programs identified using a standardized data extraction sheet. The developers of the programs validated the data extracted. Results: We identified 54 programs conducted between 1996 and 2011 in 14 countries and 10 languages. Thirty-four programs targeted licensed health professionals, 10 targeted pre-licensure health professionals, and 10 targeted both. Most targeted only the medical profession (n=32); six targeted more than one health profession. The five most frequently mentioned teaching methods were case-based discussion, small group educational session, role play, printed educational material, and audit and feedback. Thirty-six programs reported having evaluated their impacts but evaluation data was available only for 17. Conclusions: Health professional training programs in SDM vary widely in how and what they deliver, and evidence of their effectiveness is sparse. Practice implications: This study suggests there is a need for international consensus on ways to address the variability in SDM training programs. We need agreed criteria for certifying the programs and for determining the most effective types of training.
AB - Objective: To identify and analyze training programs in shared decision-making (SDM) for health professionals. Methods: We conducted an environmental scan looking for programs that train health professionals in SDM. Pairs of reviewers independently analyzed the programs identified using a standardized data extraction sheet. The developers of the programs validated the data extracted. Results: We identified 54 programs conducted between 1996 and 2011 in 14 countries and 10 languages. Thirty-four programs targeted licensed health professionals, 10 targeted pre-licensure health professionals, and 10 targeted both. Most targeted only the medical profession (n=32); six targeted more than one health profession. The five most frequently mentioned teaching methods were case-based discussion, small group educational session, role play, printed educational material, and audit and feedback. Thirty-six programs reported having evaluated their impacts but evaluation data was available only for 17. Conclusions: Health professional training programs in SDM vary widely in how and what they deliver, and evidence of their effectiveness is sparse. Practice implications: This study suggests there is a need for international consensus on ways to address the variability in SDM training programs. We need agreed criteria for certifying the programs and for determining the most effective types of training.
KW - Environmental scan
KW - Implementation
KW - Patient centered care
KW - Shared decision making
KW - Training
UR - http://www.scopus.com/inward/record.url?scp=84864360744&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2012.01.002
DO - 10.1016/j.pec.2012.01.002
M3 - Short survey
C2 - 22305195
AN - SCOPUS:84864360744
SN - 0738-3991
VL - 88
SP - 159
EP - 169
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 2
ER -