Determinants of practice for providing decision coaching to facilitate informed values-based decision-making: protocol for a mixed-methods systematic review.

2023-11-15

Berger-Höger, Birte

Lewis, Krystina B

Cherry, Katherine

Finderup, Jeanette

Gunderson, Janet

Kaden, Jana

Kienlin, Simone

Rahn, Anne C

Sikora, Lindsey

Stacey, Dawn

Steckelberg, Anke

Zhao, Junqiang

Decision Making

Patient Participation

Systematic Review

Journal Article

0000-0002-4704-4401

0000-0001-6761-7548

0009-0000-0738-7744

0000-0003-2646-0227

#PLACEHOLDER_PARENT_METADATA_VALUE#

0000-0002-0938-1343

0000-0001-7367-2009

0000-0002-9051-3621

0000-0002-9715-8634

0000-0002-2681-741X

0000-0002-8687-3149

0000-0002-3295-5106

10.1136/bmjopen-2022-071478

Decision coaching is a non-directive approach to support patients to prepare for making health decisions. It is used to facilitate patients' involvement in informed values-based decision-making and use of evidence-based health information. A recent systematic review revealed low certainty evidence for its effectiveness with and without evidence-based information. However, there may be opportunities to improve the study and use of decision coaching in clinical practice by systematically investigating its determinants of practice. We aim to conduct a systematic review to identify and synthesise the determinants of practice for providing decision coaching to facilitate patient involvement in decision-making from multiple perspectives that influence its use. We will conduct a mixed-methods systematic review guided by the Cochrane' Handbook of Systematic Reviews. We will include studies reporting determinants of practice influencing decision coaching with or without evidence-based patient information with adults making a health decision for themselves or a family member. Systematic literature searches will be conducted in Medline, EMBASE, Cochrane CENTRAL and PsycINFO via Ovid and CINAHL via EBSCO including quantitative, qualitative and mixed-methods study designs. Additionally, experts in the field will be contacted.Two reviewers will independently screen and extract data. We will synthesise determinants using deductive and inductive qualitative content analysis and a coding frame developed specifically for this review based on a taxonomy of barriers and enablers of shared decision-making mapped onto the major domains of the Consolidated Framework for Implementation Research. We will assess the quality of included studies using the Mixed Methods Appraisal Tool. Ethical approval is not required as this systematic review involves only previously published literature. The results will be published in a peer-reviewed journal, presented at scientific conferences and disseminated to relevant consumer groups. CRD42022338299.

link

BMJ Open 2023-11-15; 13(11)

BMJ Open

2044-6055