Exploring Shared Decision-Making Training in Pediatrics: A Scoping Review

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics Pub Date : 2025-03-06 DOI:10.1016/j.acap.2025.102805

Vanessa I. Orellana-Villazon MD, MPH, MSc , Jennifer E. deSante-Bertkau MD, MBE , Noah Smith BS , Melissa Previtera MLIS , Ellen A. Lipstein MD, MPH

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引用次数: 0

Abstract

Background

Shared decision-making (SDM) is crucial in pediatric care, but its implementation poses unique challenges. Training health care professionals in pediatric SDM is essential, yet little is known about the current state of these training programs.

Objective

Review existing pediatric-specific SDM training programs to understand the current state of training and identify areas for improvement.

Data Sources

Medline, PsycINFO, CINAHL, Education Research Complete, and LILACS.

Eligibility Criteria

We included original research publications in English, Spanish, and German that focused on SDM training involving pediatric health care professionals or evaluated SDM training within pediatric settings.

Data Extraction

We used a custom Covidence template to extract data on publication year, author, SDM focus, participants, curriculum design, teaching strategies, evaluated outcomes, and how the curriculum incorporated children's participation.

Results

Nineteen studies met the inclusion criteria. Most programs were from North America and published after 2018. Training approaches varied widely, with many focusing on specific clinical contexts. Only 2 curricula explicitly considered children as participants in the SDM process. Evaluation methods and outcomes varied across Kirkpatrick levels, with most programs reporting positive results in participant satisfaction, skill improvement, and patient outcomes.

Limitations

Only papers in English, Spanish, and German were included in the search.

Conclusions

While progress has been made in developing pediatric SDM training programs, there is a need for more consistency in content and evaluation methods. Future pediatric SDM training programs should prepare health care professionals with the skills necessary to involve children in the SDM process when appropriate.

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探索儿科共享决策培训：范围综述。

背景：共同决策（SDM）在儿科护理中至关重要，但其实施面临着独特的挑战。培训医疗保健专业人员在儿科SDM是必不可少的，但很少了解这些培训计划的现状。目的：回顾现有儿科特定SDM培训计划，了解培训现状并确定需要改进的领域。数据来源：Medline， PsycINFO， CINAHL, Education Research Complete，和LILACS。入选标准：我们纳入了英语、西班牙语和德语的原始研究出版物，这些出版物主要关注涉及儿科医疗保健专业人员的SDM培训或评估儿科环境中的SDM培训。数据提取：我们使用自定义的covid模板提取有关出版年份、作者、SDM重点、参与者、课程设计、教学策略、评估结果以及课程如何纳入儿童参与的数据。结果：19项研究符合纳入标准。大多数节目来自北美，在2018年之后发布。培训方法多种多样，许多侧重于特定的临床背景。只有两门课程明确将儿童视为SDM进程的参与者。评估方法和结果因Kirkpatrick水平而异，大多数项目在参与者满意度、技能提高和患者预后方面报告了积极的结果。限制：只有英语、西班牙语和德语的论文被纳入搜索。结论：虽然在制定儿科SDM培训计划方面取得了进展，但在内容和评估方法方面需要更加一致。未来的儿科SDM培训计划应使医疗保健专业人员具备必要的技能，以便在适当的时候让儿童参与SDM过程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Academic Pediatrics PEDIATRICS-

CiteScore

4.60

自引率

12.90%

发文量

300

审稿时长

60 days

期刊介绍： Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.