Measures of shared decision-making for multiple long-term condition consultations: a scoping review protocol.

Abstract

Objective: The objective of this scoping review is to understand the extent and type of evidence in relation to measures of shared decision-making applicable to consultations between older people living with multiple long-term conditions and health care practitioners in primary care.

Introduction: The number of people living with multiple long-term conditions is expected to rise worldwide, putting pressure on primary care systems and practitioners. Patient involvement in shared decision-making is key to the provision of high-quality, patient-centered care and can enable self-management, efficiency, and effective care; however, there is a lack of pragmatic guidance. To evaluate shared decision-making in context and inform best practice, measures must be applicable for use in this population and setting.

Eligibility criteria: Studies reporting any measure of shared decision-making designed and developed for use in consultations between older patients (aged ≥ 65 years) and practitioners to map the breadth of domains and content of these measures will be considered for inclusion. Studies will be limited to Westernized health care systems.

Methods: This scoping review will follow JBI methodology. A comprehensive search will be conducted in PubMed, Embase, CINAHL (EBSCOhost), the Cochrane Database of Systematic Reviews, Cochrane CENTRAL, PROSPERO, ClinicalTrials.gov, and other gray literature sources. The search strategy will include keywords related to shared decision-making and measures/instruments, and will not be restricted by date or language. Data extraction and narrative analysis will be guided by the JBI framework.

Review registration: OSF https://osf.io/wfg4s.