Training health professionals in shared decision making: Update of an international environmental scan. Issue 11 (November 2016)

• Record Type: Journal Article
• Authors: Diouf, Ndeye Thiab; Menear, Matthew; Robitaille, Hubert; Painchaud Guérard, Geneviève; Légaré, France
• Is Part Of: Patient education and counseling. Volume 99:Issue 11(2016)
• Page Start: 1753
• Page End: 1758
• Publication Date: 2016-11
• Subjects: Shared decision making -- Training -- Implementation -- Patient centered care -- Environmental scan; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2016.06.008
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: In 4 years, 94 new SDM training programs were identified. Interest in SDM training is spreading to new parts of the world. There is a new interest in opening programs to patient participation. Interprofessional collaboration still seems neglected. Few programs are rigorously evaluated. Abstract: Objective: To update an environmental scan of training programs in SDM for health professionals. Methods: We searched two systematic reviews for SDM training programs targeting health professionals produced from 2011 to 2015, and also in Google and social networks. With a standardized data extraction sheet, one reviewer extracted program characteristics. All completed extraction forms were validated by a second reviewer. Results: We found 94 new eligible programs in four new countries and two new languages, for a total of 148 programs produced from 1996 to 2015—an increase of 174% in four years. The largest percentage appeared since 2012 (45.27%). Of the 94 newprograms, 42.55% targeted licensed health professionals (n = 40), 8.51% targeted pre-licensure (n = 8), 28.72% targeted both (n = 27), 20.21% did not specify (n = 19), and 5.32% targeted also patients (n = 5). Only 23.40% of the new programs were reported as evaluated, and 21.28% had published evaluations. Conclusions: Production of SDM training programs is growing fast worldwide. Like the original scan, this update indicates that SDM training programs still vary widely. Most still focus on the single provider/patient dyad and few are evaluated. Practice implications: This update highlights the need to adapt training programs to interprofessional practice and to evaluate them.