A systematic review of assessment instruments used in studies on shared
decision making
Abstract
Shared decision making (SDM) is a model of communication processes that
facilitate cooperative decision making between a patient and medical
practitioner regarding treatment. The use of assessment instruments is
an important way to gain insight into the practice of SDM. In order to
fully utilize the various assessment tools available for use, it is
important to not only reveal what instruments are used to measure SDM
but also shed light on which aspects of SDM are captured by different
instruments. However, the instruments currently used to measure SDM are
unclear, as are the aspects of SDM processes each instrument reflects.
So that, we reviewed assessment instruments used in studies on SDM with
the aim of clarifying what aspects of SDM processes each instrument was
intended to capture in this study. As a result, we identified 16
assessment instruments used in 115 articles concerning SDM as the main
theme. The most commonly used instrument was the OPTION scale, followed
by SDM-Q-9. Step 4 (“informing on the benefits and risks of the
options”) was covered by most instruments, followed by Step 5
(“investigation of the patient’s understanding and expectations”). In
the future, assessment instruments for SDM will likely be used primarily
in areas in which there is considerable uncertainty about evidence, and
where multiple options exist. When you assess SDM, it is necessary to be
able to select the evaluation indicator that suits the purpose.