SCIENTIFIC ARTICLE OF THE MONTH
Organizational- and system-level characteristics that influence implementation of shared decision-making and strategies to address them — a scoping review
Shared decision-making (SDM) is poorly implemented in routine care, despite being promoted by health policies. No reviews have solely focused on an in-depth synthesis of the literature around organizational and system-level characteristics (i.e., characteristics of healthcare organizations and of healthcare systems) that may affect SDM implementation. A synthesis would allow exploration of interventions to address these characteristics. The study aim was to compile a comprehensive overview of organizational- and system-level characteristics that are likely to influence the implementation of SDM, and to describe strategies to address those characteristics described in the literature.
The TO-REACH project addressed what the key priority areas are where European health systems can learn from each other and how we can improve their ability to do so. This brief is one of a pair of policy briefs and looks at the how – that is, how health systems can learn from each other. It also looks at what determines success and failure in the transfer of service and policy innovations and in scale-up.
Talking the same language on patient empowerment: Development and content validation of a taxonomy of selfmanagement interventions for chronic conditions
The literature on self-management interventions (SMIs) is growing exponentially, but it is characterized by heterogeneous reporting that limits comparability across studies and interventions. Building an SMI taxonomy is the first step towards creating a common language for stakeholders to drive research in this area and promote patient self-management and empowerm
Preventing dementia by promoting physical activity and the long-term impact on health and social care expenditures
Preventing dementia has been proposed to increase population health as well as reduce the demand for health and social care. Our aim was to evaluate whether preventing dementia by promoting physical activity (PA) a) improves population health or b) reduces expenditure for both health and social care if one takes into account the additional demand in health and social care caused by increased life expectancy.
The Perspectives of Patients with Chronic Diseases and Their Caregivers on Self‑Management Interventions: A Scoping Review of Reviews
Self-management interventions are supportive interventions systematically provided by healthcare professionals, peers, or laypersons to increase the skills and confidence of patients in their ability to manage chronic diseases. We had two objectives: (1) to summarise the preferences and experiences of patients and their caregivers (informal caregivers and healthcare professionals) with SM in four chronic diseases and (2) to identify and describe the relevant outcomes for SM interventions from these perspectives.
To Adapt or Not to Adapt: The Association between Implementation Fidelity and the Effectiveness of Diabetes Self-Management Education
Self-management education (SME) is a key determinant of diabetes treatment outcomes. While SME programs are often adapted for implementation, the impact of adaptations on diabetes SME effectiveness is not well documented. This study evaluated the impact of the implementation fidelity of diabetes SME programs on program effectiveness, exploring which factors influence implementation fidelity.
Self-management interventions for adults living with Chronic Obstructive Pulmonary Disease (COPD): The development of a Core Outcome Set for COMPAR-EU project
A large body of evidence suggests that self-management interventions (SMIs) may improve outcomes in chronic obstructive pulmonary disease (COPD). We aimed to develop a core set of patient-relevant outcomes (COS) for SMIs trials to enhance comparability of interventions and ensure person-centred care.
What is the minimum effectiveness at which patients adopt remote digital monitoring for managing Diabetes? The findings of the study suggest that the variability in patients’ requirements points to a need for Shared Decision Making.
What Works in Implementing Patient Decision Aids in Routine Clinical Settings? A Rapid Realist Review and Update from the International Patient Decision Aid Standards Collaboration
This study presents a program theory derived from implementation studies across a range of routine health care settings and recommends strategies that could be used as a practical guide by organisations and individuals attempting to embed patient decision aids routinely.
This month, we do not recommend a scientific article as always. This time, we recommend a special article – our 5th COMPAR-EU newsletter. We inform about our project developments, our launch of Self-Management Europe, the set up of different panels that support us, and much more.