SCIENTIFIC ARTICLE OF THE MONTH
Using Nudges to Enhance Clinicians’ Implementation of Shared Decision Making With Patient Decision Aids
‘‘Nudges’’ which draw on behavioral economics and target automatic thinking processes have not been applied in the context of SDM interventions but have potential to influence clinician motivation, a primary barrier to long-term adoption of SDM tools.
“All about the money?” A qualitative interview study examining organizational- and system-level characteristics that promote or hinder shared decision-making in cancer care in the United States
Organizational and health system characteristics appear to contribute to the difficulties in implementing SDM in routine care. In this paper and based on their interviews, Scholl et al. found that one dominant theme affecting SDM implementation was the view that SDM might impair profit margins.
Qualitative evidence synthesis for complex interventions and guideline development: clarification of the purpose, designs and relevant methods
BMJ Global health published a series of papers commissioned by the WHO on the implications of complexity for systematic reviews and guideline development. Another one out of this series: https://bit.ly/2EyePrn
Those have been useful as a starting point for COMPAR-EU and we aim to also contribute to advance the methodology to synthesis evidence for complex interventions further.
The importance of interactions between patients and healthcare professionals for heart failure self-care: A systematic review of qualitative research into patient perspectives
Interactions and relationships with clinicians play a substantial role in patients´ capacity for heart failure selfcare (SC). According to Currie et al. the way professionals interact with patients strongly influences patients’ understanding about their condition and self-care behaviors.
A Cluster Randomized Trial Comparing Strategies for Translating Self-Management Support into Primary Care Practices
Self-management support is a key factor in diabetes care but has not been effectively adopted by primary care practices. The following study improves our understanding of how to advance this important practice-level behaviour.
The Promise of Electronic Health Records to Promote Shared Decision Making: A Narrative Review and a Look Ahead
Electronic health records (EHRs) can support shared decision making (SDM) at every stage of the process. Kuo et al. conducted a literature review revealing that few EHRs have integrated SDM. They refer to a model that suggest different ways various EHR modalities can be used at each step of SDM.
The importance of using telehealth is especially increasing in times of COVID-19. To be effective, telehealth needs to become a routinely used part of our health system. This article highlights key requirements for this to occur. Implementing telehealth proactively rather that reactively is more likely to generate greater benefits in the long-term.
There is no consensus about the definition of health literacy or about its conceptual dimensions, which limits the possibilities for measurement and comparison. The study proposes an integrated framework capturing the most comprehensive evidence-based dimensions of health literacy.
Obesity prevention may be an important and cost-effective way of improving public health, but it is not a cure for increasing health expenditures. This paper estimate the annual and lifetime medical costs attributable to obesity, to compare those to similar costs attributable to smoking, and to discuss the implications for prevention.
Making Europe Health Literate by 2025 – Seven Actions to Promote Health Literacy and Self-Care in the Digital Era
Low health literacy is an important barrier for successful self-management. These policy recommendations set out to engage citizens, policymakers, healthcare professionals and other stakeholders in taking active steps to achieve the ambitious goal of making Europe health literate by 2025.