Title of Research
Start Date
18-8-2017 10:00 AM
End Date
18-8-2017 11:30 AM
Abstract
Decision Aids Utilized by Patients and Clinicians During Shared Treatment
Decision Making for Multiple Myeloma: An Integrative Literature Review
DePaul University: School of Nursing
Faculty Sponsor: Joseph D Tariman PhD, RN, ANP-BC, FAAN
Bojan Kojovic
Abstract
Background: A consolidated and streamlined evaluation of treatment decision aids (DAs) for multiple myeloma is devoid within literature.
Objective: This integrative review determined what treatment-related decision aids are utilized by either patients, clinicians, or both; and, it utilized Melnyk and Fineout-Overholt’s (2011) Hierarchy of Evidence to systematically compile and appraise available DAs.
Method: DePaul WorldCat Local, PubMed, and Google Scholar databases with the following Medical Subject Heading (MeSH) terms and search details were utilized, obtaining a highly relevant search yield: multiple myeloma AND decision aid. The final analysis included articles reporting on decision aid, clinical practice guidelines for patients with multiple myeloma.
Results: Utilizing the final 29 articles in this integrative literature review (ILR) the following results were revealed: twelve DAs (41.4%) were based on systematic reviews of randomized controlled trials (RCTs) or clinical practice guidelines developed by myeloma experts, 4 DAs (13.8%) were based on controlled, but nonrandomized, another 4 DAs (13.8%) were based on a systematic review of descriptive & qualitative studies, 3 DAs (10.3%) were based on case control or cohort studies, and 1 DA (3.4%) was based on a single descriptive or qualitative study; finally, only 5 DAs (17.2%) intended for use by patients and caregivers were based on an expert opinion.
Conclusion: This integrative review’s findings reveal urgency in developing effective patient decision aids, helping address the values and preferences of patients with myeloma; furthermore, a randomized controlled trial testing effectiveness of patient decision aids is lacking.
Keywords: multiple myeloma, decision aids, decision support techniques
Decision Aids Utilized by Patients and Clinicians During Shared Treatment Decision Making for Multiple Myeloma: An Integrative Literature Review
Decision Aids Utilized by Patients and Clinicians During Shared Treatment
Decision Making for Multiple Myeloma: An Integrative Literature Review
DePaul University: School of Nursing
Faculty Sponsor: Joseph D Tariman PhD, RN, ANP-BC, FAAN
Bojan Kojovic
Abstract
Background: A consolidated and streamlined evaluation of treatment decision aids (DAs) for multiple myeloma is devoid within literature.
Objective: This integrative review determined what treatment-related decision aids are utilized by either patients, clinicians, or both; and, it utilized Melnyk and Fineout-Overholt’s (2011) Hierarchy of Evidence to systematically compile and appraise available DAs.
Method: DePaul WorldCat Local, PubMed, and Google Scholar databases with the following Medical Subject Heading (MeSH) terms and search details were utilized, obtaining a highly relevant search yield: multiple myeloma AND decision aid. The final analysis included articles reporting on decision aid, clinical practice guidelines for patients with multiple myeloma.
Results: Utilizing the final 29 articles in this integrative literature review (ILR) the following results were revealed: twelve DAs (41.4%) were based on systematic reviews of randomized controlled trials (RCTs) or clinical practice guidelines developed by myeloma experts, 4 DAs (13.8%) were based on controlled, but nonrandomized, another 4 DAs (13.8%) were based on a systematic review of descriptive & qualitative studies, 3 DAs (10.3%) were based on case control or cohort studies, and 1 DA (3.4%) was based on a single descriptive or qualitative study; finally, only 5 DAs (17.2%) intended for use by patients and caregivers were based on an expert opinion.
Conclusion: This integrative review’s findings reveal urgency in developing effective patient decision aids, helping address the values and preferences of patients with myeloma; furthermore, a randomized controlled trial testing effectiveness of patient decision aids is lacking.
Keywords: multiple myeloma, decision aids, decision support techniques