Evidence map›Paper›PMID 34635521›Full record

ArticleBMJ open2021

Themes for evaluating the quality of initiatives to engage patients and family caregivers in decision-making in healthcare systems: a scoping review.

Clayon B Hamilton, Maryam Dehnadi, M Elizabeth Snow, Nancy Clark, Michelle Lui, Janet McLean, Hussein Mamdani, Allison L Kooijman, Vikram Bubber, Tammy Hoefer and 2 more

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Patient Engagement in Oncology Practice: A Qualitative Study on Patients' and Nurses' Perspectives.International journal of environmental research and public health · 2022
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Clayon B HamiltonEvaluation and Research Services, Fraser Health Authority, Surrey, British Columbia, Canada clayon.hamilton@fraserhealth.ca.ORCID 0000-0002-6852-3436
Maryam DehnadiFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
M Elizabeth SnowFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
Nancy ClarkFaculty of Human and Social Development, University of Victoria, Victoria, British Columbia, Canada.
Michelle LuiArthritis Research Canada, Vancouver, British Columbia, Canada.
Janet McLeanFamily Caregivers of British Columbia, Victoria, British Columbia, Canada.
Hussein MamdaniArthritis Research Canada, Vancouver, British Columbia, Canada.
Allison L KooijmanPatient Voices Network, BC Patient Safety and Quality Council, Vancouver, British Columbia, Canada.
Vikram BubberPatient Voices Network, BC Patient Safety and Quality Council, Vancouver, British Columbia, Canada.
Tammy HoeferBC Patient Safety and Quality Council, Vancouver, British Columbia, Canada.
Patients as Partners Team
Linda C LiArthritis Research Canada, Vancouver, British Columbia, Canada.ORCID 0000-0001-6280-0511

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify the key themes for evaluating the quality of initiatives to engage patients and family caregivers in decision-making across the organisation and system domains of healthcare systems.

methodsWe conducted a scoping review. Seven databases of journal articles were searched from their inception to June 2019. Eligible articles were literature reviews published in English and provided useful information for determining aspects of engaging patients and family caregivers in decision-making to evaluate. We extracted text under three predetermined categories: structure, process and outcomes that were adapted from the Donabedian conceptual framework. These excerpts were then independently open-coded among four researchers. The subsequent themes and their corresponding excerpts were summarised to provide a rich description of each theme.

resultsOf 7747 unique articles identified, 366 were potentially relevant, from which we selected the 42 literature reviews. 18 unique themes were identified across the three predetermined categories. There were six structure themes: engagement plan, level of engagement, time and timing of engagement, format and composition, commitment to support and environment. There were four process themes: objectives, engagement approach, communication and engagement activities. There were eight outcome themes: decision-making process, stakeholder relationship, capacity development, stakeholder experience, shape policy/service/programme, health status, healthcare quality, and cost-effectiveness.

conclusionsThe 18 themes and their descriptions provide a foundation for identifying constructs and selecting measures to evaluate the quality of initiatives for engaging patients and family caregivers in healthcare system decision-making within the organisation and system domains. The themes can be used to investigate the mechanisms through which relevant initiatives are effective and investigate their effectiveness.

Indexed as

CaregiversDelivery of Health CareCommunicationHumanshealth policyhealth services administration & managementpublic healthquality in health carerationing

Identifiers

PMID34635521
PMCPMC8506891

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.