Evidence map›Paper›PMID 35294494›Full record

ArticlePloS one2022

Are shared decision making studies well enough described to be replicated? Secondary analysis of a Cochrane systematic review.

Titilayo Tatiana Agbadjé, Paula Riganti, Évèhouénou Lionel Adisso, Rhéda Adekpedjou, Alexandrine Boucher, Andressa Teoli Nunciaroni, Juan Victor Ariel Franco, Maria Victoria Ruiz Yanzi, France Légaré

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

9 authors.

Titilayo Tatiana AgbadjéCentre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL), Quebec, Canada.
Paula RigantiFamily and Community Medicine Division, Hospital Italiano, Buenos Aires, Argentina.ORCID 0000-0003-4200-9698
Évèhouénou Lionel AdissoCentre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL), Quebec, Canada.
Rhéda AdekpedjouCentre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL), Quebec, Canada.
Alexandrine BoucherCentre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL), Quebec, Canada.
Andressa Teoli NunciaroniAlfredo Pinto Nursing School, Federal University of the State of Rio de Janeiro - UNIRIO, Rio de Janeiro, Brazil.ORCID 0000-0001-6469-592X
Juan Victor Ariel FrancoFamily and Community Medicine Division, Hospital Italiano, Buenos Aires, Argentina.ORCID 0000-0003-0411-899X
Maria Victoria Ruiz YanziFamily and Community Medicine Division, Hospital Italiano, Buenos Aires, Argentina.
France LégaréCentre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL), Quebec, Canada.ORCID 0000-0002-2296-6696

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterventions to change health professionals' behaviour are often difficult to replicate. Incomplete reporting is a key reason and a source of waste in health research. We aimed to assess the reporting of shared decision making (SDM) interventions.

methodsWe extracted data from a 2017 Cochrane systematic review whose aim was to determine the effectiveness of interventions to increase the use of SDM by healthcare professionals. In a secondary analysis, we used the 12 items of the Template for Intervention Description and Replication (TIDieR) checklist to analyze quantitative data. We used a conceptual framework for implementation fidelity to analyze qualitative data, which added details to various TIDieR items (e.g. under "what materials?" we also reported on ease of access to materials). We used SAS 9.4 for all analyses.

resultsOf the 87 studies included in the 2017 Cochrane review, 83 were randomized trials, three were non-randomized trials, and one was a controlled before-and-after study. Items most completely reported were: "brief name" (87/87, 100%), "why" (rationale) (86/87, 99%), and "what" (procedures) (81/87, 93%). The least completely reported items (under 50%) were "materials" (29/87, 33%), "who" (23/87, 26%), and "when and how much" (18/87, 21%), as well as the conditional items: "tailoring" (8/87, 9%), "modifications" (3/87, 4%), and "how well (actual)" (i.e. delivered as planned?) (3/87, 3%). Interventions targeting patients were better reported than those targeting health professionals or both patients and health professionals, e.g. 84% of patient-targeted intervention studies reported "How", (delivery modes), vs. 67% for those targeting health professionals and 32% for those targeting both. We also reported qualitative analyses for most items. Overall reporting of items for all interventions was 41.5%.

conclusionsReporting on all groups or components of SDM interventions was incomplete in most SDM studies published up to 2017. Our results provide guidance for authors on what elements need better reporting to improve the replicability of their SDM interventions.

Indexed as

Decision Making, SharedHealth PersonnelChecklistDecision MakingHumansSystematic Reviews as Topic

Identifiers

PMID35294494
PMCPMC8926249

What OpenQuestion holds

Textmetadata
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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.