Evidence map›Paper›PMID 35410934›Full record

Observational studyBMJ open2022

Preference for shared decision-making among Arabic-speaking people with chronic diseases: a cross-sectional study.

Hamzah Alzubaidi, Catarina Samorinha, Ward Saidawi, Amal Hussein, Basema Saddik, Isabelle Scholl

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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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

6 authors at 2 institutions in 2 countries.

Hamzah AlzubaidiDepartment of Pharmacy Practice and Pharmacotherapeutics, University of Sharjah, Sharjah, UAE halzubaidi@sharjah.ac.ae.ORCID 0000-0001-5122-271X
Catarina SamorinhaSharjah Institute for Medical Research, University of Sharjah, Sharjah, UAE.ORCID 0000-0002-6662-0347
Ward SaidawiSharjah Institute for Medical Research, University of Sharjah, Sharjah, UAE.
Amal HusseinFamily and Community Medicine & Behavioral Sciences, College of Medicine, University of Sharjah, Sharjah, UAE.
Basema SaddikDepartment of Family and Community Medicine & Behavioral Sciences, College of Medicine, University of Sharjah, Sharjah, UAE.ORCID 0000-0002-4682-5927
Isabelle SchollDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
University of Sharjah · AEUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess Arabic-speaking patients' preference for involvement in decision-making in the United Arab Emirates (UAE) and characterise people who preferred involvement in decision-making.

designCross-sectional quantitative study. The conduct and reporting of this research complied with Strengthening the Reporting of Observational Studies in Epidemiology guidelines for cross-sectional studies.

settingParticipants were recruited from outpatient clinics of 10 major hospitals in four cities in the UAE: Abu Dhabi, Dubai, Sharjah and Umm al Quwain.

participantsAdult patients with at least one chronic disease completed a cross-sectional survey consisting of 37 items in six sections measuring variables that may influence preferred involvement in decision-making. These included health literacy, health status, unanswered questions about care and satisfaction with treatment decisions. Bivariate and multivariate analyses were performed to determine the predictors of patients' preferred involvement in decision-making.

resultsA total of 516 participants completed the survey. One-in-four participants preferred shared decision-making. Preferred involvement in decision-making was more frequent among women, not married, unemployed, people who rarely/never had unanswered questions and participants with anxiety/depression symptoms. After adjustment, not being married (OR=1.634; 95% CI 1.049 to 2.544) remained as a predictor of preferred involvement in decision-making, while having unanswered questions (OR=0.612; 95% CI 0.393 to 0.954) and problems in self-care were predictors of a preference for paternalistic decision-making (OR=0.423; 95% CI 0.181 to 0.993).

conclusionsContrary to the results from Western countries, this study showed that a majority of Arabic-speaking patients with chronic diseases preferred a paternalistic decision-making model. At the same time, some subgroups of Arabic-speaking people (eg, women, unemployed patients) had a higher preference for participation in decision-making. Physicians' support and changes in healthcare systems are required to foster Arabic-speaking patients' involvement in treatment decision-making process.

Indexed as

Decision Making, SharedPhysician-Patient RelationsAdultChronic DiseaseCross-Sectional StudiesDecision MakingFemaleHumansPatient ParticipationPatient PreferenceEDUCATION & TRAINING (see Medical Education & Training)PUBLIC HEALTHQuality in health care

Identifiers

PMID35410934
PMCPMC9003612
OpenAlexW4223437607

What OpenQuestion holds

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LicenceCC BY-NC
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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.