Moving shared decision-making forward in Iran

Rahimi, Samira Abbasgholizadeh; Nguyen, Nam P.; Alizadeh, Mahasti; Poenaru, Dan

doi:10.1016/j.zefq.2022.05.001

Cited by 5 publications

(2 citation statements)

References 42 publications

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“…[26][27][28] Although patients' rights are increasingly recognized and supported worldwide, decision support research, policy, and clinical implementation initiatives are rarer in non-Western countries. 29 Many healthcare providers and patients in these countries are unfamiliar with this type of decision support service, and there is limited evidence about the effectiveness of decision aids in these countries. 17,30 Moreover, shared decision-making approaches are not commonly used with women who face abnormal cervical cytology results in developing and low developed countries.…”

Section: Study Frameworkmentioning

confidence: 99%

“…Studies in Western countries demonstrate that decision support services can influence factors such as decisional conflict, knowledge, decision type, anxiety, and personal characteristics 26–28 . Although patients’ rights are increasingly recognized and supported worldwide, decision support research, policy, and clinical implementation initiatives are rarer in non-Western countries 29 . Many healthcare providers and patients in these countries are unfamiliar with this type of decision support service, and there is limited evidence about the effectiveness of decision aids in these countries 17,30 .…”

Section: Study Frameworkmentioning

confidence: 99%

See 1 more Smart Citation

The Effect of Decision Aid on Satisfaction With Decision and Anxiety Among Women With Abnormal Cervical Screening Results

Baharvand,

Asghari-Jafarabadi,

Nourizadeh

et al. 2023

Cancer Nurs

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Background Most women in the face of stressful situations such as risk of a cancer diagnosis (abnormal Papanicolaou smear results) need guidance to choose the appropriate method to follow the diagnosis process, but few studies have identified appropriate interventions to support these women. Objective To determine the effect of decision aid on anxiety and satisfaction with decisions (SWD) regarding the type of follow-up method after receiving an abnormal Papanicolaou smear result. Methods This interventional study was conducted on women referred to the oncology clinic in Tabriz, Iran. Women were assigned to the intervention (n = 27) and control groups (n = 27) in a ratio of 1:1 using blocked randomization. The intervention group received a decision aid booklet. Participants in both groups completed questionnaires assessing demographic and obstetric characteristics, anxiety, SWD, and shared decision-making before and after the intervention. Results The mean score for SWD in the intervention group was significantly higher than that in the control group after the intervention (median, 6.43 with 95% confidence interval of 3.11–7.76; P = .03). There was no significant difference between groups in the mean score of anxiety after intervention (median, 1.14; 95% confidence interval, −0.5 to 2.70; P = .19). Conclusion A decision aid can increase SWD among women with abnormal results in their cervical cancer screening. Implications for Practice It is recommended that healthcare providers use decision aid tools to support and guide patients.

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