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Patient decision aids in clinical practice for people with diabetes: a scoping review
Journal article   Peer reviewed

Patient decision aids in clinical practice for people with diabetes: a scoping review

Jodie Cornelius, Frances Doran, Elaine Jefford and Nasim Salehi
Diabetology International
2020
url
https://dx.doi.org/10.1007/s13340-020-00429-7View

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Abstract

Nursing
Background People with diabetes need to make regular choices that influence their long-term morbidity and mortality. Patient decision aids are validated tools and when used collaboratively between healthcare professionals, patients and carers, can help guide value-based discussions which encourage choices that are well informed and personally relevant. Objective To explore the use and effect of patient decision aids in the management of diabetes. Method A scoping review design was used. Medline, ProQuest, PsycINFO, Scopus, and Cumulative Index to Nursing and Allied Health Literature databases were searched for peer-reviewed articles published between January 1998 and December 2018. Results Patient decision aids are not commonly or widely used in diabetes management. They offer a suitable adjunct to practice within the domains of healthcare knowledge, active participation, and communication, and shared decision-making between patients and healthcare professionals. Conclusion Patient decision aids can offer a simple and easy-to-use method to potentially improve diabetes health literacy, through the process of shared decision-making and two-way conversations. However, there are current limitations on using them to positively influence clinical outcomes or long-term changes in self-care behaviors within the management of diabetes. Further research to explore the validity of using patient decision aids long term in these areas is required.

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