Exploring the literature around shared decision making in peer-group environments within musculoskeletal care: a scoping review

Paul-Taylor, G. 2024. Exploring the literature around shared decision making in peer-group environments within musculoskeletal care: a scoping review. Physiotherapy 123 (S1) , e96. 10.1016/j.physio.2024.04.117

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Abstract

Purpose: This piece of work was undertaken as part of a Master of Science degree dissertation. It came about due to the authors participation in group-based sessions involving patient's with knee osteoarthritis. These sessions regularly involved patient decision making around treatment choices. Methods: To explore the topic further, a scoping review method was used. Six scientific databases plus a ‘manual search’ of potential organisations were searched in detail with appropriate search terms. Results: The search failed to find any literature on shared decision making (SDM) in musculoskeletal care, peer-group situations. As such, this area of interest has not been considered yet. An academic field expert in SDM additionally confirmed they were unaware of any literature on the topic. A supplementary search found 41 articles concerning SDM in one-two-one encounters in musculoskeletal care, and confirmed the benefits and challenges of SDM in general. Conclusion(s): Given SDM’s many benefits, it is argued that this needs to be considered in group situations. There is currently no consideration afforded to the acceptability, practicality and ethical considerations of SDM in peer-group encounters. Furthermore, because this topic appears novel, there is uncertainty about the validity of SDM measurement tools and if they are fit for purpose in group situations. As such, further research is needed to bring SDM and emerging group-based appointment innovations together. Without this, significant assumptions about this interaction will remain. A 'call to arms' for future research is argued for. Impact: Further research is urgently needed into this novel field. Numerous examples of shared medical appointments are now in existence, especially following digital innovations to services as a result of the COVID-19 pandemic. Without this, we simply will not know if SDM is possible, or acceptable, to patients or clinicians in group-based healthcare encounters.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Publisher:	Elsevier
ISSN:	0031-9406
Last Modified:	04 Sep 2024 14:30
URI:	https://orca.cardiff.ac.uk/id/eprint/171607

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