A Framework and Resources for Shared Decision Making: Opportunities for Improved Physical Therapy Outcomes

Shared decision making (SDM) is a collaborative approach between clinicians and patients, where the best available evidence is integrated with patients' values and preferences for managing their health problems. Shared decision making may enhance patient-centered care and increase patients'...

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Bibliographic Details
Published in:	Physical therapy Vol. 98; no. 12; pp. 1022 - 1036
Main Authors:	Moore, Cindy L, Kaplan, Sandra L
Format:	Journal Article
Language:	English
Published:	United States Oxford University Press 01-12-2018
Subjects:	Analysis Care and treatment Clinical decision making Decision Making Education Evidence-based medicine HIV patients Humans Motivational interviewing Patient care Patient compliance Patient Participation Patient Satisfaction Patient-Centered Care Patients Physical therapists Physical Therapists - psychology Physical therapy Physical Therapy Modalities Retirement benefits Therapeutics, Physiological
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Summary:	Shared decision making (SDM) is a collaborative approach between clinicians and patients, where the best available evidence is integrated with patients' values and preferences for managing their health problems. Shared decision making may enhance patient-centered care and increase patients' satisfaction, engagement, adherence, and ability to self-manage their conditions. Despite its potential benefits, SDM is underutilized by physical therapists, and frequent mismatches between patients' and therapists' rehabilitation goals have been reported. Physical therapists can use evidence-based strategies, tools, and techniques to address these problems. This paper presents a model for SDM and explains its association with improved patient outcomes and relevance to situations commonly encountered in physical therapy. It describes freely available resources, including health literacy universal precautions, teach-back, motivational interviewing, decision aids, and patient-reported outcome measures that can help physical therapists integrate SDM into their clinical practices. This paper also explains SDM facilitators and barriers, suggests a theoretical framework to address them, and highlights the need for SDM promotion within physical therapy practice, education, administration, and research.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0031-9023 1538-6724
DOI:	10.1093/ptj/pzy095