OBJECTIVE: While decision aids have the potential to better promote advance care planning, their characteristics, content and application effectiveness are unclear and lack systematic review. Therefore, we aimed to explore these three aspects and establish a foundation for future research.
METHODS: Scoping review.
METHODS: This scoping review adheres to the framework proposed by Arksey and O\'Malley and the PRISMA-ScR list. Six English-language databases were systematically searched from the time of construction until 1 December 2023. Two researchers conducted the article screening and data extraction, and the extracted data was presented in written tables and narrative summaries.
RESULTS: Of the 1479 titles and abstracts, 20 studies fulfilled the inclusion criteria. Types of decision aids were employed, mainly websites and videos. Decision aid\'s primary components center around 11 areas, such as furnishing information, exploring treatment and care preferences. The main manifestations were a significant increase in knowledge and improved recognition of patients\' target value preferences. Among the aids, websites and videos for advance care planning have relatively high content acceptability and decision-making process satisfaction, but their feasibility has yet to be tested.
CONCLUSIONS: Decision aids were varied, with content focused on describing key information and exploring treatment and care preferences. Regarding application effects, the aids successfully facilitated the advance care planning process and improved the quality of participants\' decisions. Overall, decision aids are efficient in improving the decision-making process for implementing advance care planning in cancer and geriatric populations. In the future, personalised decision aids should be developed based on continuous optimization of tools\' quality and promoted for clinical application.
UNASSIGNED: The paper has adhered to the EQUATOR guidelines and referenced the PRISMAg-ScR checklist.
UNASSIGNED: This is a review without patient and public contribution.
BACKGROUND: https://doi.org/10.17605/OSF.IO/YPHKF, Open Science DOI: 10.17605/OSF.IO/YPHKF.
目的:虽然辅助决策有可能更好地促进提前护理计划,他们的特点,内容和应用效果不明确,缺乏系统评价。因此,我们旨在探讨这三个方面,并为未来的研究奠定基础。
方法:范围审查。
方法:此范围审查遵循Arksey和O\'Malley提出的框架和PRISMA-ScR列表。从建设时间到2023年12月1日,系统地搜索了六个英语数据库。两名研究人员进行了文章筛选和数据提取,提取的数据以书面表格和叙述性摘要形式呈现。
结果:在1479个标题和摘要中,20项研究符合纳入标准。采用了决策辅助工具的类型,主要是网站和视频。决策辅助工具的主要组成部分围绕11个区域,例如提供信息,探索治疗和护理偏好。主要表现为知识的显着增加和对患者目标价值偏好的认识的提高。在艾滋病中,提前护理计划的网站和视频具有相对较高的内容接受度和决策过程满意度,但其可行性尚待检验。
结论:决策辅助工具多种多样,内容集中在描述关键信息和探索治疗和护理偏好。关于应用效果,这些辅助设备成功地促进了预先护理计划过程,并提高了参与者的决策质量。总的来说,决策辅助工具可有效改善癌症和老年患者实施预先护理计划的决策过程.在未来,应在持续优化工具质量的基础上开发个性化决策辅助工具,并推广用于临床应用。
■本文遵守了EQUATOR准则,并参考了PRISMAg-ScR检查表。
■这是一项没有耐心和公众贡献的评论。
背景:https://doi.org/10.17605/OSF。IO/YPHKF,开放科学DOI:10.17605/OSF。IO/YPHKF。