From: Coaching and guidance with patient decision aids: A review of theoretical and empirical evidence
Positive Results (p < 0.05) | Mixed Results | No Difference | |
---|---|---|---|
Coaching plus a PtDA versus Usual Care (n = 5) | - Decreased mean costs [71, 72] - Fewer physical limitations to lifestyle activities [72] - Decreased hysterectomies for more conservative options [72] - Increased psycho-education rather than medication for schizophrenia [69] - Increased single embryo transfers compared to double embryo transfer [71] | - Enhanced perceived/preferred involvement in decision making* [69, 71] or no difference in participation [73] - Either more satisfied with the decision making process* [72] or no difference in satisfaction [73] - Improved feeling informed subscale* [71], but no difference in total decisional conflict [73] | - Values-choice agreement [70] - Satisfaction-uncertainty and control levels [71] - Anxiety or depression [71] |
Coaching versus PtDA (n = 4) | - Increased values-choice agreement [74] - Similar improvements in knowledge [74–77] - Increased satisfaction with the decision making process [77] | - Decreased decisional conflict* [74] or no difference [75, 77] | - Participation [75] - Preparation for decision making [75] - Use of hormones for menopause [74, 75] or uptake of prenatal screening [77] - Adherence to hormones for menopause [74, 75] - Anxiety or pregnancy outcomes [77] |
Coaching plus a PtDA versus PtDA Alone (n = 4) | - Increased participation in decision making [78] - Decreased mean costs [72] - Similar improvements in knowledge [70] | - Values-choice agreement [70] - Satisfaction with the decision making process [72] - Uptake of hysterectomy [72], genetic testing [70], or prostate cancer screening [79]; |