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Table 1 Basic characteristics of the synthesized papers (n = 27)

From: Understanding how and under what circumstances decision coaching works for people making healthcare decisions: a realist review

First author, year

Country

Study design

Guiding theory

Setting

Providers

(N)

Consumers

(N)

Decision type

Intervention

Berger-Höger, 2015 [12]

Germany

Study protocol for a cluster RCT

Six-step Shared Decision Making Model

Certified breast care centers

Specialized breast care and oncology nurses (n/r)

Patients with ductal carcinoma in situ (N=192 planned)

Treatment of ductal carcinoma in situ

Patient decision aid, at least one decision coaching session and a final shared decision making physician encounter

Berger-Höger, 2017 [13]

Germany

Intervention development & mixed method pilot

Same with above

Two breast care centres

Specialized breast care and oncology nurses (N=4)

Patients with ductal carcinoma in situ (N=7)

Same with above

Same with above

Berger-Hoger, 2019 [11]

Germany

Cluster RCT

Same with above

16 certified breast care centers

Specialized breast care and oncology nurses (N=31)

Patients with ductal carcinoma in situ (IG (N=37) versus CG (N=30))

Same with above

Same with above

Brown, 2016 [33]

Australia

Study protocol for an RCT

ODSF

Four public health renal departments in Queensland

Trained renal nurse (n/r)

Older patients with advanced kidney disease (N=122 planned)

Dialysis or conservative kidney management

A workbook, audio

recording, personal worksheet and consultation with a

trained renal nurse

Brown, 2019 [34]

Australia

Pragmatic RCT

ODSF

Four public health renal departments in Queensland

Registered Nurse (N=1)

Older patients with advanced kidney disease (IG (N=19) versus CG (N=22))

Same with above

Same with above

Causarano, 2015 [35]

Canada

Pilot RCT

ODSF

A tertiary cancer center in Toronto, Canada

A plastic surgeon, a nurse specialist, a social

worker, and two peer support patients (n/r)

Patients undergone mastectomy (IG (N=21) versus CG (N=20))

Postmastectomy breast reconstruction

Pre-consultation educational group intervention (treatment options; pre- and postoperative care; values clarification; peer experience sharing)

Davison, 1997 [36]

Canada

RCT

The Empowerment Model by Conger and Kanungo

Community urology clinic

Physicians (n/r)

Men with prostate cancer (N=60)

Prostate cancer treatment

A written information package and

medical consultation

Feenstra, 2015 [37]

Canada

Pre-/post-test

ODSF, OFDG

An ambulatory diabetes clinic in a tertiary children’s hospital

Diabetes social workers (N=2)

Families with the children suffer from type 1 diabetes (N=7)

Insulin delivery options

Decision coaching

Hacking, 2013 [38]

Scotland

RCT

SCOPED

One hospital diagnostic clinic

Research assistants (N=2)

Early-stage prostate cancer patients (IG (N=63) versus CG (N=60))

Treatment decisions for early-stage prostate cancer

Decision navigation

Holt, 2009 [39]

USA

Cluster RCT

Social Cognitive Theory, Health Belief Model

Two area Baptist churches

One trained community health advisor from each church (n/r)

African American men who had not had prostate cancer (IG (N=31) versus CG (N=18))

Prostate cancer screening

An educational session and distributed educational print materials

Ilic, 2018 [40]

Australia

Qualitative study

n/r

n/r

Practice nurses (N=12) & general practitioners (N=16)

Men with prostate cancer (N=19)

Prostate cancer screening

n/r

Johnson, 2010 [41]

Nicaragua, Mexico & Indonesia

Pre/post study

Client-centered counseling principles

49 government health facilities in Nicaragua;

9 government health facilities in Mexico City;

6 public health clinics in Indonesia

In Nicaragua: Healthcare providers (N=59);

In Mexico: doctors (N=9), nurses (N=2), social workers (N=2); In Indonesia: midwives (N=12)

Family Planning Clients (n/r)

Family Planning method

A 2- to 4-day training workshop for providers to introduce the Tool and then use of the Tool in routine work for a time (4 months in Nicaragua, 1 month in Mexico and Indonesia)

Jull, 2015 [42]

Canada

Qualitative study

ODSF

Minwaashin Lodge

n/r

Indigenous women (N=19)

Neutral decision with health impact

n/r

Kearing, 2016 [43]

USA

RCT

ODSF

Orthopaedic spine clinic

Nurse, genetic counselor, social workers (n/r)

Patients with lumbar spinal stenosis (IG (N=98) versus CG (N=101))

Treatment of spinal stenosis

Video decision aid plus health coaching

Lawson, 2020 [44]

Canada

Pre/post study

ODSF, OFDG

Pediatric diabetes clinic in a tertiary care centre

Social workers (N=2)

Youth (N=45) and parents (N=66)

Insulin delivery options

Decision coaching

Lenzen, 2018 [45]

Netherlands

Process evaluation

A framework for shared decision making

about goals and actions, a

4-circles tool

Regional family medicine organization

Practice nurses (N=15)

Patients (N=10)

n/r

n/r

Lepore, 2012 [46]

USA

RCT

ODSF

A large

healthcare workers’ union

Graduate students with training in public health and health education (n/r)

Immigrant Black Men (IG (N=244) versus CG (N=246))

Prostate cancer screening

Educational pamphlet and a maximum of two tailored telephone education

Lowenstein, 2020 [47]

USA

Pre/post study

ODSF

3 radiology clinics

Advanced practice providers (N=4), research nurse (N=1), and radiologist (N=1)

Patients (N=81)

Lung cancer screening

Patient decision aid and decision coaching

McBride, 2016 [48]

UK

RCT

SCOPED

1 diabetes foot clinic

Health psychologists (N=5)

Patients with a diabetic foot ulcer (IG (N=30) versus CG (N=26))

Treatment of diabetic foot ulcer

Decision Navigation

Mishel, 2009 [49]

USA

RCT

Uncertainty of Illness Theory

Prostate cancer treatment centres

Nurse (N=1)

Men (IG (N=93) versus CG (N=74))

Prostate cancer treatment

A booklet, a DVD demonstrating communication skills, 4 coaching calls

Rahn, 2015 [51]

Germany

Study protocol for a cluster RCT

Six-step Shared Decision Making model

Neurological outpatient clinics throughout Germany

Nurses specialising in multiple sclerosis (n/r)

Patients older than 18 years with possible multiple sclerosis (N=300

planned)

Immunotherapy decision

Decision coaching

Rahn, 2018 [50]

Germany

Feasibility testing, pilot RCT, & mixed methods process evaluation

Same with above

Two pilot multiple sclerosis centres in Germany

Nurses specialising in multiple sclerosis (N=4)

People with possible multiple sclerosis (IG (N=38) versus CG (N=35))

Immunotherapy decision

Decision coaching

Rothert, 1997 [52]

USA

RCT

A conceptual framework for decision support

A midwestern university community

Physician (N=1), nurses (N=3) psychologists (N=2) and health services researcher (N=1)

Women ((IG (N=83) versus CG1 (N=87)) versus CG2 (N=78))

Management of menopausal symptoms and hormone replacement therapy

Brochure, structured lecture and discussion, and tailored decision support intervention

Shepherd, 2019 [53]

Scotland

RCT

SCOPED

One clinic in a cancer centre

Research psychologists (N=2)

Colorectal cancer patients (IG (N=68) versus CG (N=69))

Treatment of colorectal cancer

Consultation planning, summary and audio recording

Sheridan, 2012 [54]

USA

RCT

n/r

4 primary care practices

Health counselor (N=1)

Men (IG (N=60) versus CG (N=70))

Prostrate cancer screening

video-based decision aid and researcher-led coaching session

Simmons, 2017 [55]

Australia

Non- randomized comparative study

ODSF and IPDAS criteria

Youth mental health service in New South Wales Australia

Peer support workers (n/r)

Young people (IG (N=149) versus CG (N=80))

Mental health

Decision support using an online tool

Thom, 2016 [56]

USA

Qualitative study

n/r

6 urban public health primary care clinics

Medical assistants or other allied nonlicensed health workers (N=17)

Low-income patients with chronic conditions (N=30 for focus group, N=42 for individual interview)

n/r

n/r

  1. RCT = randomized controlled trial; ODSF = Ottawa Decision Support Framework; OFDG = Ottawa Family Decision Guide; SCOPED = Situation, Choices, Objectives, People, Evaluation, and Decisions; IPDAS = International Patient Decision Aids Standards; IG = Intervention Group; CG = Control Group; n/r = not reported