Table 1 Characteristics of all included studies
Study, year | Country | Study design | Treatment choice | SDM intervention | Conceptual framework | Clinical setting | # Participants in implementation study | Development of intervention | |
|---|---|---|---|---|---|---|---|---|---|
Methods used | Participants in development | ||||||||
Berger-Höger et al. 2019 | Germany | cRCT | Ductal carcinoma in situ (DCIS) | Booklet; Nurse-led intervention; Structured encounter | Nil reported | 16 breast centres | 64 patients | Focus groups (FG) and interviews [18] | 22 healthy women, 4 breast cancer patients |
Burton et al. 2021 [19] | UK | cRCT | Primary endocrine therapy vs surgery, Adjuvant chemotherapy after surgery | Booklet; Web-based PtDA; Risk algorithm | Dose, Reach, Fidelity and Adaptation | 8 intervention sites, 8 control sites | 82 patients, 10 clinicians | Interviews, FGs [20] | 22 women: 14 healthy, 8 patients |
van Veenendaal et al. 2021 | Netherlands | Pre-post implementation | Various | Implementation programme | Four-level framework for designing implementation strategy | Hospitals: 1 university, 2 teaching, 3 general | 22 clinicians, 105 patients | NA | NA |
Raphael et al. 2021 [21] | Netherlands | Pre-post implementation | Radiation treatment | Web-based PtDA | Consolidated Framework for Implementation Research (CFIR) | 14 radiation oncology centres | 181 patients, 78 clinicians | Interviews, think-aloud sessions, live group meetings [22] | Patients, HCPs, patient advocates |
Hahlweg et al. 2019 [23] | Germany | Qualitative | Lumpectomy vs. Radiotherapy; Mastectomy | Option grid | Nil reported | 1 university hospital | 66 patients (observed in 77 encounters) | Cognitive interviews, focus group [23] | 9 patients (phase 1), 13 patients, 13 clinicians (phase 2) |
Savelberg et al. 2019 [24] | Netherlands | Qualitative | Breast conserving vs Mastectomy | Web-based PtDA | Nil reported | 7 regional hospitals | 27 HCPs | Interviews, FGs [25] | 26 patients, 26 HCPs |
Ager et al. 2018 [26] | Australia & New Zealand | Qualitative | Contralateral prophylactic mastectomy | Booklet | Ottawa Decision Support Framework | NA | 23 patients, expert panel | Interviews [26] | NA |
Schubbe et al. 2021 [27] | USA | Qualitative | Lumpectomy with Radiation vs. Mastectomy | Conversation aids: Option grid, Picture Option Grid | Normalization Process Theory Framework | 7 Urban and rural cancer centres | 43 patients, 16 surgeons, 14 stakeholders (N = 73) | Option Grid: 18 academics and HCPs (initial testing); 53 lay individuals (further testing). Picture Option Grid: 5 community stakeholders (phase 1), 268 patients (phase 2), 15 patients and HCPs (phase 3) | |
Boateng et al. 2021 [30] | USA | Qualitative | Breast reconstruction | Web-based PtDA | CFIR | 2 academic and 1 community health centre | 13 patients, 13 clinicians, 9 informatics | NA [31] | 40 participants |
Belkora et al. 2009 [32] | USA | Qualitative | Radiation vs chemo or hormonal therapy | Video; Booklet | Nil reported | 1 academic medical centre | 1 patient (case study) | NA | NA |
Tollow et al. 2021 [33] | UK | Qualitative | Breast reconstruction | Coach-led intervention; Workbook | Nil reported | 5 NHS sites | 27 patients (16 from ‘usual care’, 11 from intervention group), 13 HCPs | NA | NA |
Silvia et al. 2008 [34] | USA | Qualitative | Various | Video | Nil reported | 2 academic medical centres, 9 community hospitals and 1 community oncology centre | Nurses, social workers, patient educators, coordinators | NA | NA |
Silvia et al. 2006 [35] | USA | Qualitative | Surgery | Video; Booklet | Nil reported | 2 community resource centres, 1 community hospital, 6 academic cancer centres | 13 providers and staff | NA | NA |
Sherman et al. 2017 [36] | Australia | Qualitative | Breast reconstruction | Web-based PtDA | Nil reported | 6 metropolitan- based breast clinics, 3 public, 3 private, and 2 regional private breast clinics | 36 patients, 6 HCPs | Focus groups [37] | 15 patients (8 had undergone and 7 had not undergone breast reconstruction |
Belkora et al. 2015 [38] | USA | Observational study | NA | Coach-led intervention; Booklet | RE-AIM Framework (Reach, Effectiveness, Adoption, Implementation and Maintenance of intervention) | breast cancer centre/clinic | 3416 patients | NA | NA |
Savelberg et al. 2021 [39] | Netherlands | Observational study | Breast conserving vs Mastectomy | Web-based PtDA | Nil reported | 4 regional hospitals | 84 patients | Interviews, FGs [25] | 26 patients, 26 HCPs |
Squires et al. 2019 [40] | Canada | Mixed methods | Contralateral prophylactic mastectomy | Web-based PtDA | Ottawa Decision Support Framework | 35 teaching, 4 general hospitals | 39 HCPs, 12 patients | NA | NA |
Feibelmann et al. 2011 [41] | USA | Mixed-methods | Various | Video; Booklet | Rogers’ theory of innovation diffusion | 79 community health centres and private practices | 59 HC providers | NA | NA |
Bruce et al. 2018 [42] | USA | Survey | Surgery early BC | Web-based PtDA | Replicating Effective Programs framework | 1 academic, 1 community clinic | 208 patients, 6 surgeons | NA | NA |