How Do Patient Decision Aids Enable Purposeful Shared Decision-Making in Rheumatology? An Integrative Review

Bharat Kumar; Ibiyemi Oke; Ruoning Ni; Rhonda Dunn; Emily Walsh; Kristina Cobb; Erica Sigwarth; Gatr-Alnada Gheriani

doi:10.1097/RHU.0000000000002323

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How Do Patient Decision Aids Enable Purposeful Shared Decision-Making in Rheumatology? An Integrative Review

Journal article

Peer reviewed

How Do Patient Decision Aids Enable Purposeful Shared Decision-Making in Rheumatology? An Integrative Review

Bharat Kumar, Ibiyemi Oke, Ruoning Ni, Rhonda Dunn, Emily Walsh, Kristina Cobb, Erica Sigwarth and Gatr-Alnada Gheriani

Journal of clinical rheumatology

04/03/2026

DOI: 10.1097/RHU.0000000000002323

PMID: 41973066

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Abstract

Shared decision-making (SDM) is a process in which patients and clinicians work together to make health care decisions. Purposeful SDM (PSDM) is a problem-based approach that emphasizes the multifaceted nature of SDM in response to different settings and contexts. In this integrative review, we systematically identify rheumatology patient decision aids (PDAs) described in peer-reviewed published literature and assess how they support PSDM. Articles were identified through a search of Ovid MEDLINE, EMBASE, CINAHL, and PsycINFO from 1948 to 2023. This search was supplemented through contacting authors and scanning references. The research team analyzed and classified PDAs into 1 of 4 modes. In addition, research team members utilized the SUNDAE Checklist (Standards for UNiversal reporting of Patient Decision Aid Evaluation), a 26-item checklist to assess the quality of manuscripts evaluating PDAs. Forty-six records met the inclusion criteria. Among the 23 articles containing original data, there were 21 PDAs. The most common conditions represented included rheumatoid arthritis (n=8), osteoarthritis (n=7), and lupus nephritis (n=3). Fifteen addressed weighing treatment options (mode 1), while only 6 addressed intra- or interpersonal conflict (mode 2) and 2 addressed problem-solving (Mode 3). The mean number of SUNDAE checklist criteria satisfied was 21.5 (±4.3). There exist opportunities to develop and refine tools that (1) address PSDM modes beyond weighing treatment options, (2) cover a wider variety of rheumatologic conditions, and (3) more transparently report evaluation of PDA content, development, and delivery.

shared decision making

patient experience

patient education

Details

Title: Subtitle: How Do Patient Decision Aids Enable Purposeful Shared Decision-Making in Rheumatology? An Integrative Review
Creators: Bharat Kumar - University of Iowa
Ibiyemi Oke - University of Iowa
Ruoning Ni - University of Iowa
Rhonda Dunn - University of Iowa
Emily Walsh - University of Iowa Health Care
Kristina Cobb - Iowa City Veterans Affairs Medical Center, Iowa City Veterans Affairs Health Care System, Iowa City, IA
Erica Sigwarth - Iowa City VA Health Care System
Gatr-Alnada Gheriani - University of Iowa
Resource Type: Journal article
Publication Details: Journal of clinical rheumatology
DOI: 10.1097/RHU.0000000000002323
PMID: 41973066
NLM abbreviation: J Clin Rheumatol
ISSN: 1076-1608
eISSN: 1536-7355
Publisher: Lippincott Williams & Wilkins
Language: English
Electronic publication date: 04/03/2026
Academic Unit: Immunology; Internal Medicine
Record Identifier: 9985153159702771

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