Development and Testing of Shared Decision-Making Interventions for Use in Emergency Care: A Research Agenda

Melnick et al. (2016) full text summary PDF

For which topic were research priorities identified?

emergency care

In which location was the research priority setting conducted?

North America - USA

Why was it conducted at all?

Decision aids are evidenced-based tools designed to increase patient understanding of medical options and possible outcomes, facilitate conversation between patients and clinicians, and improve patient engagement. Decision aids have been used for shared decision-making (SDM) interventions outside of the ED setting for more than a decade. Their use in the ED has only recently begun to be studied. This article provides background on this topic and the conclusions of the 2016 Academic Emergency Medicine consensus conference SDM in practice work group regarding "Shared Decision Making in the Emergency Department: Development of a Policy-Relevant, Patient-Centered Research Agenda”.

What was the objective?

to determine a prioritized research agenda for the development and testing of shared decision-making interventions for use in emergency care that was most important to patients, clinicians, caregivers, and other key stakeholders

What was the outcome?

a list of 5 research questions

How long did the research prioritization take?

No information provided.

Which methods were used to identify research priorities?


How were the priorities for research identified exactly?

Step 1: meeting: multidisciplinary task force proposed initial list of 43 key research questions divided into six broad domains, followed by nominal group technique and multiple rounds of discussion

Which stakeholders took part?

Patients, funding agencies, emergency medicine, pediatrics, research, and public health. 35 participants.

How were stakeholders recruited?

No information provided.

Were stakeholders actively involved or did they just participate?

Stakeholders were mere participants of the research prioritization process; they were not actively involved in the process.