Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
American Journal of Clinical Dermatology
Published in: American Journal of Clinical Dermatology 1/2019

01-02-2019 | Systematic Review

Shared Decision Making in Psoriasis: A Systematic Review of Quantitative and Qualitative Studies

Authors: Marie Hamilton Larsen, Kåre Birger Hagen, Anne Lene Krogstad, Astrid Klopstad Wahl

Published in: American Journal of Clinical Dermatology | Issue 1/2019

Login to get access

Abstract

Background

Patients with psoriasis face numerous treatment and self-management decisions. Shared decision making is a novel approach where patients’ preferences and values are considered in cooperation with healthcare professionals before making treatment decisions.

Objective

The objective of this systematic review was to explore what is illuminated in psoriasis research regarding shared decision making, and to estimate the effects of shared decision-making interventions in this context.

Methods

Qualitative, quantitative, and mixed-methods studies were eligible for inclusion. We searched six electronic databases up to January 2018. Two reviewers independently applied inclusion and quality criteria. The SPIDER framework was used to identify eligibility criteria for study inclusion. Narrative and thematic syntheses were utilized to identify prominent themes emerging from the data.

Results

A total of 23 studies were included in the review. Of these, we included 18 studies (19 papers) to describe what was illuminated with regard to shared decision making in psoriasis research. Four major themes emerged: interpersonal communication; exchange of competence and knowledge; different world view; and involvement and preference, organized under two analytical themes; “Co-creation of decisions” and “Organization of treatment and treatment needs”. For shared decision-making effects, we included four controlled studies. These varied in scope and interventional length and showed limited use of shared decision making-specific outcome measures, reflecting the early stage of the literature. Because of study heterogeneity, a meta-synthesis was not justified.

Conclusions

There appears to be a need to strengthen the relationship between medical doctors and patients with psoriasis. The evident lack of knowledge about each other’s competence and the lack of self-efficacy for both patients and providers challenges the basic principles of shared decision making. The effects of shared decision making in psoriasis are inconclusive, and more research appears necessary to determine the possible benefits of shared decision-making interventions.
Appendix
Available only for authorised users
Literature
1.
Hong J, Koo B, Koo J. The psychosocial and occupational impact of chronic skin disease. Dermatol Ther. 2008;21(1):54–9.CrossRefPubMed
2.
Belinchón I, Rivera R, Blanch C, Comellas M, Lizán L. Adherence, satisfaction and preferences for treatment in patients with psoriasis in the European Union: a systematic review of the literature. Patient Prefer Adherence. 2016;10:2357–67.CrossRefPubMedPubMedCentral
3.
4.
Rasmussen GS, Kragballe K, Maindal HT, Lomborg K. Experience of being young with psoriasis: self-management support needs. Qual Health Res. 2017;28(1):73–86.CrossRef
5.
6.
7.
Gionfriddo MR, Leppin AL, Brito JP, LeBlanc A, Shah ND, Montori VM. Shared decision-making and comparative effectiveness research for patients with chronic conditions: an urgent synergy for better health. J Comp Eff Res. 2013;2(6):595–603.CrossRefPubMedPubMedCentral
8.
Friesen-Storms JHHM, Bours GJJW, van der Weijden T, Beurskens AJHM. Shared decision making in chronic care in the context of evidence based practice in nursing. Int J Nurs Stud. 2015;52(1):393–402.CrossRefPubMed
9.
Zoffmann V, Harder I, Kirkevold M. A person-centered communication and reflection model: sharing decision-making in chronic care. Qual Health Res. 2008;18(5):670–85.CrossRefPubMed
10.
Montori VM, Gafni A, Charles C. A shared treatment decision-making approach between patients with chronic conditions and their clinicians: the case of diabetes. Health Expect. 2006;9(1):25–36.CrossRefPubMedPubMedCentral
11.
Adams JR, Drake RE. Shared decision-making and evidence-based practice. Commun Ment Health J. 2006;42(1):87–105.CrossRef
12.
13.
14.
15.
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.CrossRefPubMedPubMedCentral
16.
Cooke A, Smith D, Booth A. Beyond PICO: the SPIDER tool for qualitative evidence synthesis. Qual Health Res. 2012;22(10):1435–43.CrossRefPubMed
17.
Pace R, Pluye P, Bartlett G, Macaulay AC, Salsberg J, Jagosh J, et al. Testing the reliability and efficiency of the pilot Mixed Methods Appraisal Tool (MMAT) for systematic mixed studies review. Int J Nurs Stud. 2012;49(1):47–53.CrossRefPubMed
18.
Soundy A, Roskell C, Elder T, Collett J, Dawes H. The psychological processes of adaptation and hope in patients with multiple sclerosis: a thematic synthesis. OJTR. 2016;4:22–47.CrossRef
19.
20.
21.
Mays N, Pope C, Popay J. Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. J Health Serv Res Policy. 2005;10(Suppl. 1):6–20.CrossRefPubMed
22.
23.
Harden A, Thomas J. Methodological issues in combining diverse study types in systematic reviews. Int J Soc Res Methodol. 2005;8:257–271.CrossRef
24.
25.
Sandelowski M, Barroso J, Voils CI. Using qualitative metasummary to synthesize qualitative and quantitative descriptive findings. Res Nurs Health. 2007;30(1):99–111.CrossRefPubMedPubMedCentral
26.
Nelson PA, Barker Z, Griffiths CE, Cordingley L, Chew-Graham CA. ‘On the surface’: a qualitative study of GPs’ and patients’ perspectives on psoriasis. BMC Fam Pract. 2013;14:158.CrossRefPubMedPubMedCentral
27.
Nelson PA, Chew-Graham CA, Griffiths CE, Cordingley L. Recognition of need in health care consultations: a qualitative study of people with psoriasis. Br J Dermatol. 2013;168(2):354–61.CrossRefPubMed
28.
Tan J, Stacey D, Fung K, Barankin B, Bissonnette R, Gulliver W, et al. Treatment decision needs of psoriasis patients: cross-sectional survey. J Cutan Med Surg. 2010;14(5):233–9.CrossRefPubMed
29.
Renzi C, Di Pietro C, Tabolli S. Participation, satisfaction and knowledge level of patients with cutaneous psoriasis or psoriatic arthritis. Clin Exp Dermatol. 2011;36(8):885–8.CrossRefPubMed
30.
Radtke MA, Spehr C, Reich K, Rustenbach SJ, Feuerhahn J, Augustin M. Treatment satisfaction in psoriasis: development and use of the PsoSat Patient Questionnaire in a cross-sectional study. Dermatology. 2016;232(3):334–43.CrossRefPubMed
31.
Umar N, Schollgen I, Terris DD. It is not always about gains: utilities and disutilities associated with treatment features in patients with moderate-to-severe psoriasis. Patient Prefer Adherence. 2012;6:187–94.CrossRefPubMedPubMedCentral
32.
Tan J, Stacey D, Barankin B, Bissonnette R, Gulliver W, Lui H, et al. Support needed to involve psoriasis patients in treatment decisions: survey of dermatologists. J Cutan Med Surg. 2011;15(4):192–200.CrossRefPubMed
33.
Halioua B, Maury Le Breton A, de Fontaubert A, Roussel ME, Stalder JF. Treatment refusal among patients with psoriasis. J Dermatol Treat. 2015;26(5):396–400.CrossRef
34.
Tan J, Wolfe B. Improved decisional conflict and preparedness for decision making using a patient decision aid for treatment selection in psoriasis: a pilot study. J Cut Med Surg. 2014;18(2):114–8.CrossRef
35.
Gist DL, Bhushan R, Hamarstrom E, Sluka P, Presta CM, Thompson JS, et al. Impact of a performance improvement CME activity on the care and treatment of patients with psoriasis. J Am Acad Dermatol. 2015;72(3):516–23.CrossRefPubMed
36.
Blome C, Costanzo A, Dauden E, Ferrandiz C, Girolomoni G, Gniadecki R, et al. Patient-relevant needs and treatment goals in nail psoriasis. Qual Life Res. 2016;25(5):1179–88.CrossRefPubMed
37.
Gilet H, Roborel de Climens A, Arnould B, Bachelez H, Bagot M, Beaulieu P, et al. Development and psychometric validation of the REFlective evaLuation of psoriasis Efficacy of Treatment and Severity (REFLETS) questionnaire: a common measure of plaque-type psoriasis severity and treatment efficacy for patients and clinicians. J Eur Acad Dermatol Venereol. 2015;29(3):498–506.CrossRefPubMed
38.
Linder D, Dalłolio E, Gisondi P, Berardesca E, Gennaro ED, Pennella AR, et al. Perception of disease and doctor-patient relationship experienced by patients with psoriasis: a questionnaire-based study. Am J Clin Dermatol. 2009;10(5):325–30.CrossRefPubMed
39.
Nelson PA, Kane K, Chisholm A, Pearce CJ, Keyworth C, Rutter MK, et al. ‘I should have taken that further’: missed opportunities during cardiovascular risk assessment in patients with psoriasis in UK primary care settings: a mixed-methods study. Health Expect. 2016;19(5):1121–37.CrossRefPubMed
40.
Umar N, Schaarschmidt M, Schmieder A, Peitsch WK, Schollgen I, Terris DD. Matching physicians’ treatment recommendations to patients’ treatment preferences is associated with improvement in treatment satisfaction. J Eur Acad Dermatol Venereol. 2013;27(6):763–70.CrossRefPubMed
41.
Magin PJ, Adams J, Heading GS, Pond CD. Patients with skin disease and their relationships with their doctors: a qualitative study of patients with acne, psoriasis and eczema. Med J Aust. 2009;190(2):62–4.PubMed
42.
Uhlenhake EE, Kurkowski D, Feldman SR. Conversations on psoriasis what patients want and what physicians can provide: a qualitative look at patient and physician expectations. J Dermatol Treat. 2010;21(1):6–12.CrossRef
43.
Reich K, Mrowietz U, Karakasili E, Zschocke I. Development of an adherence-enhancing intervention in topical treatment termed the topical treatment optimization program (TTOP). Arch Dermatol Res. 2014;306(7):667–76.CrossRefPubMedPubMedCentral
44.
Khoury LR, Skov L, Møller T. Facing the dilemma of patient-centred psoriasis care: a qualitative study identifying patient needs in dermatological outpatient clinics. Br J Dermatol. 2017;177(2):436–44.CrossRefPubMed
45.
Reich K, Zschocke I, Bachelez H, de Jong EMGJ, Gisondi P, Puig L, et al. A Topical Treatment Optimization Programme (TTOP) improves clinical outcome for calcipotriol/betamethasone gel in psoriasis: results of a 64-week multinational randomized phase IV study in 1790 patients (PSO-TOP). Br J Dermatol. 2017;177(1):197–205.CrossRefPubMed
46.
Balato N, Megna M, Di Costanzo L, Balato A, Ayala F. Educational and motivational support service: a pilot study for mobile-phone-based interventions in patients with psoriasis. Br J Dermatol. 2013;168(1):201–5.CrossRefPubMed
47.
Lora V, Gisondi P, Calza A, Zanoni M, Girolomoni G. Efficacy of a single educative intervention in patients with chronic plaque psoriasis. Dermatology. 2009;219(4):316–21.CrossRefPubMed
48.
Renzi C, Di Pietro C, Gisondi P, Chinni LM, Fazio M, Ianni A, et al. Insufficient knowledge among psoriasis patients can represent a barrier to participation in decision-making. Acta Derm Venereol. 2006;86(6):528–34.CrossRefPubMed
49.
Rathert C, Wyrwich MD, Boren SA. Patient-centered care and outcomes: a systematic review of the literature. Med Care Res Rev. 2012;70(4):351–79.CrossRefPubMed
50.
Barry MJ, Edgman-Levitan S. Shared decision making: pinnacle of patient-centered care. N Engl J Med. 2012;366(9):780–1.CrossRefPubMed
51.
Eliacin J, Salyers MP, Kukla M, Matthias MS. Factors influencing patients’ preferences and perceived involvement in shared decision-making in mental health care. J Ment Health. 2015;24(1):24–8.CrossRefPubMed
52.
Joseph-Williams N, Elwyn G, Edwards A. Knowledge is not power for patients: a systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making. Patient Educ Couns. 2014;94(3):291–309.CrossRefPubMed
53.
Peek ME, Wilson SC, Gorawara-Bhat R, Odoms-Young A, Quinn MT, Chin MH. Barriers and facilitators to shared decision-making among African–Americans with diabetes. J Gen Intern Med. 2009;24(10):1135–9.CrossRefPubMedPubMedCentral
54.
Brundage MD, Feldman-Stewart D, Dixon P, Gregg R, Youssef Y, Davies D, et al. A treatment trade-off based decision aid for patients with locally advanced non-small cell lung cancer. Health Expect. 2000;3(1):55–68.CrossRefPubMedPubMedCentral
55.
Walsh T, Barr PJ, Thompson R, Ozanne E, O’Neill C, Elwyn G. Undetermined impact of patient decision support interventions on healthcare costs and savings: systematic review. BMJ. 2014;348:g188.CrossRefPubMedPubMedCentral
56.
O’Connor AM. Validation of a decisional conflict scale. Med Decis Mak. 1995;15(1):25–30.CrossRef
57.
Degner LF, Sloan JA, Venkatesh P. The Control Preferences Scale. Can J Nurs Res. 1997;29(3):21–43.PubMed
58.
Shay LA, Lafata JE. Where is the evidence? A systematic review of shared decision making and patient outcomes. Med Decis Making. 2015;35(1):114–31.CrossRefPubMed
59.
Légaré F, Ratté S, Stacey D, Kryworuchko J, Gravel K, Graham ID, et al. Interventions for improving the adoption of shared decision making by healthcare professionals. Cochrane Database Syst Rev. 2010;(5):CD006732.
60.
Légaré F, Politi MC, Drolet R, Desroches S, Stacey D, Bekker H. Training health professionals in shared decision-making: an international environmental scan. Patient Educ Couns. 2012;88(2):159–69.CrossRefPubMed
61.
Dixon-Woods M, Agarwal S, Jones D, Young B, Sutton A. Synthesising qualitative and quantitative evidence: a review of possible methods. J Health Serv Res Policy. 2005;10(1):45–53.CrossRefPubMed
Metadata
Title
Shared Decision Making in Psoriasis: A Systematic Review of Quantitative and Qualitative Studies
Authors
Marie Hamilton Larsen
Kåre Birger Hagen
Anne Lene Krogstad
Astrid Klopstad Wahl
Publication date
01-02-2019
Publisher
Springer International Publishing
Published in
American Journal of Clinical Dermatology / Issue 1/2019
Print ISSN: 1175-0561
Electronic ISSN: 1179-1888
DOI
https://doi.org/10.1007/s40257-018-0390-5

Other articles of this Issue 1/2019

American Journal of Clinical Dermatology 1/2019 Go to the issue

Original Research Article

Efficacy of Topical Combination of 0.25% Finasteride and 3% Minoxidil Versus 3% Minoxidil Solution in Female Pattern Hair Loss: A Randomized, Double-Blind, Controlled Study

Leading Article

Monitoring Melanoma Using Circulating Free DNA

Systematic Review

Association Between Psoriasis and Vitiligo: A Systematic Review and Meta-Analysis

Review Article

An Update on Drug-Induced Pigmentation

Review Article

Cutaneous Adverse Effects of Diabetes Mellitus Medications and Medical Devices: A Review

Letter to the Editor

Comment on: Keratosis Pilaris and Its Subtypes: Associations, New Molecular and Pharmacologic Etiologies, and Therapeutic Options