E Norris, N Shelton, S Dunsmuir, O Duke-Williams, E Stamatakis
Teacher and pupil perspectives on the use of Virtual Field Trips as physically active lessons
BMC research notes
shared decisionmaking sdm rarely implemented pediatric practice pediatric health decisionmaking differs adult practice yet little known factors influence implementation pediatric shared decisionmaking sdm synthesized pediatric sdm barriers facilitators perspectives healthcare providers hcp parents children observers ie persons evaluated sdm process directly involvedwe conducted systematic review guided ottawa model research use omru searched medline embase cochrane library cinahl pubmed psycinfo inception march 2017 included studies reported clinical pediatric sdm barriers andor facilitators perspective hcps parents children andor observers considered comparison groups included study designs reporting original data content analysis used synthesize barriers facilitators categorized according omru levels ie decision innovation adopters relational environment participant types ie hcp parents children observers used mixed methods appraisal tool appraise study qualityof 20008 identified citations 79 included omru level frequent barriers features options decision poor quality information innovation parentchild emotional state adopter power relations relational insufficient time environment frequent facilitators low stake decisions decision good quality information innovation agreement sdm adopter trust respect relational sdm toolsresources environment across participant types frequent barriers insufficient time hcps features options parents power imbalances children hcp skill sdm observers frequent facilitators good quality information hcp agreement sdm parents children consistent facilitator category observers overall study quality moderate quantitative studies highest ratings mixedmethod studies lowest ratingsnumerous diverse interrelated factors influence sdm use pediatric clinical practice findings used identify potential pediatric sdm barriers facilitators guide contextspecific barrier facilitator assessments inform interventions implementing sdm pediatric practiceprospero crd42015020527