Aviva G. Nathan|Imani M. Marshall|Jennifer Cooper|Elbert S. Huang
Use of Decision Aids with Minority Patients: a Systematic Review
University of Chicago|University of Chicago|University of Chicago|University of Chicago
one potential approach reducing health disparities among minorities promotion shared decision making sdm commonly studied sdm intervention decision aid da das extensively studied know relatively little use minority populations conducted systematic review characterize application effectiveness das racial ethnic sexual gender minoritieswe searched pubmed randomized controlled trials rcts evaluating das 2004 2013 included trials enrolled adults 18 years age 50 representation minority patients four reviewers independently assessed 597 initially identified articles inconclusive results discussed consensus abstracted decision quality patientdoctor communication clinical treatment decision outcomes results considered significantly modified da study reported p 005we reviewed 18 rcts da interventions minority populations majority interventions 78 addressed cancer screening common mode delivery das personal counseling 46 followed multimedia 29 print materials 25 trials studied racial 78 ethnic 17 minorities one trial focused sexual minorities none gender minorities ten studies tailored interventions minority populations comparing intervention vs control decision quality outcomes improved six eight studies patientdoctor communication improved six seven studies 15 studies reported clinical decisions eight demonstrated significant changes decisions dasdas effective improving patientdoctor communication decision quality outcomes minority populations could help address health disparities however existing literature almost nonexistent sexual gender minorities included full breadth clinical decisions affect minority populations