Video-based patient decision aids: A scoping review

OBJECTIVE

This study reviews the published literature on the use of video-based decision aids (DA) for patients. The authors describe the areas of medicine in which video-based patient DA have been evaluated, the medical decisions targeted, their reported impact, in which countries studies are being conducted, and publication trends.

METHOD

The literature review was conducted systematically using Medline, Embase, CINAHL, PsychInfo, and Pubmed databases from inception to 2016. References of identified studies were reviewed, and hand-searches of relevant journals were conducted.

RESULTS

488 studies were included and organized based on predefined study characteristics. The most common decisions addressed were cancer screening, risk reduction, advance care planning, and adherence to provider recommendations. Most studies had sample sizes of fewer than 300, and most were performed in the United States. Outcomes were generally reported as positive. This field of study was relatively unknown before 1990s but the number of studies published annually continues to increase.

CONCLUSION

Videos are largely positive interventions but there are significant remaining knowledge gaps including generalizability across populations.

PRACTICE IMPLICATIONS

Clinicians should consider incorporating video-based DA in their patient interactions. Future research should focus on less studied areas and the mechanisms underlying effective patient decision aids.

Research 101: demystifying nursing research

As home health nurses begin to more fully embrace evidence-based practice, we need to be reading research articles in addition to those being published in Home Healthcare Nurse. Many of us have been out of school for several years or have never studied nursing research, and the terminology can be daunting. Evidence-based practice strengthens our ability to provide nursing care based upon the best scientific and researched information. The evidence gleaned from research demonstrates best practice methods rather than those we have traditionally used with little or no scientific basis. The purpose of this article is to provide new knowledge or dust the cobwebs from our past studies of nursing research. A review of the types of research, as well as its language, can help home health nurses be consumers of research with greater understanding. Use of the Internet and ways to access nursing research will be discussed. This article is a brief overview only and more in-depth principles can be accessed by one of the many nursing research resources.