A Systematic Literature Review and Meta-Analysis of Randomized Control Trials on the Influence of Shared Decision-Making on Patients’ Satisfaction Among Mental Healthcare

OBJECTIVES: This study aimed to assess how the Shared decision-making (SDM) as intervention influences the patents’ satisfaction.

METHODS: The databases including PubMed, Scopus, CINAHL, and Cochrane library searched for relevant studies. PRISMA guidelines were followed for screening of literature as per the inclusion and exclusion criteria, then Cochrane Collaboration’s Risk of Bias tool employed for methodological quality assessment. The final pooled effect analyzed with random effect model, standard mean difference along inverse variance to find association with between SDM and patients’ satisfaction. The data analysis was carried out with RevMan v.7.2.0.

RESULTS: The findings revealed SDM positively associated with patient’s satisfaction (SMD) = 0.33, CI: 0.02, 0.57, p = 0.04), with heterogeneity across trails (X²= 53.13, p<0.01, I²=83%). In sub-group analysis significant relation found with factor including duration exposing to intervention (> 3 months) (SMD) = 0.47, CI: 0.06, 0.88, p = 0.03), Electronic based intervention (SMD) = 0.50, CI: 0.02, 0.99, p = 0.04), studies utilized CSQ tool (SMD) = 0.19, CI: 0.02, 0.35, p = 0.03). Studies involved in narrative synthesis of outcome also shown similar outcomes to findings of meta-analysis.

CONCLUSIONS: This study findings showed significantly positive relation among those exposed to SDM as intervention in comparison to usual care, other considerable factors also reported in this study.