--- title: "hared clinician-patient decision-making about trea | Sutter Health" description: "Review is to explore the concept of shared decision-making in pediatric asthma treatment, and how it might be implemented to improve adherence and outcomes." url: "https://www.sutterhealth.org/research/publications/shared-clinician-pt-decision-making-in-ped-asthma-1055312602" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. hared clinician-patient decision-making about trea # Shared clinician-patient decision-making about treatment of pediatric asthma: what do we know and how can we use it? Rivera-Spoljaric K, Halley M, & Wilson SR. _Curr Opin Allergy Clin Immunol. 14(2):161-7. doi: 10.1097/ACI.0000000000000046._ 2014-04-01 ## Abstract PURPOSE OF REVIEW: Shared decision-making (SDM) is an emerging field that promises to improve healthcare. We aim to explore the concept of SDM, how it has been studied or applied in the treatment of asthma, and how it might be implemented to improve adherence and outcomes in pediatric asthma. RECENT FINDINGS: Healthcare providers often fail to involve their patients in clinical decision-making by not presenting all available options, associated risks and benefits, in light of the patient's values, preferences, concerns, lifestyle, and perceived barriers to following various treatment regimens. It has been argued that SDM is preferable to a clinician-controlled approach and may improve patient outcomes (increase satisfaction with care, reduce decisional conflict and decisional regret, improve health-related quality of life, and increase decision-specific knowledge). This may be especially important in managing chronic conditions in which adherence to treatment regimen may increase if the patient was actively involved in the decision-making. In pediatrics, the decision process is further complicated by the clinician-parent(s)-child interaction. We found no studies on how to effectively involve and communicate with children at different developmental levels, or how to coalesce the parent and child's perspective to work as a unit. SUMMARY: SDM has the promise to improve satisfaction with disease management, treatment adherence and patient-centered outcomes in pediatric asthma, but further research is needed to determine its effectiveness and to establish guidelines on how to implement SDM in the clinical setting and incorporate the input and preferences of all stakeholders' perspectives. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/24553296) ## Research topics - [Asthma](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Asthma%5C%22%22) - [Child and Adolescent Health](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Child+and+Adolescent+Health%5C%22%22) - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Adapting community based participatory research (CBPR) methods to the implementation of an asthma shared decision making intervention in ambulatory practices.](https://www.sutterhealth.org/research/publications/asthma-shared-decision-making-in-ambulatory-care-1055312730) Tapp H, Kuhn L, Alkhazraji T, Steuerwald M, Ludden T, Wilson S, Mowrer L, Mohanan S, Dulin MF. J Asthma. 51(4):380-90. doi: 10.3109/02770903.2013.876430. Epub 2014 Jan 24. 2014 May 01 - Publication ### [The Breathe Easier through Weight Loss Lifestyle (BE WELL) Intervention: a randomized controlled trial.](https://www.sutterhealth.org/research/publications/asthma-management-through-weight-loss-1055312542) Ma J, Strub P, Camargo CA Jr, Xiao L, Ayala E, Gardner CD, Buist AS, Haskell WL, Lavori PW, Wilson SR. BMC Pulm Med. 10:16. doi: 10.1186/1471-2466-10-16. 2010 Mar 24 - Publication ### [The patient is the most important member of the team.](https://www.sutterhealth.org/research/publications/patient-is-most-important-team-member-1055312539) Frosch DL. BMJ. 350:g7767. doi: 10.1136/bmj.g7767. 2015 Feb 10 - Publication ### [DASH for asthma: a pilot study of the DASH diet in not-well-controlled adult asthma.](https://www.sutterhealth.org/research/publications/pilot-study-of-dash-diet-in-uncontrolled-asthma-1055312757) Ma J, Strub P, Lavori PW, Buist AS, Camargo CA Jr, Nadeau KC, Wilson SR, Xiao L. Contemp Clin Trials. 35(2):55-67. doi: 10.1016/j.cct.2013.04.008. Epub 2013 May 3. 2013 Jul 01 - Publication ### [Development of the adult and child complementary medicine questionnaires fielded on the National Health Interview Survey.](https://www.sutterhealth.org/research/publications/complementary-med-questionnaires-on-nhis-1055312378) Stussman BJ, Bethell CD, Gray C, Nahin RL. BMC Complement Altern Med. 13:328. doi: 10.1186/1472-6882-13-328. 2013 Nov 23 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/shared-clinician-pt-decision-making-in-ped-asthma-1055312602#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"hared clinician-patient decision-making about trea"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/shared-clinician-pt-decision-making-in-ped-asthma-1055312602#medicalscholarlyarticle","name":"Shared clinician-patient decision-making about treatment of pediatric asthma: what do we know and how can we use it?","headline":"hared clinician-patient decision-making about trea","abstract":"PURPOSE OF REVIEW: Shared decision-making (SDM) is an emerging field that promises to improve healthcare. We aim to explore the concept of SDM, how it has been studied or applied in the treatment of asthma, and how it might be implemented to improve adherence and outcomes in pediatric asthma. RECENT FINDINGS: Healthcare providers often fail to involve their patients in clinical decision-making by not presenting all available options, associated risks and benefits, in light of the patient's values, preferences, concerns, lifestyle, and perceived barriers to following various treatment regimens. It has been argued that SDM is preferable to a clinician-controlled approach and may improve patient outcomes (increase satisfaction with care, reduce decisional conflict and decisional regret, improve health-related quality of life, and increase decision-specific knowledge). This may be especially important in managing chronic conditions in which adherence to treatment regimen may increase if the patient was actively involved in the decision-making. In pediatrics, the decision process is further complicated by the clinician-parent(s)-child interaction. We found no studies on how to effectively involve and communicate with children at different developmental levels, or how to coalesce the parent and child's perspective to work as a unit. 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