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Partner involvement in treatment-related decision making in triadic clinical consultations: a systematic review of qualitative and quantitative studies

Partner involvement in treatment-related decision making in triadic clinical consultations: a systematic review of qualitative and quantitative studies
Partner involvement in treatment-related decision making in triadic clinical consultations: a systematic review of qualitative and quantitative studies
Objective

Explore how partners are involved in treatment-related decision-making within triadic clinical encounters.

Methods

Studies were identified via database searches and reference lists. One author assessed eligibility of studies, which were verified by an additional co-author. Data were extracted by one author and cross-checked for accuracy by a second. Quality of articles was assessed using Qualsyst. Retrieved studies were categorised by one author, and agreed through discussion.

Results

From 2442 records, 14 studies were included and categorised as: (1) Descriptions of partner role and behaviour; (2) Role intentions of partners; (3) Relationship between partner and patient behaviour; (4) HCP-Partner interactions.

Conclusion

Partners are often involved in triadic clinical consultations that have implications for treatment-related decision making. Most studies offered general descriptions but lacked detailed investigation of communicative processes in triads and how these may operate with partners vs. other companions.

Practice implications

Existing studies lack detailed investigation through direct observation of the processes of partner involvement. Research in other areas of clinical communication suggests that future interventions could be informed by attention to the following areas: partner behaviour vs. other companion types in triads; relationships between partner involvement and decision-making processes; partner involvement in triads vs. other groups (e.g. quadratic).
0738-3991
Bracher, Michael
e9e2fbd6-af5f-4f6e-8357-969aaf51c52e
Stewart, Simon
848b5f2b-dafa-4bf0-bcd4-35bb9e835466
Reidy, Claire
d500bfe7-7429-4484-b092-60ef0757d0de
Allen, Chris
b7924cd0-80a6-4379-9915-720e0a124e78
Townsend, Kay
65d8a2d8-87e0-4b8b-b1e5-d42d671424d4
Brindle, Lucy
17158264-2a99-4786-afc0-30990240436c
Bracher, Michael
e9e2fbd6-af5f-4f6e-8357-969aaf51c52e
Stewart, Simon
848b5f2b-dafa-4bf0-bcd4-35bb9e835466
Reidy, Claire
d500bfe7-7429-4484-b092-60ef0757d0de
Allen, Chris
b7924cd0-80a6-4379-9915-720e0a124e78
Townsend, Kay
65d8a2d8-87e0-4b8b-b1e5-d42d671424d4
Brindle, Lucy
17158264-2a99-4786-afc0-30990240436c

Bracher, Michael, Stewart, Simon, Reidy, Claire, Allen, Chris, Townsend, Kay and Brindle, Lucy (2019) Partner involvement in treatment-related decision making in triadic clinical consultations: a systematic review of qualitative and quantitative studies. Patient Education and Counseling. (doi:10.1016/j.pec.2019.08.031).

Record type: Article

Abstract

Objective

Explore how partners are involved in treatment-related decision-making within triadic clinical encounters.

Methods

Studies were identified via database searches and reference lists. One author assessed eligibility of studies, which were verified by an additional co-author. Data were extracted by one author and cross-checked for accuracy by a second. Quality of articles was assessed using Qualsyst. Retrieved studies were categorised by one author, and agreed through discussion.

Results

From 2442 records, 14 studies were included and categorised as: (1) Descriptions of partner role and behaviour; (2) Role intentions of partners; (3) Relationship between partner and patient behaviour; (4) HCP-Partner interactions.

Conclusion

Partners are often involved in triadic clinical consultations that have implications for treatment-related decision making. Most studies offered general descriptions but lacked detailed investigation of communicative processes in triads and how these may operate with partners vs. other companions.

Practice implications

Existing studies lack detailed investigation through direct observation of the processes of partner involvement. Research in other areas of clinical communication suggests that future interventions could be informed by attention to the following areas: partner behaviour vs. other companion types in triads; relationships between partner involvement and decision-making processes; partner involvement in triads vs. other groups (e.g. quadratic).

Text
Partner involvement in treatment-related decision making in triadic clinical consultations – a systematic review of qualitative and quantitative studies - Accepted Manuscript
Restricted to Repository staff only until 24 August 2020.
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More information

Accepted/In Press date: 20 August 2019
e-pub ahead of print date: 24 August 2019

Identifiers

Local EPrints ID: 433632
URI: http://eprints.soton.ac.uk/id/eprint/433632
ISSN: 0738-3991
PURE UUID: 3d48c1a7-e825-4155-8697-baff7ef67248
ORCID for Michael Bracher: ORCID iD orcid.org/0000-0001-5861-2657
ORCID for Claire Reidy: ORCID iD orcid.org/0000-0002-0013-6843
ORCID for Chris Allen: ORCID iD orcid.org/0000-0002-1296-8989
ORCID for Kay Townsend: ORCID iD orcid.org/0000-0002-2252-6447
ORCID for Lucy Brindle: ORCID iD orcid.org/0000-0002-8933-3754

Catalogue record

Date deposited: 28 Aug 2019 16:30
Last modified: 19 Nov 2019 01:41

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