What is shared decision-making and how does it work for allergists?

September 7, 2018, American College of Allergy, Asthma, and Immunology

If you and your doctor chat for a few minutes about treatment options for your allergy symptoms, is that considered shared decision-making (SDM)? It is not, according to a new article published in Annals of Allergy, Asthma and Immunology, the scientific publication of the American College of Allergy, Asthma and Immunology (ACAAI).

"Although health care providers think they know what is involved, many aren't aware there are distinct elements which must be included to make it SDM," says allergist Michael Blaiss, MD, ACAAI Executive Medical Director and lead author of the article. "SDM is a collaborative process between the healthcare provider and the patient that takes place throughout the entire visit. It's also an ongoing discussion throughout the course of the provider/patient relationship."

According to the article, SDM is characterized by the absence of orders and interruptions, by the avoidance of medical jargon, and by using dialogue with open-ended questions. Both the patient and the healthcare provider are sources of information, bringing different, but equally important types of expertise to the decision-making process.

"SDM for has been shown to improve adherence and outcomes, as well as improve patient satisfaction with care," says allergist and SDM expert Eli Meltzer, MD, co-author of the article. "SDM is particularly important for any chronic diseases such as asthma and allergies which often require long-term, and potentially complicated or intensive treatments. Adherence to these treatments can be driven by patient characteristics and preferences, which cannot be fully explored without SDM."

The article acknowledges there are barriers to SDM including the perception by healthcare providers that SDM is too time-consuming. However, a review of studies on SDM showed that the median consultation time only increased 2.6 minutes when a patient decision aid was used.

"It's important for healthcare providers to understand that SDM is not interchangeable with informed consent in which patients are educated about options and asked if they agree to a treatment," says allergic diseases researcher Bruce Bender, Ph.D., co-author of the article. "SDM is also not simply providing patients with educational materials. If used properly, SDM can improve both the health of the patient, and the relationship between the patient and allergist."

ACAAI has introduced three new SDM patient decision aids for use by allergists with their patients. The tools walk through SDM for severe adult asthma for Atopic Dermatitis (commonly known as eczema) and for immunotherapy

Explore further: New asthma tool determines best treatment for severe asthma patients

Related Stories

New asthma tool determines best treatment for severe asthma patients

June 19, 2018
One in 12 adults and one in 11 children in the United States are living with asthma, according to the Centers for Disease Control and Prevention (CDC). The communication between patients and clinicians is an important factor ...

Older adults with asthma are happier when they have more say in their care

June 5, 2018
It's clear an increasing number of people want a say in their medical care. A new study shows older people with asthma are among those no longer content to say, "Up to you, Doc" and then wait to be told how to move forward ...

Clinicians need a clear definition of severe asthma for precise management

November 14, 2017
Those who treat patients suffering with severe asthma know how frustrating it can be to try to get the disease under control - despite the introduction in recent years of both biologics and bronchial thermoplasty. These treatments ...

Study shows painful eczema symptoms negatively impact quality of life

July 16, 2018
If you've never suffered from eczema, also known as Atopic Dermatitis, you probably aren't aware of the negative impact it can have on quality of life. The severe itching, redness and excessively dry skin all make life miserable ...

Asthma app helps control asthma: Alerts allergists when sufferers need assistance

May 13, 2015
The adage, "There's an app for that" is even more true in light of an app that sends an alert to your allergist's office when your asthma may be out of control.

Adolescents with hay fever have higher rates of anxiety and depression, lower resistance to stress

May 24, 2018
Although allergies affect more than 50 million Americans, they are occasionally misunderstood and can be seen as a minor condition. An article published in Annals of Allergy, Asthma and Immunology, the scientific journal ...

Recommended for you

New inflammation inhibitor discovered

November 16, 2018
A multidisciplinary team of researchers led from Karolinska Institutet in Sweden have developed an anti-inflammatory drug molecule with a new mechanism of action. By inhibiting a certain protein, the researchers were able ...

A gut bacterium as a fountain of youth? Well, let's start with reversing insulin resistance

November 16, 2018
Move over Bifidobacterium and Lactobacillus. There's a new health-promoting gut bacterium in town, and it's called Akkermansia muciniphila.

New study shows NKT cell subsets play a large role in the advancement of NAFLD

November 16, 2018
Since 2015 it has been known that the gut microbiota could have a direct impact on nonalcoholic fatty liver disease (NAFLD), which affects up to 12% of adults and is a leading cause of chronic liver disease. In the November ...

Defense against intestinal infection in organism is affected by prostaglandin E2

November 15, 2018
The treatment of intestinal infections caused by some strains of the bacterium Escherichia coli, present in unsanitized or contaminated foods, may have a new ally.

No link between 'hypoallergenic' dogs and lower risk of childhood asthma

November 15, 2018
Growing up with dogs is linked to a lower risk of asthma, especially if the dogs are female, a new study from Karolinska Institutet and Uppsala University in Sweden shows. However, the researchers found no relation between ...

Researchers finds better ways to improve the chances of survival of children with a rare immune deficiency

November 15, 2018
An international study published in the journal Blood by researchers led by Dr. Elie Haddad, a pediatric immunologist and researcher at CHU Sainte-Justine and professor at Université de Montréal, highlights the urgent need ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.