A scoping review of information provided within degenerative cervical myelopathy education resources: Towards enhancing shared decision making

Rishi Umeria; Oliver Mowforth; Ben Grodzinski; Zahabiya Karimi; Iwan Sadler; Helen Wood; Irina Sangeorzan; Petrea Fagan; Rory Murphy; Angus McNair; Benjamin Davies

doi:10.1371/journal.pone.0268220

A scoping review of information provided within degenerative cervical myelopathy education resources: Towards enhancing shared decision making

Rishi Umeria, Oliver Mowforth, Ben Grodzinski, Zahabiya Karimi, Iwan Sadler, Helen Wood, Irina Sangeorzan, Petrea Fagan, Rory Murphy, Angus McNair, Benjamin Davies^*

^*Corresponding author for this work

Bristol Medical School (PHS)

Research output: Contribution to journal › Review article (Academic Journal) › peer-review

7 Citations (Scopus)

60 Downloads (Pure)

Abstract

BACKGROUND: Degenerative cervical myelopathy (DCM) is a chronic neurological condition estimated to affect 1 in 50 adults. Due to its diverse impact, trajectory and management options, patient-centred care and shared decision making are essential. In this scoping review, we aim to explore whether information needs in DCM are currently being met in available DCM educational resources. This forms part of a larger Myelopathy.org project to promote shared decision making in DCM.

METHODS: A search was completed encompassing MEDLINE, Embase and grey literature. Resources relevant to DCM were compiled for analysis. Resources were grouped into 5 information types: scientific literature, videos, organisations, health education websites and patient information leaflets. Resources were then further arranged into a hierarchical framework of domains and subdomains, formed through inductive analysis. Frequency statistics were employed to capture relative popularity as a surrogate marker of potential significance.

RESULTS: Of 2674 resources, 150 information resources addressing DCM were identified: 115 scientific literature resources, 28 videos, 5 resources from health organisations and 2 resources from health education websites. Surgical management was the domain with the largest number of resources (66.7%, 100/150). The domain with the second largest number of resources was clinical presentation and natural history (28.7%, 43/150). Most resources (83.3%, 125/150) were designed for professionals. A minority (11.3% 17/150) were written for a lay audience or for a combined audience (3.3%, 5/150).

CONCLUSION: Educational resources for DCM are largely directed at professionals and focus on surgical management. This is at odds with the needs of stakeholders in a lifelong condition that is often managed without surgery, highlighting an unmet educational need.

Original language	English
Article number	e0268220
Number of pages	18
Journal	PLoS ONE
Volume	17
Issue number	5
DOIs	https://doi.org/10.1371/journal.pone.0268220
Publication status	Published - 19 May 2022

Bibliographical note

Funding Information:
The author(s) received no specific funding for this work. BMD is supported by a NIHR Clinical Doctoral Research Fellowship. ODM is supported by an Academic Clinical Fellowship. The views expressed in this publication are those of the authors and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health and Social Care.

Publisher Copyright:
Copyright: © 2022 Umeria et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Keywords

Decision Making, Shared
Humans
MEDLINE
Patient-Centered Care
Spinal Cord Diseases/surgery

Access to Document

10.1371/journal.pone.0268220

Full-text PDF (final published version)
This is the final published version of the article (version of record). It first appeared online via Public Library of Science at https://doi.org/10.1371/journal.pone.0268220 . Please refer to any applicable terms of use of the publisher.
Final published version, 853 KBLicence: CC BY

Handle.net

Persistent link

Cite this

Umeria, R., Mowforth, O., Grodzinski, B., Karimi, Z., Sadler, I., Wood, H., Sangeorzan, I., Fagan, P., Murphy, R., McNair, A., & Davies, B. (2022). A scoping review of information provided within degenerative cervical myelopathy education resources: Towards enhancing shared decision making. PLoS ONE, 17(5), Article e0268220. https://doi.org/10.1371/journal.pone.0268220

@article{0490c5cc640d42a3b18861778e173c4b,

title = "A scoping review of information provided within degenerative cervical myelopathy education resources: Towards enhancing shared decision making",

abstract = "BACKGROUND: Degenerative cervical myelopathy (DCM) is a chronic neurological condition estimated to affect 1 in 50 adults. Due to its diverse impact, trajectory and management options, patient-centred care and shared decision making are essential. In this scoping review, we aim to explore whether information needs in DCM are currently being met in available DCM educational resources. This forms part of a larger Myelopathy.org project to promote shared decision making in DCM.METHODS: A search was completed encompassing MEDLINE, Embase and grey literature. Resources relevant to DCM were compiled for analysis. Resources were grouped into 5 information types: scientific literature, videos, organisations, health education websites and patient information leaflets. Resources were then further arranged into a hierarchical framework of domains and subdomains, formed through inductive analysis. Frequency statistics were employed to capture relative popularity as a surrogate marker of potential significance.RESULTS: Of 2674 resources, 150 information resources addressing DCM were identified: 115 scientific literature resources, 28 videos, 5 resources from health organisations and 2 resources from health education websites. Surgical management was the domain with the largest number of resources (66.7%, 100/150). The domain with the second largest number of resources was clinical presentation and natural history (28.7%, 43/150). Most resources (83.3%, 125/150) were designed for professionals. A minority (11.3% 17/150) were written for a lay audience or for a combined audience (3.3%, 5/150).CONCLUSION: Educational resources for DCM are largely directed at professionals and focus on surgical management. This is at odds with the needs of stakeholders in a lifelong condition that is often managed without surgery, highlighting an unmet educational need.",

keywords = "Decision Making, Shared, Humans, MEDLINE, Patient-Centered Care, Spinal Cord Diseases/surgery",

author = "Rishi Umeria and Oliver Mowforth and Ben Grodzinski and Zahabiya Karimi and Iwan Sadler and Helen Wood and Irina Sangeorzan and Petrea Fagan and Rory Murphy and Angus McNair and Benjamin Davies",

note = "Funding Information: The author(s) received no specific funding for this work. BMD is supported by a NIHR Clinical Doctoral Research Fellowship. ODM is supported by an Academic Clinical Fellowship. The views expressed in this publication are those of the authors and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health and Social Care. Publisher Copyright: Copyright: {\textcopyright} 2022 Umeria et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.",

year = "2022",

month = may,

day = "19",

doi = "10.1371/journal.pone.0268220",

language = "English",

volume = "17",

journal = "PLoS ONE",

issn = "1932-6203",

publisher = "Public Library of Science",

number = "5",

}

TY - JOUR

T1 - A scoping review of information provided within degenerative cervical myelopathy education resources

T2 - Towards enhancing shared decision making

AU - Umeria, Rishi

AU - Mowforth, Oliver

AU - Grodzinski, Ben

AU - Karimi, Zahabiya

AU - Sadler, Iwan

AU - Wood, Helen

AU - Sangeorzan, Irina

AU - Fagan, Petrea

AU - Murphy, Rory

AU - McNair, Angus

AU - Davies, Benjamin

N1 - Funding Information: The author(s) received no specific funding for this work. BMD is supported by a NIHR Clinical Doctoral Research Fellowship. ODM is supported by an Academic Clinical Fellowship. The views expressed in this publication are those of the authors and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health and Social Care. Publisher Copyright: Copyright: © 2022 Umeria et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

PY - 2022/5/19

Y1 - 2022/5/19

N2 - BACKGROUND: Degenerative cervical myelopathy (DCM) is a chronic neurological condition estimated to affect 1 in 50 adults. Due to its diverse impact, trajectory and management options, patient-centred care and shared decision making are essential. In this scoping review, we aim to explore whether information needs in DCM are currently being met in available DCM educational resources. This forms part of a larger Myelopathy.org project to promote shared decision making in DCM.METHODS: A search was completed encompassing MEDLINE, Embase and grey literature. Resources relevant to DCM were compiled for analysis. Resources were grouped into 5 information types: scientific literature, videos, organisations, health education websites and patient information leaflets. Resources were then further arranged into a hierarchical framework of domains and subdomains, formed through inductive analysis. Frequency statistics were employed to capture relative popularity as a surrogate marker of potential significance.RESULTS: Of 2674 resources, 150 information resources addressing DCM were identified: 115 scientific literature resources, 28 videos, 5 resources from health organisations and 2 resources from health education websites. Surgical management was the domain with the largest number of resources (66.7%, 100/150). The domain with the second largest number of resources was clinical presentation and natural history (28.7%, 43/150). Most resources (83.3%, 125/150) were designed for professionals. A minority (11.3% 17/150) were written for a lay audience or for a combined audience (3.3%, 5/150).CONCLUSION: Educational resources for DCM are largely directed at professionals and focus on surgical management. This is at odds with the needs of stakeholders in a lifelong condition that is often managed without surgery, highlighting an unmet educational need.

AB - BACKGROUND: Degenerative cervical myelopathy (DCM) is a chronic neurological condition estimated to affect 1 in 50 adults. Due to its diverse impact, trajectory and management options, patient-centred care and shared decision making are essential. In this scoping review, we aim to explore whether information needs in DCM are currently being met in available DCM educational resources. This forms part of a larger Myelopathy.org project to promote shared decision making in DCM.METHODS: A search was completed encompassing MEDLINE, Embase and grey literature. Resources relevant to DCM were compiled for analysis. Resources were grouped into 5 information types: scientific literature, videos, organisations, health education websites and patient information leaflets. Resources were then further arranged into a hierarchical framework of domains and subdomains, formed through inductive analysis. Frequency statistics were employed to capture relative popularity as a surrogate marker of potential significance.RESULTS: Of 2674 resources, 150 information resources addressing DCM were identified: 115 scientific literature resources, 28 videos, 5 resources from health organisations and 2 resources from health education websites. Surgical management was the domain with the largest number of resources (66.7%, 100/150). The domain with the second largest number of resources was clinical presentation and natural history (28.7%, 43/150). Most resources (83.3%, 125/150) were designed for professionals. A minority (11.3% 17/150) were written for a lay audience or for a combined audience (3.3%, 5/150).CONCLUSION: Educational resources for DCM are largely directed at professionals and focus on surgical management. This is at odds with the needs of stakeholders in a lifelong condition that is often managed without surgery, highlighting an unmet educational need.

KW - Decision Making, Shared

KW - Humans

KW - MEDLINE

KW - Patient-Centered Care

KW - Spinal Cord Diseases/surgery

U2 - 10.1371/journal.pone.0268220

DO - 10.1371/journal.pone.0268220

M3 - Review article (Academic Journal)

C2 - 35588126

SN - 1932-6203

VL - 17

JO - PLoS ONE

JF - PLoS ONE

IS - 5

M1 - e0268220

ER -

A scoping review of information provided within degenerative cervical myelopathy education resources: Towards enhancing shared decision making

Abstract

Bibliographical note

Keywords

Access to Document

Handle.net

Fingerprint

Cite this