Empowering patients: qualitative insights into decisional needs in shared decision-making for post-operative rehabilitation after distal radius fracture

Post-surgical rehabilitation may benefit patients after distal radius fractures, yet evidence guiding referral to supervised versus home-based rehabilitation remains unclear. Shared decision-making may facilitate a patient-centered decision about the most appropriate rehabilitation option. This study explores patients’ decisional needs before shared decision-making regarding post-operative rehabilitation options following distal radius fracture surgery. A qualitative study using focus group interviews informed by observations of consultations. Focus group interviews with patients (n = 17) and clinicians (n = 15) were analyzed deductively using the Ottawa Decision Support Framework, followed by an inductive analysis. Personal and clinical needs were linked to the International Classification of Functioning, Health, and Disability domains. Observations indicated that decisions about the most appropriate rehabilitation option were mainly made by clinicians based on clinical assessments. In focus group interviews, a wish was expressed for decision-making to be shared, emphasizing that adequate patient information was a prerequisite. Decisional needs were related to decision timing, the possibility of expressing preferences, and rehabilitation options. Participants emphasized empowering patients in identifying their individual rehabilitation needs and becoming aware of their own preferences. Multiple factors were considered essential for making a patient-centered decision about the most appropriate rehabilitation option. Both patients and clinicians were in favor of shared decision-making regarding rehabilitation options, but patients need information to empower their involvement in the decision-making process. Information—including decision timing, patients’ rights to express preferences and values, and post-surgical rehabilitation options—may support patients’ readiness to participate in shared decision-making.Empowering patients to identify their individual rehabilitation needs, express their personal preferences, and assess whether their rehabilitation progress aligns with expected trajectories is essential for their active participation in shared decision-making.Active listening, patient-centered communication—including consideration of multiple factors related to patients’ capacity to manage everyday life—and shared decision-making may enhance patient engagement, motivate adherence to rehabilitation, and potentially improve health outcomes.Providing patient information materials prior to decision-making may facilitate patient involvement in shared decision-making, and foster partnership with clinicians in making individualized and person-centered rehabilitation decisions. Information—including decision timing, patients’ rights to express preferences and values, and post-surgical rehabilitation options—may support patients’ readiness to participate in shared decision-making. Empowering patients to identify their individual rehabilitation needs, express their personal preferences, and assess whether their rehabilitation progress aligns with expected trajectories is essential for their active participation in shared decision-making. Active listening, patient-centered communication—including consideration of multiple factors related to patients’ capacity to manage everyday life—and shared decision-making may enhance patient engagement, motivate adherence to rehabilitation, and potentially improve health outcomes. Providing patient information materials prior to decision-making may facilitate patient involvement in shared decision-making, and foster partnership with clinicians in making individualized and person-centered rehabilitation decisions.

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.