Background: Shared decision-making (SDM) is a key element of client-centered cancer care, involving active collaboration among patients, families, and healthcare professionals (HCPs). Understanding the roles and interactions among these stakeholders is essential to support meaningful engagement in treatment decisions. This scoping review aims to explore and synthesize the roles and components within the context of shared decision-making in cancer treatment.
Methods: This scoping review was conducted in accordance with the Arksey and O’Malley framework and the PRISMA-ScR guidelines. A comprehensive literature search was performed across eight electronic databases—Scopus, PubMed, ProQuest, EBSCO, Cochrane Library, ScienceDirect, MEDLINE, and Garuda—as well as Google Scholar as supplementary search engine. The search included studies published between 2015 and 2024 in English and Indonesian language. Key terms related to decision-making and cancer treatment guided the search strategy. The screening process was carried out using the Rayyan QCRI software to enable independent and blinded review by multiple researchers, and references were managed using Mendeley Reference Manager. Data extraction focused on synthesizing key themes related to patient participation, family involvement, and the roles of HCPs in SDM within clinical settings.
Results: A total of 52,014 articles were retrieved, with 18 studies meeting the inclusion criteria. The included studies consisted of 6 quantitative, 11 qualitative, and 1 mixed-methods designs. Thematic analysis revealed the emergence of three main themes: (1) Patient Participation (n = 18, 100%); (2) Family Involvement (n = 14, 78%); and (3) The role of HCPs (n = 16, 89%).
Conclusion: This review emphasizes the importance of collaborative treatment decision-making for cancer patients, involving active roles from patients, families, and HCPs. Effective communication among these parties is essential for patient-centered care, supporting informed, value-aligned treatment choices and optimizing patient outcomes.
Type of Study:
Review Article |
Subject:
General Received: 2024/12/5 | Accepted: 2025/07/1