Shared decision-making, anxiety, and post-traumatic growth among parents in the context of their child's medical care: The moderating role of parental style.

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2024-12-19 DOI:10.1016/j.pec.2024.108620

Ofir Negri-Schwartz, Tal Shilton, Mariela Mosheva, Doron Gothelf, Ilanit Hasson-Ohayon

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Abstract

Aim: The importance of parents' involvement in their child's medical care has been extensively discussed in the literature, and studies have indicated the need to expand the active role of parents in decision-making processes regarding such care. However, parents' actual wish to be active and informed in this context remains underexplored. The aim of the current study was to explore this gap by investigating the association between parents' shared decision-making (SDM) experience and their well-being during the course of their child's medical care, with a focus on parents' clinical decision-making style as a possible moderator.

Method: A total of 150 parents of children under the age of 18, who utilized various medical care services, participated in the study.

Results: Shared decision-making was found to be associated with parents' anxiety levels during their child's medical treatment, as well as with their post-traumatic growth (PTG). A moderating effect of clinical decision-making style was also found; namely, the relations between SDM, anxiety during the child's treatment, and PTG were different among parents with a passive style than among parents with a shared-active style.

Conclusions: The findings emphasize the personalized nature of SDM, suggesting that its benefits are associated with parental preferences and attitudes. Healthcare professionals should assess parents' actual desire to be involved in SDM in order to tailor services effectively.

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共同决策，焦虑和创伤后成长的父母在他们的孩子的医疗护理背景：父母风格的调节作用。

目的：父母参与孩子医疗护理的重要性在文献中得到了广泛的讨论，研究表明有必要扩大父母在此类护理决策过程中的积极作用。然而，父母在这方面积极主动和知情的实际愿望仍未得到充分探讨。本研究的目的是通过调查在孩子医疗过程中父母共同决策（SDM）经验与他们的幸福感之间的关系来探索这一差距，重点关注父母的临床决策风格作为可能的调节因素。方法：共有150名18岁以下儿童的父母参与了研究，他们使用了各种医疗服务。结果：发现共同决策与父母在孩子治疗期间的焦虑水平以及他们的创伤后成长（PTG）有关。临床决策风格也有调节作用；即被动型父母与共同主动型父母的SDM、治疗期间焦虑、PTG之间的关系存在差异。结论：研究结果强调了SDM的个性化本质，表明其益处与父母的偏好和态度有关。医疗保健专业人员应该评估家长参与SDM的实际愿望，以便有效地定制服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.