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

Authors

Rishi Umeria, Department of Clinical Neurosciences, Division of Neurosurgery, University of Cambridge, Cambridge, United Kingdom.
Oliver Mowforth, Department of Clinical Neurosciences, Division of Neurosurgery, University of Cambridge, Cambridge, United Kingdom.
Ben Grodzinski, Department of Clinical Neurosciences, Division of Neurosurgery, University of Cambridge, Cambridge, United Kingdom.
Zahabiya Karimi, Myelopathy.org, Cambridge, United Kingdom.
Iwan Sadler, Myelopathy.org, Cambridge, United Kingdom.
Helen Wood, Myelopathy.org, Cambridge, United Kingdom.
Irina Sangeorzan, Myelopathy.org, Cambridge, United Kingdom.
Petrea Fagan, School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom.
Rory Murphy, Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona, United States of America.Follow
Angus McNair, Centre for Surgical Research, Bristol Medical School: Population Health Sciences, University of Bristol, Bristol, United Kingdom.
Benjamin Davies, Department of Clinical Neurosciences, Division of Neurosurgery, University of Cambridge, Cambridge, United Kingdom.

Document Type

Article

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.

Medical Subject Headings

Decision Making, Shared; Humans; MEDLINE; Patient-Centered Care; Spinal Cord Diseases (surgery)

Publication Date

1-1-2022

Publication Title

PloS one

E-ISSN

1932-6203

Volume

17

Issue

5

First Page

e0268220

PubMed ID

35588126

Digital Object Identifier (DOI)

10.1371/journal.pone.0268220

Recommended Citation

Umeria, Rishi; Mowforth, Oliver; Grodzinski, Ben; Karimi, Zahabiya; Sadler, Iwan; Wood, Helen; Sangeorzan, Irina; Fagan, Petrea; Murphy, Rory; McNair, Angus; and Davies, Benjamin, "A scoping review of information provided within degenerative cervical myelopathy education resources: Towards enhancing shared decision making" (2022). Neurosurgery. 1772.
https://scholar.barrowneuro.org/neurosurgery/1772