Abstract: Enhancing Shared Decision-Making to Promote Colorectal Cancer Screening: A Comprehensive 10-Year Systematic Review of Measurement Tools

◆ Albert Junior Nyarko, Washington State University

Colorectal cancer (CRC) significantly contributes to cancer-related deaths globally. Despite efforts to reduce the incidence and mortality of the disease through regular screening, there has been limited exploration of how shared decision-making can facilitate enrolment in screening by persons at average risk and racial and ethnic minorities over the past decade. Shared decision-making (SDM) is an interactive process that centers on partnerships between patients and healthcare providers to exchange information, clarify values, and create an equitable agreement for health promotion. The lack of standard terminology has led to inconsistencies in measuring and evaluating SDM practices, hindering the assessment of its impacts on CRC screening decisions.

The objective of the current study is to address the challenges arising from the lack of standard terminology in the decision-making process within the patient-provider relationship and investigate the current state of research on the differences in SDM preferences and how the shared decision-making process is measured in its effort to promote CRC screening. The results from the systematic review will identify reliable measurement tools that can accurately assess the quality and outcomes of SDM processes in the context of CRC screening and explore potential equity considerations such as access to healthcare resources, cultural beliefs, and health literacy levels that may influence the implementation and effectiveness of SDM practices particularly among racial and ethnic minorities in this critical healthcare domain.