New statement urges engaging patients in their care, collaborating on treatment decisions

A new scientific statement from the American Heart Association reviews strategies to improve shared decision-making in cardiovascular care

2023-08-14

(Press-News.org) DALLAS, Aug. 14, 2023 - A new American Heart Association scientific statement highlights evidence that supports shared decision-making, a term that describes the process of ensuring patients have the knowledge and tools to make decisions about their health in collaboration with their professional health care team. The statement publishes today in the American Heart Association’s flagship, peer-reviewed journal Circulation.

More than 100 trials have demonstrated that shared decision-making improves patient’s understanding, acceptance and satisfaction with their health care, yet adequate levels of shared decision-making occur in as few as 10% of face-to-face consultations across a variety of health care specialties.

The statement details the key components of shared decision-making:

clearly communicated, unbiased evidence about risks, benefits and reasonable alternatives to treatment; clinical expertise provided in a way that is relevant to the patient; and inclusion of the patient’s values, goals and preferences in the decision process. The statement presents models of shared decision-making and ways to measure it in research, in addition to strategies to promote its use. Potential solutions to increase shared decision-making in cardiovascular care include reimbursement for consultations, team-based care, integrating decision aids in electronic records, and training clinicians on communication skills that support shared decision-making more effectively and are sensitive to the cultural, racial, ethnic and language considerations for each patient.

This statement was prepared by the writing group committee on behalf of the American Heart Association’s Council on Cardiovascular and Stroke Nursing; the Council on Clinical Cardiology; the Council on Quality of Care and Outcomes Research; the Council on Hypertension; the Council on the Kidney in Cardiovascular Disease; the Council on Lifelong Congenital Heart Disease and Heart Health in the Young (Young Hearts); the Council on Lifestyle and Cardiometabolic Health; the Council on Peripheral Vascular Disease; the Council on Epidemiology and Prevention; and the Stroke Council. American Heart Association scientific statements promote greater awareness about cardiovascular diseases and help facilitate informed health care decisions. Scientific statements outline what is currently known about a topic and what areas need additional research. While scientific statements inform the development of guidelines, they do not make treatment recommendations.

Statement writing group members and their disclosures are listed in the manuscript.

The Association receives funding primarily from individuals. Foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific Association programs and events. The Association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and biotech companies, device manufacturers and health insurance providers, and the Association’s overall financial information are available here.

Additional Resources:

Available multimedia is on the right column of the news release link https://newsroom.heart.org/news/new-statement-urges-engaging-patients-in-their-care-collaborating-on-treatment-decisions?preview=c08e0deb803c572d736eccfc0c10dd4d After Aug. 14, view the manuscript online. AHA news release: Hypertrophic Cardiomyopathy Guideline Encourages Shared Decision-Making (Nov. 2020) AHA news release: Limited health literacy is a major barrier to heart disease prevention and treatment (June 2018) Follow news from the AHA’s flagship journal Circulation @CircAHA Follow AHA/ASA news on Twitter @HeartNews About the American Heart Association

The American Heart Association is a relentless force for a world of longer, healthier lives. We are dedicated to ensuring equitable health in all communities. Through collaboration with numerous organizations, and powered by millions of volunteers, we fund innovative research, advocate for the public’s health and share lifesaving resources. The Dallas-based organization has been a leading source of health information for nearly a century. Connect with us on heart.org, Facebook, Twitter or by calling 1-800-AHA-USA1.

###

END

ELSE PRESS RELEASES FROM THIS DATE:

Making plant-based meat alternatives more palatable

2023-08-14

New colloidal technique could give a juicy sensation without adding fat Switch to plant-based diets needed to hit climate change targets One of the biggest obstacles to the uptake of plant-based alternatives to meat is their very dry and astringent feel when they are eaten. Scientists, led by Professor Anwesha Sarkar at the University of Leeds, are revolutionising the sensation of plant proteins, transforming them from a substance that can be experienced as gloopy and dry to one that is juicy and fat like. And the only substance they are adding to the plant proteins is water. Plant protein microgels To ...

3D-printed vegan seafood could someday be what’s for dinner (video)

2023-08-13

SAN FRANCISCO, Aug. 13, 2023 — In the refrigerated grocery store aisle, meat alternatives greatly outnumber plant-based seafoods. But more mock seafood options are needed because of unsustainable fishing and aquaculture practices, which can deplete the supply and harm the environment. Today, researchers present a new approach for creating desirable vegan seafood mimics that taste good, while maintaining the healthful profile of real fish. They 3D-printed an ink made from microalgae protein and mung bean protein, and their proof-of-concept calamari rings can even be air-fried for a quick, tasty snack. The researchers will present their results at the fall meeting of the American ...

ORNL buildings researchers earn top ASHRAE honors

2023-08-12

Kashif Nawaz and Mahabir Bhandari, building technologies researchers at the Department of Energy’s Oak Ridge National Laboratory, were recognized for research achievements in support of ASHRAE during the 2023 annual conference of the national heating, refrigerating, and air-conditioning engineering society. Nawaz, a distinguished researcher and head of ORNL’s Buildings Technologies Research Section, received the Crosby Field Award, which honors the highest-rated paper presented before a technical session, a symposium or poster session ...

Raising awareness of Long Covid ‘blue legs’ symptom

2023-08-12

An unusual case of a Long Covid patient’s legs turning blue after 10 minutes of standing highlights the need for greater awareness of this symptom among people with the condition, according to new research published in the Lancet. The paper, authored by Dr Manoj Sivan at the University of Leeds, focuses on the case of one 33-year man who developed with acrocyanosis – venous pooling of blood in the legs. A minute after standing, the patient’s legs began to redden and became increasingly blue over time, with veins becoming more prominent. After 10 minutes the colour was much more pronounced, with the patient ...

For labrum tears, regrowth rather than repair

2023-08-12

Tears to the glenoid labrum—cartilage tissue that lines the shoulder where the arm joins—can be repaired with arthroscopic surgery, which significantly weakens the joint and involves a lengthy recovery. Liping Tang, a bioengineering professor at The University of Texas at Arlington, is developing a new method to repair labrum tears that would enable the body to regenerate tissue to completely reattach the sides of the tear. He recently received a five-year, $2.1 million grant from the National Institutes of Health’s National Institute of Arthritis and Musculoskeletal and Skin Diseases for the research, which would improve the current standard of care ...

Call for papers: Special theme issue: Artificial intelligence (AI) and ChatGPT in Asian and Pacific Islander (API) health

2023-08-11

Asian/Pacific Island Nursing Journal (APINJ) Editor-in-Chief: Hyochol (Brian) Ahn, PhD, MSN, MS-ECE, MS-CTS, APRN, ANP-BC, FAAN and guest editor Shu-Fen Wung, Ph.D., RN, ACNP-BC, FAAN welcome submissions to a special theme issue examining "Artificial Intelligence (AI) and ChatGPT in Asian and Pacific Islander (API) Health." Generative AI, like ChatGPT, can have many applications in health care and medicine, particularly in addressing the unique needs and challenges faced by API communities. Potential topics related to the use of generative AI in health care and nursing care specific to API health that we ...

SLU ethicists, leading scholars publish guidance for parents, physicians making medical decisions for children

2023-08-11

ST. LOUIS – How should others make decisions for pediatric patients? For decades, there has been debate in academic literature about the ethical principles that govern medical decision-making for children. In response to this, a group of leading scholars in pediatric ethics participated in a June 2022 symposium, “Best Interests and Beyond: Standards of Decision Making in Pediatrics,” at Saint Louis University. Over the course of three days, the 17 scholars debated one question – in the context of U.S. pediatric care, what moral precepts ought to guide parents and clinicians in medical decision-making for children? A group of ...

Hundred-year storms? That's how long they last on Saturn.

2023-08-11

The largest storm in the solar system, a 10,000-mile-wide anticyclone called the Great Red Spot, has decorated Jupiter's surface for hundreds of years. A new study now shows that Saturn — though much blander and less colorful than Jupiter — also has long-lasting megastorms with impacts deep in the atmosphere that persist for centuries. The study was conducted by astronomers from the University of California, Berkeley, and the University of Michigan, Ann Arbor, who looked at radio emissions from the planet, which come from below the surface, and found long-term disruptions in the distribution ...

New concussion headset shows when it's safe to return to play

2023-08-11

A new digital headset designed to measure alterations in brain function could change decisions about how quickly an athlete is ready to return to play after a concussion. In an evaluation of the device, UC San Francisco researchers found it revealed brain changes even in athletes whose concussion symptoms had gone away, suggesting they could be playing too soon. Although not yet approved by the Food and Drug Administration (FDA), the device could fill an important niche among athletes, clinicians, trainers and coaches, who are concerned about the long-term effects of repeated sports-related concussions. These include chronic traumatic encephalopathy, ...

CORRECTION: Outdoor air pollution may increase non-lung cancer risk in older adults

2023-08-11

*This press release was amended on August 9, 2023. Due to a mistake in interpretation of data, the previous version of the release stated the study found that NO2 exposure is associated with a decreased risk of breast cancer. The authors have confirmed that the results showed that NO2 exposure is associated with an increased risk of breast cancer. Key points: A cohort study of millions of Medicare beneficiaries found that chronic exposures to PM2.5 and NO2 over a 10-year period increased the risk of developing colorectal and prostate cancers. Even in areas with low pollution levels, researchers found substantial associations between exposures to ...

New statement urges engaging patients in their care, collaborating on treatment decisions

ELSE PRESS RELEASES FROM THIS DATE:

LAST 30 PRESS RELEASES: