TY - JOUR
T1 - Factors influencing Autonomy Supportive Consultation: A Realist Review.
AU - Kors, JM
AU - Paternotte, E
AU - Martin, L.
AU - Verhoeven, CJM
AU - Schoonmade, Linda
AU - Peerdeman, SM
AU - Kusurkar, RA
PY - 2020/10
Y1 - 2020/10
N2 - Objective: Gaining insight into contextual factors and mechanisms supporting or hindering autonomy supportive consultation and into outcomes of such consultations. Methods: We conducted a systematic review using the realist synthesis procedure according to RAMESES guideline. A search was performed in PubMed, Embase, PsycINFO and Cinahl from inception to March 2019 using the search terms: ‘autonomy’ AND ‘support’ AND ‘consultation’ OR ‘communication’ AND ‘intervention’. The review process including paper selection, quality assessment, full text reading for data-extraction was conducted by two researchers independently. Results: Of 2792 articles, 18 met our inclusion criteria. Contextual factors influencing an autonomy supportive consultation were: work organization and the attitude of professionals. An overarching supporting mechanism for AS was relationship building. In addition, each phase of the decision-making process seems to need supporting mechanisms fulfilling patients ‘specific psychological needs in that phase. The outcome of AS is higher levels of patient well-being. Conclusion: Autonomy supportive consultation works under various contexts coupled with mechanisms that give rise to favourable-outcomes, of which relationship building, taking time and exploring patients’ needs seem the most important. Practice implications: The results of our review facilitate professionals to reflect on their autonomy supportive consultation skills, which could improve their autonomy supportive behaviour.
AB - Objective: Gaining insight into contextual factors and mechanisms supporting or hindering autonomy supportive consultation and into outcomes of such consultations. Methods: We conducted a systematic review using the realist synthesis procedure according to RAMESES guideline. A search was performed in PubMed, Embase, PsycINFO and Cinahl from inception to March 2019 using the search terms: ‘autonomy’ AND ‘support’ AND ‘consultation’ OR ‘communication’ AND ‘intervention’. The review process including paper selection, quality assessment, full text reading for data-extraction was conducted by two researchers independently. Results: Of 2792 articles, 18 met our inclusion criteria. Contextual factors influencing an autonomy supportive consultation were: work organization and the attitude of professionals. An overarching supporting mechanism for AS was relationship building. In addition, each phase of the decision-making process seems to need supporting mechanisms fulfilling patients ‘specific psychological needs in that phase. The outcome of AS is higher levels of patient well-being. Conclusion: Autonomy supportive consultation works under various contexts coupled with mechanisms that give rise to favourable-outcomes, of which relationship building, taking time and exploring patients’ needs seem the most important. Practice implications: The results of our review facilitate professionals to reflect on their autonomy supportive consultation skills, which could improve their autonomy supportive behaviour.
KW - Autonomy support
KW - Healthcare communication
KW - Patient consultation
KW - Self-determination theory
UR - http://www.scopus.com/inward/record.url?scp=85085328534&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.pec.2020.04.019
DO - https://doi.org/10.1016/j.pec.2020.04.019
M3 - Review article
C2 - 32471798
SN - 0738-3991
VL - 103
SP - 2069
EP - 2077
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 10
ER -