Understanding healthcare communication in age-related macular degeneration care: A mixed-methods review of patients’ perspectives

Mariska Scheffer, Juliane Menting, Hennie Boeije, Ruth van Nispen, Sandra van Dulmen

Research output: Contribution to JournalReview articleAcademicpeer-review

Abstract

Age-related macular degeneration (AMD) is the most common cause of irreversible visual impairment among people aged 50 years and older. Earlier research has indicated that the communication process between patients and healthcare professionals (HCPs) leaves considerable room for improvement in AMD care. Effective communication is essential to enhance trust in the professional and understanding of the diagnosis and treatment, and decrease anxiety and stress related to illness. We review patients’ experiences, needs and preferences regarding information provision, communication style of the HCP and shared decision-making. We conducted a systematic search in PubMed, Embase, PsycINFO, CINAHL and Web of Science. Study quality was assessed using standard checklists of quality measures. Our search returned 31 eligible articles. Findings indicated current deficits in information provision for people with AMD. Patients were often ill-informed regarding the chronic character of the condition, treatment duration, nutrition, and visual aids and low vision rehabilitation. Many patients were not actively involved during the decision-making process. Altogether, patients with AMD are faced with challenges in terms of patient-HCP communication. Methods of providing information and discussing possible options for care need to be further investigated and improved for this patient group.
Original languageEnglish
Pages (from-to)646-660
JournalSurvey of ophthalmology
Volume69
Issue number4
DOIs
Publication statusPublished - 1 Jul 2024
Externally publishedYes

Funding

The authors would like to thank Linda Schoonmade, medical information specialist at Amsterdam University Medical Centers, location VU Medical Center, for her assistance with the literature search. We also thank Mara van Weele, researcher at the Netherlands Institute for Health Services Research, for her help with the screening process. This research was supported by The Netherlands Organisation for Health Research and Development (ZonMw, grant number 9431.4001). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. RN was chair of Vision 2020 in The Netherlands. The institution of RN receives a fee for advisory work from Janssen, Cilag N.V. We performed a search in the PubMed, Embase, PsycINFO, CINAHL and Web of Science database. The search syntaxes were developed in consultation with a medical information specialist. The main search terms included Eye diseases, Patient experiences, Communication, Information provision and Decision making. Full search string can be found in Appendix I. We included studies if they: (1) focused on adult participants diagnosed with dry and/or wet AMD; (2) addressed information provision, communication and/or shared decision-making; (3) reported from the perspective of the patient; (4) were written in English; and (5) were published from 2005 onwards. The literature search was performed on March 25, 2022. This research was supported by The Netherlands Organisation for Health Research and Development (ZonMw, grant number 9431.4001). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. RN was chair of Vision 2020 in The Netherlands. The institution of RN receives a fee for advisory work from Janssen, Cilag N.V.

FundersFunder number
Linda Schoonmade
Janssen Pharmaceutica
ZonMw9431.4001
ZonMw

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