Pregledni rad
https://doi.org/10.65241/wh.8.2.8
An integrated conceptual framework for decision regret among patients with non-communicable diseases: toward patient-centered decision support Informed by bibliometric analysis
Rosario Caruso
; Department of Biomedical Sciences for Health, University of Milan, 20122 Milan, Italy
Cristina Arrigoni
; Department of Public Health, Experimental and Forensic Medicine, Section of Hygiene, University of Pavia, 27100 Pavia, Italy
Alice Silvia Brera
; First Department of Internal Medicine, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy
*
* Dopisni autor.
Sažetak
Background: Decision regret is a critical patientcentered
outcome, particularly relevant for individuals
with non-communicable diseases who face multiple
therapeutic options with equivalent benefits. This
study aimed to develop an integrated conceptual
framework to clarify the determinants and pathways
leading to decision regret and support patient-centered
decision-making.
Methods: This study developed an integrated
conceptual framework by combining a recent scoping
review with bibliometric and lexicometric analyses.
Titles, abstracts, and keywords from 28 full-text studies
included in the scoping review were extracted and
compiled into a RIS file. A preliminary lexicometric
analysis quantified lexical diversity, while a keyword
co-occurrence analysis was performed using VOSviewer
to identify major thematic clusters. The findings were
then integrated with a thematic synthesis to develop
a comprehensive conceptual framework.
Results: The lexicometric analysis revealed a high
degree of lexical diversity, as indicated by the Type-
Token Ratio (0.7158) and Hapax Token Ratio (0.5736),
suggesting thematic richness within the source
data. Bibliometric mapping identified seven distinct
conceptual clusters: psychological and emotional
determinants, decision processes and patient
involvement strategies, patient-reported outcomes
and quality of life, attitudinal and motivational
drivers, family-centered and developmental contexts,
demographic characteristics, and analytical and
context-specific factors. These clusters, synthesized with
thematic findings, informed a structured conceptual
framework that illustrates the relationships among
predictors, mediators, and outcomes, all of which are
modulated by an overarching cultural sphere.
Conclusions: The resulting framework offers a
comprehensive and actionable model for understanding
and potentially predicting decision regret among
patients with non-communicable diseases. By
integrating psychological, demographic, clinical, and
contextual factors, it lays the foundation for developing
tailored decision support interventions aimed at
reducing regret and enhancing patient-centered
care. Future empirical validation and application of
this framework can inform personalized strategies
to strengthen shared decision-making and improve
patient outcomes.
Ključne riječi
Treatment-related distress; chronic conditions; supportive strategies; bibliometric analysis; shared decision-making; patient-centered care.
Hrčak ID:
343013
URI
Datum izdavanja:
24.12.2025.
Posjeta: 354 *