Numerous studies have shown that additional behavioral and cognitive factors including decision-making, confidence and perceived risk [20 22] also change along with readiness.
None of the included reviews examined effects on the following outcomes reported in the included reviews: decision-making confidence, quality of life, mood, health and sense of competence.
One of the studies showed the system reduced social isolation after controlling for depression as well as improved decision-making confidence [ 29].
Further, limited evidence was also found for some interventions targeting information on improving decision-making confidence, stress and sense of competence [ 13, 18].
The remaining studies provided evidence of benefit in a variety of areas: An RCT of a home computer link for caregivers of patients with Alzheimer's Disease found improved decision-making confidence [ 31].
Not much research was found on the informal caregiver outcomes self-efficacy, decision-making confidence, anxiety, stress or distress, RMBPC, quality of life, social outcomes, mood, health and sense of competence.
Limited evidence was found for the effectiveness of interventions targeting techniques to cope with memory change on coping skills and mood, and for interventions targeting information on the outcomes sense of competence and decision-making confidence of informal caregivers.
Abbreviations: EBDM evidence-based decision making, CI confidence interval.
(3) Procedural fairness and transparent decision making, to build confidence in reform; use of independent experts and visual tools to improve the quality of discussion and increase the acceptability of trade-offs.
Point-of-care echocardiography is a goal-directed bedside ultrasound that can aid clinical decision making, enhance diagnostic confidence, and facilitate judicious consultation in the hemodynamically unstable or critically ill or injured child in the emergency department.
