{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:25:48Z","timestamp":1786940748663,"version":"build-2736575974"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"abstract":"ABSTRACT<\/jats:title>\n \n Aims<\/jats:title>\n This review aimed to systematically examine the application of digital patient decision aids in patients with chronic obstructive pulmonary disease, clarify the main decision\u2010making themes and core content of current digital patient decision aids for patients with chronic obstructive pulmonary disease, and summarise the scope and characteristics of reported outcome evidence related to these tools.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Existing research on digital patient decision aids for patients chronic obstructive pulmonary disease was summarised.<\/jats:p>\n <\/jats:sec>\n \n Data Sources<\/jats:title>\n We retrieved the PubMed, Web of Science, Cochrane and Embase databases from their establishment to 31 July 2025.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This scoping review was reported in accordance with the PRISMA Extension for Scoping Reviews reporting guideline. Search terms included decision\u2010making support technology, chronic obstructive pulmonary disease and related topics. The inclusion standard is based on the principle of PCC. The study population is chronic obstructive pulmonary disease patients, the core concept is digital patient decision aids and the environment is family, community or hospital.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of nine studies were included. The results showed that the digital patient decision aids mainly focused on the two major decision\u2010making topics of pulmonary rehabilitation and mechanical ventilation. These measures are mainly implemented through web pages, recordings or clinical decision support systems. In terms of result indicators, most studies choose decision\u2010making conflict as an indicator of decision\u2010making quality. In addition, satisfaction, acceptability, knowledge and other result indicators have also received some attention.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Preliminary evidence indicates that digital patient decision aids show promise for supporting shared decision\u2010making in COPD. Current data suggest a positive trend in decision\u2010making quality, but the evidence base is limited by few included studies and heterogeneous designs. Large, well\u2010designed trials are required to confirm their sustained effects on decision\u2010making outcomes and long\u2010term clinical impact.<\/jats:p>\n <\/jats:sec>\n \n No Patient or Public Contributions<\/jats:title>\n This scoping review did not include any patients or public involvement.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jocn.70505","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:07:27Z","timestamp":1786939647000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Application and Impact of Digital Patient Decision Aids in\n COPD<\/scp>\n : A Scoping Review"],"prefix":"10.1111","author":[{"given":"Shuya","family":"Chen","sequence":"first","affiliation":[{"name":"School of Nursing Shandong First Medical University & Shandong Academy of Medical Sciences Taian China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiacheng","family":"Su","sequence":"additional","affiliation":[{"name":"School of Nursing Shandong First Medical University & Shandong Academy of Medical Sciences Taian China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4701-8406","authenticated-orcid":false,"given":"Musen","family":"Hua","sequence":"additional","affiliation":[{"name":"School of Nursing Shandong First Medical University & Shandong Academy of Medical Sciences Taian China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2089-376X","authenticated-orcid":false,"given":"Jinping","family":"Bai","sequence":"additional","affiliation":[{"name":"School of Nursing Shandong First Medical University & Shandong Academy of Medical Sciences Taian China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8195-6440","authenticated-orcid":false,"given":"Yan","family":"Dong","sequence":"additional","affiliation":[{"name":"Provincial Hospital Affiliated to Shandong First Medical University Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2990-4479","authenticated-orcid":false,"given":"Li","family":"Yang","sequence":"additional","affiliation":[{"name":"School of Nursing Shandong First Medical University & Shandong Academy of Medical Sciences Taian China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,16]]},"reference":[{"issue":"2","key":"e_1_2_14_2_1","doi-asserted-by":"crossref","DOI":"10.2196\/17286","article-title":"Emerging Technologies With Potential Care and Support Applications for Older People: Review of Gray Literature","volume":"3","author":"Abdi S.","year":"2020","journal-title":"JMIR Aging"},{"key":"e_1_2_14_3_1","first-page":"208","article-title":"Patient Decision Aid Systems: An Overview","volume":"249","author":"Agin F.","year":"2018","journal-title":"Studies in Health Technology and Informatics"},{"issue":"12","key":"e_1_2_14_4_1","first-page":"1","article-title":"A Decision Aid for COPD Patients Considering Inhaled Steroid Therapy: Development and Before and After Pilot Testing","volume":"7","author":"Akl E. 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M.","year":"2023","journal-title":"Lancet Respiratory Medicine"},{"issue":"6","key":"e_1_2_14_12_1","doi-asserted-by":"crossref","first-page":"2646","DOI":"10.1016\/j.chest.2020.05.610","article-title":"Tools to Promote Shared Decision Making in Lung Cancer Screening Using Low\u2010Dose Computerized Tomography: A Systematic Review","volume":"158","author":"Fukunaga M. 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A Cross\u2010Sectional Survey","volume":"40","author":"N\u00f8rgaard B.","year":"2022","journal-title":"Scandinavian Journal of Primary Health Care"},{"issue":"5","key":"e_1_2_14_22_1","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1111\/all.13090","article-title":"The Burden of Nonadherence Among Adults With Asthma: A Role for Shared Decision\u2010Making","volume":"72","author":"Pollard S.","year":"2017","journal-title":"Allergy"},{"issue":"2","key":"e_1_2_14_23_1","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1097\/AOG.0000000000003664","article-title":"Patient Decision Aids to Facilitate Shared Decision Making in Obstetrics and Gynecology","volume":"135","author":"Poprzeczny A. 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