Table 2.

African-American LGBT Shared Decision Making – Included Studies in Systematic Review

Reference	Study Objectives	Study Design	Population Characteristics	Results Summary	Shared Decision Making Element
Sevelius et al.32	Examine rates of self-reported antiretroviral adherence among transgender women and correlates of non-adherence, including patient perceptions of interactions with their providers.	Cross-sectional with comparison group. Interviews conducted.	HIV infected transgender women in San Francisco, Los Angeles, New York City and Milwaukee. Study group: 35 transgender women. 62.9 % were African-American. Comparison group: 2770 HIV-infected respondents on antiretrovirals. 47.9 % were African-American.	Transgender women were less likely to report adherence compared to non-transgender respondents. Transgender women reported fewer positive provider interactions compared to other HIV-infected individuals.	Addresses how often the respondent left a visit with the belief that she and her provider had agreed upon a treatment plan.
Wheeler66	Describe how patients and providers working together can improve HIV outcomes, including HIV prevention.	Semi-structured focus groups and individual interviews.	50 African-American MSM in New York City. 70 % gay identified. 30 % identified as non-gay, heterosexual or bisexual. 92 % HIV infected.	Patients voiced deriving support from providers who were firm in their recommendations. Provider interactions were particularly meaningful when they offered one of the only opportunities for patients to discuss their medical problems.	Addresses how the quality of patient-provider interactions influences the decisions made in HIV management and prevention.
Malebranche et al.15	Explore the healthcare experiences, including barriers to care, communication with providers, and treatment adherence of African-American MSM. Examined the perceived influence of race and sexuality on healthcare experiences.	Qualitative study. Focus groups. Interviews consisted of open-ended questions.	81 participants, all of African descent and MSM in New York State and Atlanta. 53 % identified as gay.	Quality of communication in the patient-provider relationship affected the medical experience significantly. Black cultural competency was identified by patients as a desirable quality in their provider.	Describes factors that contribute to engagement with provider recommendations. Elicits information regarding communication between patient and provider.