ArticleHealth expectations : an international journal of public participation in health care and health policy2006
Putting informed and shared decision making into practice.
Article in Health expectations : an international journal of public participation in health care and health policy, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
47 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Strategies to evaluate healthcare provider trainings in shared decision-making (SDM): a systematic review of evaluation studies.BMJ open · 2019Pooled it
- "Many miles to go …": a systematic review of the implementation of patient decision support interventions into routine clinical practice.BMC medical informatics and decision making · 2013Pooled it
- Brief training of student clinicians in shared decision making: a single-blind randomized controlled trial.Journal of general internal medicine · 2014Trial
- The evaluation of a rectal cancer decision aid and the factors influencing its implementation in clinical practice.BMC surgery · 2014Trial
- Patient-physician agreement on the content of CHD prevention discussions.Health expectations : an international journal of public participation in health care and health policy · 2011Trial
- The consistency of reporting adverse events associated with dry needling: a narrative review.The Journal of the Canadian Chiropractic Association · 2026Article
- Exploring implementation of a shared decision-making intervention for patients following an Anterior Cruciate Ligament rupture: a qualitative investigation.BMC medical informatics and decision making · 2026Article
- Codesigning Online Continuing Medical Education on Social Health Integration and Social Risk-Informed Care for Primary Care Providers.The Permanente journal · 2024Article
- Ideas, concerns, expectations, and effects on life (ICEE) in GP consultations: an observational study using video-recorded UK consultations.BJGP open · 2023Article
- Patient views on asthma diagnosis and how a clinical decision support system could help: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Article
- Development and Pilot Testing of a Patient-Centered Web-Based Reproductive Decision Support Tool for Primary Care.Journal of general internal medicine · 2021Article
- SDM Training Modules for Health and Social Care Professionals in Israel.Frontiers in psychiatry · 2021Article
- Decision-Making Process in Comprehensive Medication Management Services: From the Understanding to the Development of a Theoretical Model.Pharmacy (Basel, Switzerland) · 2020Article
- Assessing data availability and quality within an electronic health record system through external validation against an external clinical data source.BMC medical informatics and decision making · 2019Article
- About time: how time influences and facilitates patient autonomy in the clinical encounter.Monash bioethics review · 2018Article
- Shared Decision-Making for Nursing Practice: An Integrative Review.The open nursing journal · 2018Review
- Implementation of shared decision-making in oncology: development and pilot study of a nurse-led decision-coaching programme for women with ductal carcinoma in situ.BMC medical informatics and decision making · 2017Article
- The SDM 3 Circle Model: A Literature Synthesis and Adaptation for Shared Decision Making in the Hospital.Journal of hospital medicine · 2017Review
- "It wasn't as bad as I thought it would be": a qualitative study of early stage non-small cell lung cancer patients after treatment.BMC research notes · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the practice, experiences and views of motivated and trained family physicians as they attempt to implement informed and shared decision making (ISDM) in routine practice and to identify and understand the barriers they encounter.
backgroundPatient involvement in decision making about their health care has been the focus of much academic activity. Although significant conceptual and experimental work has been done, ISDM rarely occurs. Physician attitudes and lack of training are identified barriers.
designQualitative analysis of transcripts of consultations and key informant group interviews. SETTINGS AND
participantsSix family physicians received training in the ISDM competencies. Audiotapes of office consultations were made before and after training. Transcripts of consultations were examined to identify behavioural markers associated with each competency and the range of expression of the competencies. The physicians attended group interviews at the end of the study to explore experiences of ISDM.
resultsThe physicians liked the ISDM model and thought that they should put it into practice. Evidence from transcripts indicated they were able to elicit concerns, ideas and expectations (although not about management) and agree an action plan. They did not elicit preferences for role or information. They sometimes offered choices. They had difficulty achieving full expression of any of the competencies and integrating ISDM into their script for the medical interview. The study also identified a variety of competency-specific barriers.
conclusionA major barrier to the practice of ISDM by motivated physicians appears to be the need to change well-established patterns of communication with patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.