Trial reportArchives of internal medicine2008
Physicians' shared decision-making behaviors in depression care.
Trial report in Archives of internal medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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
46 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Assessments of the extent to which health-care providers involve patients in decision making: a systematic review of studies using the OPTION instrument.Health expectations : an international journal of public participation in health care and health policy · 2015Pooled it
- Shared decision making interventions for people with mental health conditions.The Cochrane database of systematic reviews · 2010Pooled it
- BABEL (Better tArgeting, Better outcomes for frail ELderly patients) advance care planning: a comprehensive approach to advance care planning in nursing homes: a cluster randomised trial.Age and ageing · 2022Trial
- Effectiveness of a decision aid for patients with depression: A randomized controlled trial.Health expectations : an international journal of public participation in health care and health policy · 2017Trial
- Getting to "no": strategies primary care physicians use to deny patient requests.Archives of internal medicine · 2010Trial
- 'A return on investment'. How shared decision-making benefits doctors: a key informant interview study.BMJ open · 2025Article
- Healthcare professionals' awareness of and barriers to shared-clinical-decision-making for HPV vaccination among adults 27-45 years.Human vaccines & immunotherapeutics · 2025Article
- Improving patient experience for people prescribed medicines with a risk of dependence or withdrawal: co-designed solutions using experience based co-design.BMC primary care · 2024Article
- Shared decision-making implementation status among dermatologists engaging in medical esthetics: a cross-sectional study in China.Frontiers in medicine · 2024Article
- Shared Decision-Making for a Dialysis Modality.Kidney international reports · 2022Review
- Perceived Facilitators of and Barriers to Implementation of a Decision Support Tool for Adolescent Depression and Suicidality Screening: Focus Group and Interview Study.JMIR mental health · 2021Article
- Skills-based intervention to enhance collaborative decision-making: systematic adaptation and open trial protocol for veterans with psychosis.Pilot and feasibility studies · 2021Article
- Shared Decision Making in Primary Care Based Depression Treatment: Communication and Decision-Making Preferences Among an Underserved Patient Population.Frontiers in psychiatry · 2021Article
- A Novel Contraception Counseling and Shared Decision-Making Curriculum for Internal Medicine Residents.MedEdPORTAL : the journal of teaching and learning resources · 2020Article
- The Shared Decision-Making Process in the Pharmacological Management of Depression.The patient · 2020Review
- Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2019Article
- Shared Decision-Making and Patient Satisfaction in Japanese Rheumatoid Arthritis Patients: A New "Preference Fit" Framework for Treatment Assessment.Rheumatology and therapy · 2019Article
- Patient Perspective of Cognitive Symptoms in Major Depressive Disorder: Retrospective Database and Prospective Survey Analyses.Journal of participatory medicine · 2019Article
- Article
- Shared decision making by United Kingdom osteopathic students: an observational study using the OPTION-12 instrument.Chiropractic & manual therapies · 2019Observational
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Authors and funding
5 authors.
Funding
Abstract
backgroundAlthough shared decision making (SDM) has been reported to facilitate quality care, few studies have explored the extent to which SDM is implemented in primary care and factors that influence its application. This study assesses the extent to which physicians enact SDM behaviors and describes factors associated with physicians' SDM behaviors within the context of depression care.
methodsIn a secondary analysis of data from a randomized experiment, we coded 287 audiorecorded interactions between physicians and standardized patients (SPs) using the Observing Patient Involvement (OPTION) system to assess physician SDM behaviors. We performed a series of generalized linear mixed model analyses to examine physician and patient characteristics associated with SDM behavior.
resultsThe mean (SD) OPTION score was 11.4 (3.3) of 48 possible points. Older physicians (partial correlation coefficient = -0.29; beta = -0.09; P < .01) and physicians who practiced in a health maintenance organization setting (beta = -1.60; P < .01) performed fewer SDM behaviors. Longer visit duration was associated with more SDM behaviors (partial correlation coefficient = 0.31; beta = 0.08; P < .01). In addition, physicians enacted more SDM behaviors with SPs who made general (beta = 2.46; P < .01) and brand-specific (beta = 2.21; P < .01) medication requests compared with those who made no request.
conclusionsIn the context of new visits for depressive symptoms, primary care physicians performed few SDM behaviors. However, physician SDM behaviors are influenced by practice setting and patient-initiated requests for medication. Additional research is needed to identify interventions that encourage SDM when indicated.
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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.