ArticleHealth expectations : an international journal of public participation in health care and health policy2009
Mutual influence in shared decision making: a collaborative study of patients and physicians.
Article in Health expectations : an international journal of public participation in health care and health policy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 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.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Integrating patient values and preferences in healthcare: a systematic review of qualitative evidence.BMJ open · 2022Pooled it
- Pooled it
- Is Sociodemographic Status Associated with Empathic Communication and Decision Quality in Diabetes Care?Journal of general internal medicine · 2022Trial
- 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
- Shared decision-making with patients with limited health literacy - experiences and needs of GPs regarding values clarification.Scandinavian journal of primary health care · 2026Article
- The Role of Nurse-Patient Mutuality on Self-Care Behaviors in Adults Living with Inflammatory Bowel Disease: A Multicenter Cross-Sectional Study.Digestive diseases and sciences · 2026Article
- Patient-physician communication of health and risk information in the management of cardiovascular diseases and diabetes: a systematic scoping review.BMC medicine · 2025Article
- Communication Strategies of Transplant Hematologists in High-Risk Decision-Making Conversations.JCO oncology practice · 2024Article
- Leveraging the timing and frequency of patient decision aids in longitudinal shared decision-making: A narrative review and applied model.Health expectations : an international journal of public participation in health care and health policy · 2022Review
- Article
- Health Literacy and Shared Decision-making: Exploring the Relationship to Enable Meaningful Patient Engagement in Healthcare.Journal of general internal medicine · 2021Article
- Shared-decision-making Behavior in Hospitalized Patients: Investigating the Impact of Patient's Trust in Physicians, Emotional Support, Informational Support, and Tendency to Excuse Using a Structural Equation Modeling Approach.Journal of patient experience · 2021Article
- Relationship between trust and patient involvement in medical decision-making: A cross-sectional study.PloS one · 2021Article
- A patient-oriented research approach to assessing patients' and primary care physicians' opinions on trauma-informed care.PloS one · 2021Article
- Skills for Shared Decision-Making: Evaluation of a Health Literacy Program for Consumers with Lower Literacy Levels.Health literacy research and practice · 2019Article
- Shared Decision-Making for Nursing Practice: An Integrative Review.The open nursing journal · 2018Review
- Examination of an Audiologist's Response to Patient's Expression of Symptoms: A Pilot Study.Journal of audiology & otology · 2017Article
- Fostering empowerment: ethical, political, and practical considerations.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
- Physicians' Perceptions of Shared Decision Making in Chronic Disease and Its Barriers and Facilitators.The Journal of pediatrics · 2016Article
- Are parents and professionals making shared decisions about a child's care on presentation of a suspected shunt malfunction: a mixed method study?Health expectations : an international journal of public participation in health care and health policy · 2015Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore how patients and physicians describe attitudes and behaviours that facilitate shared decision making. Background Studies have described physician behaviours in shared decision making, explored decision aids for informing patients and queried whether patients and physicians want to share decisions. Little attention has been paid to patients' behaviors that facilitate shared decision making or to the influence of patients and physicians on each other during this process.
methodsQualitative analysis of data from four research work groups, each composed of patients with chronic conditions and primary care physicians.
resultsEighty-five patients and physicians identified six categories of paired physician/patient themes, including act in a relational way; explore/express patient's feelings and preferences; discuss information and options; seek information, support and advice; share control and negotiate a decision; and patients act on their own behalf and physicians act on behalf of the patient. Similar attitudes and behaviours were described for both patients and physicians. Participants described a dynamic process in which patients and physicians influence each other throughout shared decision making.
conclusionsThis study is unique in that clinicians and patients collaboratively defined and described attitudes and behaviours that facilitate shared decision making and expand previous descriptions, particularly of patient attitudes and behaviours that facilitate shared decision making. Study participants described relational, contextual and affective behaviours and attitudes for both patients and physicians, and explicitly discussed sharing control and negotiation. The complementary, interactive behaviours described in the themes for both patients and physicians illustrate mutual influence of patients and physicians on each other.
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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.