ArticleJournal of evaluation in clinical practice2011
Validating a conceptual model for an inter-professional approach to shared decision making: a mixed methods study.
Article in Journal of evaluation in clinical practice, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers, 13 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.
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Who cites it
105 citing papers in PubMed, 13 syntheses or guidelines pooled it, 267 citations in OpenAlex.
- Exploring Communication Dynamics Between Patients and Healthcare Providers in Oncology: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2025Pooled it
- Decision aids for the care of patients with multimorbidity: a systematic review.BMC primary care · 2025Pooled it
- Caregiver-reported barriers and facilitators to hospice enrollment for persons with dementia: A systematic review of qualitative evidence.Palliative medicine · 2025Pooled it
- Interventions for Indigenous Peoples making health decisions: a systematic review.Archives of public health = Archives belges de sante publique · 2023Pooled it
- Exploring the experience of reablement: A systematic review and qualitative evidence synthesis of older people's and carers' views.Health & social care in the community · 2022Pooled it
- A decision aid to support family carers of people living with dementia towards the end-of-life: Coproduction process, outcome and reflections.Health expectations : an international journal of public participation in health care and health policy · 2021Pooled it
- Mapping and understanding the decision-making process for providing nutrition and hydration to people living with dementia: a systematic review.BMC geriatrics · 2020Pooled it
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- Supporting shared decision making for older people with multiple health and social care needs: a realist synthesis.BMC geriatrics · 2018Pooled it
- Comprehensive process model of clinical information interaction in primary care: results of a "best-fit" framework synthesis.Journal of the American Medical Informatics Association : JAMIA · 2018Pooled it
- Clinical Interdisciplinary Collaboration Models and Frameworks From Similarities to Differences: A Systematic Review.Global journal of health science · 2015Pooled it
- Interventions to support children's engagement in health-related decisions: a systematic review.BMC pediatrics · 2014Pooled it
- Patients' perceptions of sharing in decisions: a systematic review of interventions to enhance shared decision making in routine clinical practice.The patient · 2012Pooled it
- The impact of clinical pharmacist-physician communication on reducing drug-related problems: a mixed study design in a tertiary teaching Hospital in Xinjiang, China.BMC health services research · 2022Trial
- Variations in factors associated with healthcare providers' intention to engage in interprofessional shared decision making in home care: results of two cross-sectional surveys.BMC health services research · 2020Trial
- Effects of a Personalized Web-Based Decision Aid for Surrogate Decision Makers of Patients With Prolonged Mechanical Ventilation: A Randomized Clinical Trial.Annals of internal medicine · 2019Trial
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- Shared Decision-Making Theories, Conceptual Models, and Frameworks Within Oral Healthcare: A Theory Analysis.International journal of dental hygiene · 2026Article
45 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 6 institutions in 3 countries.
Funding
Abstract
RATIONALE, AIMS AND
objectivesFollowing increased interest in having inter-professional (IP) health care teams engage patients in decision making, we developed a conceptual model for an IP approach to shared decision making (SDM) in primary care. We assessed the validity of the model with stakeholders in Canada.
methodsIn 15 individual interviews and 7 group interviews with 79 stakeholders, we asked them to: (1) propose changes to the IP-SDM model; (2) identify barriers and facilitators to the model's implementation in clinical practice; and (3) assess the model using a theory appraisal questionnaire. We performed a thematic analysis of the transcripts and a descriptive analysis of the questionnaires.
resultsStakeholders suggested placing the patient at its centre; extending the concept of family to include significant others; clarifying outcomes; highlighting the concept of time; merging the micro, meso and macro levels in one figure; and recognizing the influence of the environment and emotions. The most common barriers identified were time constraints, insufficient resources and an imbalance of power among health professionals. The most common facilitators were education and training in inter-professionalism and SDM, motivation to achieve an IP approach to SDM, and mutual knowledge and understanding of disciplinary roles. Most stakeholders considered that the concepts and relationships between the concepts were clear and rated the model as logical, testable, having clear schematic representation, and being relevant to inter-professional collaboration, SDM and primary care.
conclusionsStakeholders validated the new IP-SDM model for primary care settings and proposed few modifications. Future research should assess if the model helps implement SDM in IP clinical practice.
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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.