Evidence map›Paper›PMID 21631933›Full record

ArticleImplementation science : IS2011

Exploring dietitians' salient beliefs about shared decision-making behaviors.

Sophie Desroches, Annie Lapointe, Sarah-Maude Deschênes, Marie-Pierre Gagnon, France Légaré

Abstract read
In one paragraph

Article in Implementation science : IS, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Exploring motivations and resistances for implementing shared decision-making in clinical practice: A systematic review based on a structure-process-outcome model.Health expectations : an international journal of public participation in health care and health policy · 2022
    Pooled it
  2. Pooled it
  3. Shared decision-making behaviours in health professionals: a systematic review of studies based on the Theory of Planned Behaviour.Health expectations : an international journal of public participation in health care and health policy · 2015
    Pooled it
  4. Article
  5. A comparison of patients' and dietitians' perceptions of patient-centred care: A cross-sectional survey.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  6. Article
  7. Exploration of shared decision-making processes among dieticians and patients during a consultation for the nutritional treatment of dyslipidaemia.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  8. Shared decision-making in back pain consultations: an illusion or reality?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2014
    Observational
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sophie DesrochesCHUQ Research Center, Centre Hospitalier Universitaire de Québec-Hôpital St-François-d'Assise, Québec, QC, Canada. sophie.desroches@fsaa.ulaval.ca
Annie Lapointe
Sarah-Maude Deschênes
Marie-Pierre Gagnon
France Légaré

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShared decision making (SDM), a process by which health professionals and patients go through the decision-making process together to agree on treatment, is a promising strategy for promoting diet-related decisions that are informed and value based and to which patients adhere well. The objective of the present study was to identify dietitians' salient beliefs regarding their exercise of two behaviors during the clinical encounter, both of which have been deemed essential for SDM to take place: (1) presenting patients with all dietary treatment options for a given health condition and (2) helping patients clarify their values and preferences regarding the options.

methodsTwenty-one dietitians were allocated to four focus groups. Facilitators conducted the focus groups using a semistructured interview guide based on the Theory of Planned Behavior. Discussions were audiotaped, transcribed verbatim, coded, and analyzed with NVivo8 (QSR International, Cambridge, MA) software.

resultsMost participants stated that better patient adherence to treatment was an advantage of adopting the two SDM behaviors. Dietitians identified patients, physicians, and the multidisciplinary team as normative referents who would approve or disapprove of their adoption of the SDM behaviors. The most often reported barriers and facilitators for the behaviors concerned patients' characteristics, patients' clinical situation, and time.

conclusionsThe implementation of SDM in nutrition clinical practice can be guided by addressing dietitians' salient beliefs. Identifying these beliefs also provides the theoretical framework needed for developing a quantitative survey questionnaire to further study the determinants of dietitians' adoption of SDM behaviors.

Indexed as

Decision MakingDieteticsHealth Knowledge, Attitudes, PracticeAdultEvidence-Based PracticeFemaleFocus GroupsHumansInterviews as TopicMiddle AgedModels, TheoreticalPatient-Centered CarePatient ComplianceProfessional-Patient RelationsQualitative ResearchSurveys and Questionnaires

Identifiers

PMID21631933
PMCPMC3120721

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.