ReviewJournal of general internal medicine2012
Shared decision making: a model for clinical practice.
Review in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 12 registered trials, which are not on this map. Cited by 1,831 papers, 4 of them syntheses that pooled 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.
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.
Individualizing Disease Prevention for Middle-Aged Adults
Effectiveness of a Patient Decision Aid in Immediate Postpartum Contraceptive Counseling
Testing of a Tool to Elicit Patient Preferences for CTS
Effectiveness and Cost-effectiveness of a Multicomponent Strategy to Implement a Clinical Practice Guideline and Improve Health Outcomes in People With Systemic Lupus Erythematosus
Understanding and Addressing Patient and Provider Preferences Around Discussions of Cost of Breast Cancer Care
Shared Decision Making in Psychiatric Inpatient Care to Enhance Patient Participation
Color Priming and Patient Decision-Making in the Emergency Department: Priming "Threat" in Patients With Low-Risk Chest Pain
IDeA-CTR-Using Mobile Technology to Address the Trauma Mental Health Treatment Gap in Primary Care: Developing Implementation Protocols for Primary Care
Feasibility and Preliminary Effectiveness of a Shared Decision-making Process in a Tertiary University Hospital: Protocol of a Pilot Randomized Clinical Trial
Train Your Brain: A Pilot Project to Improve Memory and Decision Making to Improve Outcomes Among Youth
The Use of Telerehabilitation to Improve Movement-related Outcomes and Quality of Life for Patients With Parkinson's Disease: A Pilot Randomized Controlled Trial
The Impact of a Shared Decision-Making Intervention on Intraoperative Patient Experience During Elective Cesarean Delivery Under Spinal Anesthesia
Who cites it
1,831 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Strategies to improve recruitment to randomised trials.The Cochrane database of systematic reviews · 2026Pooled it
- Why Do Cancer Patients Decide to Withdraw Their Treatment? A Systematic Review and Meta-Synthesis.Cancer medicine · 2026Pooled it
- Impact of Decision Aids for Shared Decision-Making for Patients with Early Stage Breast Cancer: A Systematic Review.Current oncology (Toronto, Ont.) · 2026Pooled it
- Key targets for activating anaesthesia shared decision-making: a mixed methods systematic review.Anaesthesia · 2026Pooled it
- Implementation of a patient-centred complex intervention to improve Initial Medication Adherence to cardiovascular disease and diabetes treatments in primary care (the IMA-cRCT study): a mixed-methods process evaluation.BMJ quality & safety · 2026Trial
- The Dutch Implantable Cardioverter-Defibrillator Decision Aid in Clinical Practice: A Stepped-Wedge Randomized Controlled Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2026Trial
- The VALUE of AI-Guided Communication: Enhancing Shared Decision-Making in Metabolic Bariatric Surgery Consultations Through a Metacognitive Framework.Obesity surgery · 2026Trial
- Patient-centred care for cardiovascular risk patients: insights into goal attainment and satisfaction from the DECADE study.BMC cardiovascular disorders · 2026Trial
- Evaluating the Influence of a Risk Calculator on Physician Risk Perception and Decision-Making in IPMN Surveillance: A Randomized Trial.Annals of surgical oncology · 2026Trial
- Trial
- Article
- From information to action- a phase-based analysis of patient engagement in inpatient fall prevention: A scoping review.International journal of nursing studies advances · 2026Review
- Shared clinical decision-making for vaccination: A view through the lens of mid-adult HPV vaccination.Human vaccines & immunotherapeutics · 2026Article
- Unseen and unread decision letters in everyday care: a case study of medication management assistance in Norwegian municipal home healthcare.Scandinavian journal of primary health care · 2026Article
- Danish GP trainees' experiences of navigating patient expectations for non-indicated procedures or tests: a qualitative interview study.Scandinavian journal of primary health care · 2026Article
- Feasibility, acceptability, and usability of a novel self-monitoring program utilizing a consumer-grade wearable device paired with sleep-related patient-reported outcomes for veterans with obstructive sleep apnea.Human factors in healthcare · 2026Article
- Development and pilot testing of a web-based decision aid for fertility-preservation decisions among women with cancer in South Korea.Asia-Pacific journal of oncology nursing · 2026Article
- Assessing Decision-Making Tools for Meaningful Discussions About Transfer Decisions From Long-Term Care to Hospital: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Shared Decision-Making Theories, Conceptual Models, and Frameworks Within Oral Healthcare: A Theory Analysis.International journal of dental hygiene · 2026Article
- Between Divine Will and Medical Responsibility: A Conceptual Framework for Faith-Informed Family Decision-Making involving Serious Illness in the Philippines.Journal of religion and health · 2026Article
1,771 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
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation, and on understanding that decisions should be influenced by exploring and respecting "what matters most" to patients as individuals, and that this exploration in turn depends on them developing informed preferences.
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Identifiers
What OpenQuestion holds
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.