Observational studyEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2014
Shared decision-making in back pain consultations: an illusion or reality?
Observational study in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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Who cites it
22 citing papers in PubMed, 62 citations in OpenAlex.
- Shared decision making in pain care: a systematic review study protocol of decision aids.BMJ open · 2026Article
- "It Eats My Heart": Identifying Knowledge Gaps in Injection Drug-Related Endocarditis Among Hospitalized Patients.Substance use & addiction journal · 2026Article
- A guideline-based preference elicitation tool to enhance shared decision-making in supervised exercise therapy for patients with intermittent claudication: a process evaluation.Annals of medicine · 2025Article
- What does collaborative healthcare for people with musculoskeletal-related conditions look like? A scoping review.BMC musculoskeletal disorders · 2025Article
- Shared Decision-Making in Physical Therapist Care for People With Shoulder Problems: An Observer-Based Analysis of Audio-Recorded Consultations.Physical therapy · 2025Article
- Evaluating the implementation of personalised outcomes forecasts to optimise supervised exercise therapy in patients with intermittent claudication in the Netherlands: a multimethods study.BMJ open quality · 2024Article
- Public Attitudes Toward Ethics and Practices in End-of-Life Decision-Making for Neonates.JAMA network open · 2024Article
- Practical answers to frequently asked questions in minimally invasive lumbar spine surgery.The spine journal : official journal of the North American Spine Society · 2023Review
- Article
- Improving adherence to guidelines for spine pain care: what tools could support primary care clinicians in conforming to guidelines?BMJ open quality · 2022Article
- The healthcare buffet: preferences in the clinical decision-making process for patients with musculoskeletal pain.The Journal of manual & manipulative therapy · 2022Article
- Shared decision making in Australian physiotherapy practice: A survey of knowledge, attitudes, and self-reported use.PloS one · 2021Article
- 'Motivational work': a qualitative study of preventive health dialogues in general practice.BMC family practice · 2020Article
- Patients' ideas, concerns, expectations and satisfaction in primary health care - a questionnaire study of patients and health care professionals' perspectives.Scandinavian journal of primary health care · 2019Article
- Why do general practitioners not refer patients to behaviour-change programmes after preventive health checks? A mixed-method study.BMC family practice · 2019Article
- Shared decision making when patients consider surgery for lumbar herniated disc: development and test of a patient decision aid.BMC medical informatics and decision making · 2019Article
- Ethical treatment of people with chronic pain: an application of Kaldjian's framework for shared decision-making.British journal of anaesthesia · 2019Article
- Shared decision making by United Kingdom osteopathic students: an observational study using the OPTION-12 instrument.Chiropractic & manual therapies · 2019Observational
- Shared decision making and antibiotic benefit-harm conversations: an observational study of consultations between general practitioners and patients with acute respiratory infections.BMC family practice · 2018Observational
- Stuck in the middle: the impact of collaborative interprofessional communication on patient expectations.Shoulder & elbow · 2018Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAmid a political agenda for patient-centred healthcare, shared decision-making is reported to substantially improve patient experience, adherence to treatment and health outcomes. However, observational studies have shown that shared decision-making is rarely implemented in practice. The purpose of this study was to measure the prevalence of shared decision-making in clinical encounters involving physiotherapists and patients with back pain.
methodEighty outpatient encounters (comprising 40 h of data) were observed audio-recorded, transcribed verbatim and analysed using the 12-item OPTION scale. The higher the score, the greater is the shared decision-making competency of the clinicians.
resultsThe mean OPTION score was 24.0% (range 10.4-43.8%).
conclusionShared decision-making was under-developed in the observed back pain consultations. Clinicians' strong desire to treat acted as a barrier to shared decision-making and further work should focus on when and how it can be implemented.
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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.