ArticleMayo Clinic proceedings. Innovations, quality & outcomes2018
Fostering Choice Awareness for Shared Decision Making: A Secondary Analysis of Video-Recorded Clinical Encounters.
Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
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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
34 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Quality and effectiveness of osteoporosis treatment decision aids: a systematic review and environmental scan.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Pooled it
- Pooled it
- Decision aids that facilitate elements of shared decision making in chronic illnesses: a systematic review.Systematic reviews · 2019Pooled it
- Evaluation of a conversation aid for patients with thyroid nodules considering a biopsy: pilot multicenter randomized control trial.Endocrine · 2026Trial
- Fostering active choice to empower behavioral change to reduce cardiovascular risk: A web-based randomized controlled trial.PloS one · 2024Trial
- Fostering Patient Choice Awareness and Presenting Treatment Options Neutrally: A Randomized Trial to Assess the Effect on Perceived Room for Involvement in Decision Making.Medical decision making : an international journal of the Society for Medical Decision Making · 2022Trial
- Perspectives on shared decision making related to medications from patients with multiple long-term conditions transitioning from hospital to home: a qualitative study.International journal of clinical pharmacy · 2026Article
- "Talk About It!" Shared Decision-Making for Methadone and Buprenorphine Initiation: Development and Preliminary Evaluation of a Conversation Aid via Community-Based Participatory Research.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Geriatric-specific considerations in treatment conversations with older adults with early-stage hormone receptor-positive breast cancer.Journal of geriatric oncology · 2026Article
- Shared Decision-Making. A Primer for Clinicians.Journal of general internal medicine · 2025Article
- Article
- [Shared decision making-strengthening patient-physiciant relations through joint deliberation].Urologie (Heidelberg, Germany) · 2025Review
- Patient experiences of shared decision-making following a displaced collarbone injury: A qualitative interview study.Clinical rehabilitation · 2025Article
- Clinicians perspectives towards the application of shared decision making in tertiary CVD care including the multidisciplinary heart team.International journal of cardiology. Heart & vasculature · 2025Article
- Patients' perspectives and the perceptions of healthcare providers in the treatment of early rectal cancer; a qualitative study.BMC cancer · 2023Article
- Article
- The limits of shared decision making.BMJ evidence-based medicine · 2023Article
- Shared decision-making as a method of care.BMJ evidence-based medicine · 2023Article
- Patient feedback receiving care using a shared decision making tool for thyroid nodule evaluation-an observational study.Endocrine · 2023Observational
- Problem-based shared decision making: The role of canonical SDM steps.Health expectations : an international journal of public participation in health care and health policy · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the extent to which (1) clinicians, using or not using conversation aids, foster choice awareness during clinical encounters and (2) fostering choice awareness, with or without conversation aids, is associated with greater patient involvement in shared decision making (SDM). PATIENTS AND
methodsWe randomly selected 100 video-recorded encounters, stratified by topic and study arm, from a database of 10 clinical trials of SDM interventions in 7 clinical contexts: low-risk acute chest pain, stable angina, diabetes, depression, osteoporosis, and Graves disease. Reviewers, unaware of our hypothesis, coded recordings with the OPTION-12 scale to quantify the extent to which clinicians involved patients in decision making (SDM, 0-100 score). Blinded to OPTION-12 scale scores, we used a self-developed coding scale to code whether and how choice awareness was fostered.
resultsClinicians fostered choice awareness in 53 of 100 encounters. Fostering choice awareness was associated with a higher OPTION-12 scale score (adjusted [for using vs not using a conversation aid] predicted mean difference, 20; 95% CI, 11-29). Using a conversation aid was associated with a higher, nonsignificant chance of fostering choice awareness (N=31 of 50 [62%] vs N=22 of 50 [44%]; adjusted [for trial]
conclusionFostering choice awareness is linked to a better execution of other SDM steps, such as informing patients or discussing preferences, even when SDM tools are not available or not used.
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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.