ArticlePatient education and counseling2019
Purposeful SDM: A problem-based approach to caring for patients with shared decision making.
Article in Patient education and counseling, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 3 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
61 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Shared decision-making in palliative cancer care: A systematic review and metasynthesis.Palliative medicine · 2024Pooled it
- Korean treatment recommendations for patients with axial spondyloarthritis.The Korean journal of internal medicine · 2023Guideline
- Statin intolerance management: a systematic review.Endocrine · 2023Pooled it
- Enhancing the treat-to-target approach of inflammatory arthritis with purposeful shared decision-making: results of a randomized controlled trial.Clinical rheumatology · 2026Trial
- Surgeon Use of Shared Decision-making for Older Adults Considering Major Surgery: A Secondary Analysis of a Randomized Clinical Trial.JAMA surgery · 2022Trial
- Making sense of diabetes medication decisions: a mixed methods cluster randomized trial using a conversation aid intervention.Endocrine · 2022Trial
- Effect of Shared Decision-Making for Stroke Prevention on Treatment Adherence and Safety Outcomes in Patients With Atrial Fibrillation: A Randomized Clinical Trial.Journal of the American Heart Association · 2022Trial
- Shared Decision-Making for Patients Hospitalized with Acute Myocardial Infarction: A Randomized Trial.Patient preference and adherence · 2022Trial
- Assessment of Shared Decision-making for Stroke Prevention in Patients With Atrial Fibrillation: A Randomized Clinical Trial.JAMA internal medicine · 2020Trial
- Satisfaction in parturients receiving epidural analgesia after prenatal shared decision-making intervention: a prospective, before-and-after cohort study.BMC pregnancy and childbirth · 2020Trial
- Article
- "I don't know whether I really have choices": a multiperspective and longitudinal exploration of healthcare choices of older adults with multimorbidity.The Gerontologist · 2026Article
- Learning shared decision making in undergraduate medical education: a realist review.Advances in health sciences education : theory and practice · 2026Review
- SHARED DECISION MAKING: A FUNDAMENTAL COMPONENT OF PATIENT-CENTERED CARE FOR DENTAL PATIENTS.The journal of evidence-based dental practice · 2026Article
- Medical information and decision-making in palliative cancer: a qualitative study of patients' perceptions, needs, and preferences regarding physician communication.BMC palliative care · 2026Article
- PeriOperative Quality Initiative consensus statement recommendations on the definitions, aims and delivery of shared decision-making for major surgery.Anaesthesia · 2026Article
- Champions and early adopters in an implementation-effectiveness study of shared decision making: implications for interpersonal strategies.Implementation science communications · 2026Article
- Multilevel barriers and facilitators of shared decision-making in chronic illness management: a social ecological model approach.BMC health services research · 2026Article
- From consultation to choice: gynecologic cancer patients' perspectives on shared decision making in clinical practice - findings from a cross-sectional observational qualitative interview study.BMC medical ethics · 2026Observational
- Validation of a novel patient-reported measure of the burden of digital care in diabetes.BMC medicine · 2025Article
1 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
9 authors.
Funding
Abstract
objectivePatient involvement focused the growth of Shared Decision Making (SDM) in contemporary healthcare practice, research, and education. Whilst important, securing appropriate patient involvement or equipping patients to choose is not necessarily the principal purpose of SDM. The purpose of SDM like all medical decision making is to act well in response to a patient's problem, broadly conceived. In which situations and how SDM addresses patient problems is unclear. We seek to develop a purposeful approach to SDM that is oriented to the kinds of problems that SDM might help resolve.
methodsThrough vignettes of the experience of a patient, Rachel we demonstrate different kinds of situations in which Rachel, her family, and clinicians need to make decisions together.
resultsDifferent methods of SDM are needed in situations of:
conclusionSDM may be understood as a range of methods that vary substantially with patients' situations and the purpose that they pursue. PRACTICE IMPLICATIONS: Clinicians struggle to adopt SDM when they do not see it as relevant to clinical work. Orienting SDM to the problems that patients and clinicians routinely face may further SDM adoption, education, and research.
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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.