ArticleBMC medical informatics and decision making2020
The development of the evidence-based SDM
Article in BMC medical informatics and decision making, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 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
13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Methods used to design audit and feedback interventions to change clinical practice: a scoping review.Frontiers in health services · 2026Pooled it
- Decision aids for the care of patients with multimorbidity: a systematic review.BMC primary care · 2025Pooled it
- Patient Co-Creation Initiatives in the Ambulatory Care Setting during COVID-19: A Systematic Review.Medicina (Kaunas, Lithuania) · 2024Pooled it
- Person-centered shared decision-making and data-informed district nursing care to enhance independence: Protocol for a feasibility study.International journal of nursing studies advances · 2026Article
- A guide for a patient-centric approach to asthma management: results of a European Delphi consensus programme.NPJ primary care respiratory medicine · 2025Review
- Article
- Development of a practical guideline for person centred goal setting in geriatric rehabilitation: a participatory action research.European geriatric medicine · 2023Article
- Effects of a shared decision making intervention for older adults with multiple chronic conditions: the DICO study.BMC medical informatics and decision making · 2023Article
- Patients' and healthcare professionals' perceived facilitators and barriers for shared decision-making for frail and elderly patients in perioperative care: a scoping review.BMC health services research · 2023Article
- Asking the right questions: towards a person-centered conception of shared decision-making regarding treatment of advanced chronic kidney disease in older patients.BMC medical ethics · 2022Article
- Development of an Electronic Tool to Assess Patient Preferences in Geriatric Polypharmacy (PolyPref).Patient preference and adherence · 2022Article
- Consensus on a conversation aid for shared decision making with people with intellectual disabilities in the palliative phase.Journal of applied research in intellectual disabilities : JARID · 2021Article
- Envisioning Shared Decision Making: A Reflection for the Next Decade.MDM policy & practiceArticle
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShared decision making (SDM) contributes to personalized decisions that fit the personal preferences of patients when choosing a treatment for a condition. However, older adults frequently face multiple chronic conditions (MCC). Therefore, implementing SDM requires special features. The aim of this paper is to describe the development of an intervention to improve SDM in older adults with MCC.
methodsFollowing the Medical Research Council framework for developing complex interventions, the SDM
resultsKey elements of the training for geriatricians include developing skills to involve older adults with MCC and informal caregivers in SDM and following the six-step 'Dynamic model for SDM with frail older patients', as well as learning how to explore personal goals related to quality of life and how to form a partnership with the patient and the informal caregiver. Key elements of the preparatory tool for patients include an explicit invitation to participate in SDM, nomination that the patient's own knowledge is valuable, invitation to form a partnership with the geriatrician, encouragement to share information about daily and social functioning and exploration of possible goals. Furthermore, the invitation of informal caregivers to share their concerns was also a key element.
conclusionsThrough a process of co-creation, both training for geriatricians and a preparatory tool for older adults and their informal caregivers were developed, tailored to the needs of the end users and based on the 'Dynamic model of SDM with frail older patients'.
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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.