Evidence map›Paper›PMID 32636085›Full record

ArticlePatient education and counseling2020

Generalized shared decision making approaches and patient problems. Adapting AHRQ's SHARE Approach for Purposeful SDM.

Ian G Hargraves, Alaina K Fournier, Victor M Montori, Arlene S Bierman

Open access · greenAbstract read
In one paragraph

Article in Patient education and counseling, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 60 citations in OpenAlex.

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  14. State-of-the-Art Review: Recurrent Uncomplicated Urinary Tract Infections in Women.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
  15. Review
  16. JACC. Advances · 2024
    Review
  17. Article
  18. Article
  19. Article
  20. Shared decision-making as a method of care.BMJ evidence-based medicine · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Ian G HargravesKnowledge and Evaluation Research Unit, Mayo Clinic, Rochester USA. Electronic address: Hargraves.Ian@mayo.edu.
Alaina K FournierCenter for Evidence and Practice Improvement of the Agency for Healthcare Research and Quality, Department of Health and Human Services, Rockville, MD, USA.
Victor M MontoriKnowledge and Evaluation Research Unit, Mayo Clinic, Rochester USA; Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, USA.
Arlene S BiermanCenter for Evidence and Practice Improvement of the Agency for Healthcare Research and Quality, Department of Health and Human Services, Rockville, MD, USA.
Agency for Healthcare Research and Quality · USMayo Clinic · USMayo Clinic in Arizona · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
NCATS NIH HHS UL1 TR002377
6 · The paper itself

Abstract

objectiveGeneralized shared decision making (SDM) describes the involvement of patients in choosing options. However, there are many situations in which patients and clinicians make decisions together that don't focus on choosing between options, e.g. problem-solving dialysis and insulin use while traveling. Poor uptake associated with clinicians' perception that SDM doesn't apply to clinical situations they face may reflect the lack of adaptation of generalized SDM approaches to patients' problems. The Purposeful SDM schema published in 2019 identifies problems for which different kinds of SDM are appropriate.

methodsThe U.S. Agency for Healthcare Research and Quality developed SHARE as a generalized SDM approach. We sought to adapt SHARE to the different problems that patients face using a matrix to relate SHARE steps and Purposeful SDM modes and describe changes in generalized concepts and practices of SDM across these modes.

resultsMany SHARE communicative behaviors applied across modes, although the meaning of SDM terms and practices, e.g. patients involved as problem solvers versus experts, varied substantially.

conclusionAspects of SHARE require adaptation to different patient problems. PRACTICE IMPLICATIONS: SDM in education, practice, and tools may be supported by adapting generalized SDM approaches to patients' problems.

Indexed as

Decision Making, SharedPatient ParticipationCommunicationDecision MakingHumansAHRQProblemsPurposeful SDMPurposesSHARESHARE ApproachShared decision making

Identifiers

PMID32636085
PMCPMC8142549
OpenAlexW3037384924

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.