SynthesisPatient education and counseling2023
Cultural influences on shared decision-making among Asian Americans: A systematic review and meta-synthesis of qualitative studies.
Synthesis in Patient education and counseling, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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.
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
28 citing papers in PubMed, 29 citations in OpenAlex.
- How is shared decision making used in the treatment of patients with liver disease? a scoping review.Systematic reviews · 2026Article
- Chinese American Women's Overactive Bladder Care Experience: A Qualitative Study.Urogynecology (Philadelphia, Pa.) · 2026Article
- Shared Decision-Making for Prostate Cancer Screening in Racial and Ethnic Minority Populations: A Systematic Review.Journal of racial and ethnic health disparities · 2026Article
- Article
- The Breast Cancer Awareness and Risk Education for Asian Americans (Breast CARE): a community-based patient education program for breast cancer screening and prevention.BMC primary care · 2026Article
- Exploring Cancer Experiences and Community Health Concerns Among Asian Americans in St. Louis: A Formative Study to Guide Photovoice Implementation.AJPM focus · 2026Article
- Article
- Multilevel barriers and facilitators of shared decision-making in chronic illness management: a social ecological model approach.BMC health services research · 2026Article
- Article
- Whose voice counts? Family caregivers' roles in shared decision making for chronic illness in urban South Korea: A qualitative study.PloS one · 2026Article
- Shared decision-making in primary care: barriers and facilitators from the physician's and patient's perspectives: a scoping review.Archives of medical science : AMS · 2026Article
- Exploring barriers and facilitators to shared decision-making for older adults in East Asian health systems: a scoping review.Innovation in aging · 2026Review
- Chinese people's experience of cancer in the UK: a reflexive thematic analysis.Frontiers in psychology · 2026Article
- Article
- Experiences and Perceptions of People With Advanced Cancer and Their Family Caregivers of Shared Decision-Making in Palliative Cancer Care.Journal of advanced nursing · 2025Article
- Predictors of pregnant and breastfeeding women's intention to use traditional Chinese medicine: a cross-sectional study from China.BMC complementary medicine and therapies · 2025Article
- Deprescribing & its associated factors among middle & old-aged ambulatory patients with chronic disease (s): A hospital-based cross-sectional study.The Indian journal of medical research · 2025Article
- Insights of shared decision-making and personalized treatment in orthopedics - A qualitative systematic review.Journal of clinical orthopaedics and trauma · 2025Article
- The views of women and their physicians on decision-making for stress urinary incontinence.World journal of urology · 2025Article
- Reconsidering autonomy: Asian Americans' use of relational autonomy in organ donation decisions.BMC medical ethics · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo summarize how Asian Americans negotiate involvement in shared decision-making (SDM) with their providers, the cultural influences on SDM, and perceived barriers and facilitators to SDM.
methodsThis is a systematic review of qualitative studies. We searched six electronic databases and sources of gray literature until March 2021. Two reviewers independently screened studies, performed quality appraisal, and data extraction. Meta-synthesis was performed to summarize themes using a three-step approach.
resultsTwenty studies with 675 participants were included. We abstracted 275 initial codes and grouped these into 19 subthemes and 4 major themes: (1) negotiating power and differing expectations in SDM; (2) cultural influences on SDM; (3) importance of social support in SDM; and (4) supportive factors for facilitating SDM.
conclusionsAsian Americans have important perspectives, needs, and preferences regarding SDM that impacts how they engage with the provider on medical decisions and their perception of the quality of their care. PRACTICE IMPLICATIONS: Asian American patients valued good communication and sufficient time with their provider, and that it is important for health professionals to understand patients' desired level of involvement in the SDM process and in the final decision, and who should be involved in SDM beyond the patient. OTHER: This systematic review was registered on PROSPERO (CRD42021241665).
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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.