ArticleInternational journal of dental hygiene2026
Shared Decision-Making Theories, Conceptual Models, and Frameworks Within Oral Healthcare: A Theory Analysis.
Article in International journal of dental hygiene, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Nurse-led shared decision-making for hemodialysis vascular access: a randomized controlled trial.Frontiers in medicine · 2026Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveTo appraise the quality of theories, conceptual models, and theoretical frameworks about SDM for oral healthcare practices.
backgroundShared decision-making (SDM) is crucial to person-centred care. Yet little is known about how (and if) patient engagement in SDM is conceptualised in oral healthcare.
methodsWe conducted a theory analysis of theories, conceptual models, and frameworks. We searched Medline, Scopus, and CINAHL. Eligible theories/conceptual models/frameworks had to specifically focus on SDM in oral healthcare. Eligible papers were analysed using Walker and Avant's theory analysis steps and mapped onto the 8 core elements of SDM. MAIN
findingsOf 195 citations, two conceptual models specific to oral healthcare were identified. The SDM System on Dental Restorations (SDMS-DR; South Korea) focuses on decisions between dentists and patients about restorative treatment. The Four + one Habits Model for dental visits (4 + 1 HB; Norway) is an approach for SDM across oral healthcare decisions, more broadly. Both conceptual models focus on the patient-professional encounter and met 4 (SDMS-DR) and 6 (4 + 1HB) of the 8 core elements of SDM. The SDMS-DR provided no reference to the patients' expertise. The 4 + 1HB presented SDM as a standardised linear process rather than a dynamic process. Neither has been empirically tested, and they do not acknowledge the broader healthcare system within which the encounters take place.
conclusionWe identified two conceptual models that incorporated some elements of SDM for oral healthcare. Neither was evaluated, and both focus exclusively on the patient-oral healthcare professional encounter, without consideration of intersectional, multidisciplinary healthcare services.
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What OpenQuestion holds
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.