Evidence map›Paper›PMID 42104282›Full record

ArticleBMC primary care2026

From knowledge to action: a blended training to enhance shared decision making skills in primary care physicians - a pilot study.

Jasmien Jaeken, Pieter Van Bostraeten, Lien Mertens, Geertruida Bekkering, Bert Aertgeerts, Jacobus Jeroen Klaas Bossen, Hilde Vandenneucker, Birgitte Schoenmakers, David Spitaels, Gabriël Simon Beerten and 3 more

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Article in BMC primary care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Jasmien JaekenAcademic Center for General Practice, Department of PH&PC, KU Leuven, Kapucijnenvoer 7 Block H, box 7001, Leuven, 3000, Belgium. jasmien.jaeken@kuleuven.be.
Pieter Van BostraetenAcademic Center for General Practice, Department of PH&PC, KU Leuven, Kapucijnenvoer 7 Block H, box 7001, Leuven, 3000, Belgium.
Lien MertensAcademic Center for General Practice, Department of PH&PC, KU Leuven, Kapucijnenvoer 7 Block H, box 7001, Leuven, 3000, Belgium.
Geertruida BekkeringAcademic Center for General Practice, Department of PH&PC, KU Leuven, Kapucijnenvoer 7 Block H, box 7001, Leuven, 3000, Belgium.
Bert AertgeertsAcademic Center for General Practice, Department of PH&PC, KU Leuven, Kapucijnenvoer 7 Block H, box 7001, Leuven, 3000, Belgium.
Jacobus Jeroen Klaas BossenAffiliation: Department of Orthopaedics, University Hospitals Leuven and Department of Development and Regeneration, KU Leuven, University of Leuven, Louvain, Belgium.
Hilde VandenneuckerAffiliation: Department of Orthopaedics, University Hospitals Leuven and Department of Development and Regeneration, KU Leuven, University of Leuven, Louvain, Belgium.
Birgitte SchoenmakersAcademic Center for General Practice, Department of PH&PC, KU Leuven, Kapucijnenvoer 7 Block H, box 7001, Leuven, 3000, Belgium.
David SpitaelsAcademic Center for General Practice, Department of PH&PC, KU Leuven, Kapucijnenvoer 7 Block H, box 7001, Leuven, 3000, Belgium.
Gabriël Simon BeertenAcademic Center for General Practice, Department of PH&PC, KU Leuven, Kapucijnenvoer 7 Block H, box 7001, Leuven, 3000, Belgium.
Tiemen PeysAcademic Center for General Practice, Department of PH&PC, KU Leuven, Kapucijnenvoer 7 Block H, box 7001, Leuven, 3000, Belgium.
Cathoo BilliouwAcademic Center for General Practice, Department of PH&PC, KU Leuven, Kapucijnenvoer 7 Block H, box 7001, Leuven, 3000, Belgium.
Nicolas DelvauxAcademic Center for General Practice, Department of PH&PC, KU Leuven, Kapucijnenvoer 7 Block H, box 7001, Leuven, 3000, Belgium.

Funding

Fonds Constant Van de Wiel - Joanna Mathues Huisartsgeneeskunde ERX-FOCVDW-O2010
6 · The paper itself

Abstract

backgroundShared decision making (SDM) is a process to actively involve both patients and clinicians to weigh the benefits and risks of a healthcare decision, based on clinical guidelines and the patients' preferences, needs and values. Despite the ethical foundation of SDM, its implementation remains limited. Possible physician-reported barriers for this limited uptake include insufficient level of SDM training. Training physicians in SDM could be a part of the puzzle. A recent systematic review showed that there is a shift towards blended training more than live or online learning. We therefore developed and pilot-tested a blended training program for general practitioners (GPs) in SDM in Belgium. Acquired skills were evaluated by three viewpoint - observer, patient and physician.

methodsIn a pre-post study, GPs participated in the blended training program consisting of an e-learning and a face-to-face session with simulation patients (SPs) GPs and SPs completed surveys before (T0) and after (T1) the blended training. Consultations were recorded for analysis by observer reported scales (OPTION12 and 4SDM scale). Secondary outcomes were SDM-Q9-patient, satisfaction with consultation, knowledge and intentions towards SDM.

findingsTen GPs were included. There was a significant increase in both OPTION12 (mean (SD) from 19·37 before to 37·70 after training, p = 0·0010, 95% CI [9·65 - 27·02]) and 4SDM scale (mean (SD) from 9·2 (4·66) before to 17·00 (5·08) after training, p = 0·0001, 95% CI [5·47 - 10·13]) with a moderate-large effect after training (Cohen's D = 2·39, 95% CI [1·13 - 3·63].

interpretationThe SDM blended training for GPs improved their skills, knowledge and intentions in SDM in simulated consultations on the short term.

Indexed as

Decision Making, SharedGeneral PractitionersPhysicians, Primary CareAdultBelgiumClinical CompetenceEducation, Medical, ContinuingFemaleHumansMaleMiddle AgedPatient ParticipationPatient SatisfactionPhysician-Patient RelationsPilot ProjectsBlended trainingGeneral practitionersPatient-centered communicationShared decision making

Identifiers

PMID42104282
PMCPMC13326266

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.