ArticleBMC gastroenterology2026
Impact of a training program on gastroenterology health care professionals' patient-centered shared decision-making: a pilot study.
Article in BMC gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPatient-centered care (PCC) and shared decision-making (SDM) are internationally recognized as the preferred approaches to patient care. However, implementation in daily clinical practice remains challenging as sustainable behavioral change requires a multifaceted approach. We developed and evaluated a training program consisting of an e-learning, skills training, deliberate practice and a group reflection session, aimed at improving gastroenterologists' patient-centered attitudes and SDM skills.
methodsBefore and after training, we assessed preferred and self-reported actual patient care behavior (disease-centered vs. patient-centered) by visual analogue scale (VAS) and attitudes towards PCC with the Patient-Practitioner Orientation Scale (PPOS). Open-ended questions exploring participants' concepts of patient-centeredness were analyzed using thematic analysis. Recorded patient consultations were analyzed using the OPTION
resultsTwenty-three gastroenterology healthcare professionals completed the training program, showing significant improvements in attitudes towards patient-centeredness (baseline mean total PPOS 4.73 [SD 0.37], 95% CI of difference 0.04-0.44) and self-reported patient-centered behavior (baseline mean VAS 49 [18], 95% CI of difference 6.08-23.81) after the intervention. High levels of patient-centered behavior and SDM skills were observed in recorded consultations (mean 4HCS 72 [12], mean OPTION
conclusionA dedicated training program increased gastroenterology professionals' patient-centered attitude and application of patient-centered SDM skills. These findings support the use of dedicated training to facilitate the implementation of PCC and SDM in clinical gastroenterology practice.
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