Interventions for increasing the use of shared decision making by healthcare professionals

Légaré, France; Adekpedjou, Rhéda; Stacey, Dawn; Turcotte, Stéphane; Kryworuchko, Jennifer; Graham, Ian D; Lyddiatt, Anne; Politi, Mary C; Thomson, Richard; Elwyn, Glyn; Donner-Banzhoff, Norbert

doi:10.1002/14651858.cd006732.pub4

Cited by 698Patient-Provider Communication in HealthcareHealth Policy Implementation SciencePalliative Care and End-of-Life Issues

Interventions for increasing the use of shared decision making by healthcare professionals

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Légaré, France, Adekpedjou, Rhéda, Stacey, Dawn, Turcotte, Stéphane, Kryworuchko, Jennifer, Graham, Ian D, Lyddiatt, Anne, Politi, Mary C +3 more·2018·Cochrane Database of Systematic Reviews

DOI 10.1002/14651858.cd006732.pub4PMC PMC6513543

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Abstract

BACKGROUND: Shared decision making (SDM) is a process by which a healthcare choice is made by the patient, significant others, or both with one or more healthcare professionals. However, it has not yet been widely adopted in practice. This is the second update of this Cochrane review. OBJECTIVES: To determine the effectiveness of interventions for increasing the use of SDM by healthcare professionals. We considered interventions targeting patients, interventions targeting healthcare professionals, and interventions targeting both. SEARCH METHODS: We searched CENTRAL, MEDLINE, Embase and five other databases on 15 June 2017. We also searched two clinical trials registries and proceedings of relevant conferences. We checked reference lists and contacted study authors to identify additional studies. SELECTION CRITERIA: Randomized and non-randomized trials, controlled before-after studies and interrupted time series studies evaluating interventions for increasing the use of SDM in which the primary outcomes were evaluated using observer-based or patient-reported measures. DATA COLLECTION AND ANALYSIS: We used standard methodological procedures expected by Cochrane.We used GRADE to assess the certainty of the evidence. MAIN RESULTS: We included 87 studies (45,641 patients and 3113 healthcare professionals) conducted mainly in the USA, Germany, Canada and the Netherlands. Risk of bias was high or unclear for protection against contamination, low for differences in the baseline characteristics of patients, and unclear for other domains.Forty-four studies evaluated interventions targeting patients. They included decision aids, patient activation, question prompt lists and training for patients among others and were administered alone (single intervention) or in combination (multifaceted intervention). The certainty of the evidence was very low. It is uncertain if interventions targeting patients when compared with usual care increase SDM whether measured by observation (standardized mean difference (SMD) 0.54, 95% confidence interval (CI) -0.13 to 1.22; 4 studies; N = 424) or reported by patients (SMD 0.32, 95% CI 0.16 to 0.48; 9 studies; N = 1386; risk difference (RD) -0.09, 95% CI -0.19 to 0.01; 6 studies; N = 754), reduce decision regret (SMD -0.10, 95% CI -0.39 to 0.19; 1 study; N = 212), improve physical (SMD 0.00, 95% CI -0.36 to 0.36; 1 study; N = 116) or mental health-related quality of life (QOL) (SMD 0.10, 95% CI -0.26 to 0.46; 1 study; N = 116), affect consultation length (SMD 0.10, 95% CI -0.39 to 0.58; 2 studies; N = 224) or cost (SMD 0.82, 95% CI 0.42 to 1.22; 1 study; N = 105).It is uncertain if interventions targeting patients when compared with interventions of the same type increase SDM whether measured by observation (SMD 0.88, 95% CI 0.39 to 1.37; 3 studies; N = 271) or reported by patients (SMD 0.03, 95% CI -0.18 to 0.24; 11 studies; N = 1906); (RD 0.03, 95% CI -0.02 to 0.08; 10 studies; N = 2272); affect consultation length (SMD -0.65, 95% CI -1.29 to -0.00; 1 study; N = 39) or costs. No data were reported for decision regret, physical or mental health-related QOL.Fifteen studies evaluated interventions targeting healthcare professionals. They included educational meetings, educational material, educational outreach visits and reminders among others. The certainty of evidence is very low. It is uncertain if these interventions when compared with usual care increase SDM whether measured by observation (SMD 0.70, 95% CI 0.21 to 1.19; 6 studies; N = 479) or reported by patients (SMD 0.03, 95% CI -0.15 to 0.20; 5 studies; N = 5772); (RD 0.01, 95%C: -0.03 to 0.06; 2 studies; N = 6303); reduce decision regret (SMD 0.29, 95% CI 0.07 to 0.51; 1 study; N = 326), affect consultation length (SMD 0.51, 95% CI 0.21 to 0.81; 1 study, N = 175), cost (no data available) or physical health-related QOL (SMD 0.16, 95% CI -0.05 to 0.36; 1 study; N = 359). Mental health-related QOL may slightly improve (SMD 0.28, 95% CI 0.07 to 0.49; 1 study, N = 359; low-certainty evidence).It is uncertain if interventions targeting healthcare professionals compared to interventions of the same type increase SDM whether measured by observation (SMD -0.30, 95% CI -1.19 to 0.59; 1 study; N = 20) or reported by patients (SMD 0.24, 95% CI -0.10 to 0.58; 2 studies; N = 1459) as the certainty of the evidence is very low. There was insufficient information to determine the effect on decision regret, physical or mental health-related QOL, consultation length or costs.Twenty-eight studies targeted both patients and healthcare professionals. The interventions used a combination of patient-mediated and healthcare professional directed interventions. Based on low certainty evidence, it is uncertain whether these interventions, when compared with usual care, increase SDM whether measured by observation (SMD 1.10, 95% CI 0.42 to 1.79; 6 studies; N = 1270) or reported by patients (SMD 0.13, 95% CI -0.02 to 0.28; 7 studies; N = 1479); (RD -0.01,

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We identified six RCTs that evaluated educational interventions for critically ill patients and their families.
“We identified six RCTs that evaluated educational interventions for critically ill patients and their families (583-588).”
From Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. (2021) · cites this paper as [587]
The Background identifies this paper as a review of 87 studies, not one of the six RCTs the citing sentence says it identified. The Results discuss educational interventions and include a family-engagement trial, but do not describe this paper as an RCT of educational interventions for critically ill patients and their families. Page numbers were unavailable in our copy. (LLM, conf=0.88)
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By simulating scenarios that mirror real-life clinical decision-making processes, and through reading the multi-agent conversations, clinicians can be made aware of potential cognitive biases and how to correct them, facilitating learning in a controlled, educational environment.
“By simulating scenarios that mirror real-life clinical decision-making processes, and through reading the multi-agent conversations, clinicians can be made aware of potential cognitive biases and how to correct them. This facilitates learning in a controlled, educational environment [25,26].”
From Mitigating cognitive biases in clinical decision-making through multi-agent conversations using large language models: simulation study (2024) · cites this paper as [25]
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Two systematic reviews and meta-analyses do not show a difference in mortality between patients who receive continuous renal replacement therapy (CRRT) versus intermittent hemodialysis (IHD).
“Two systematic reviews and meta-analyses (501, 502) summarized the total body of evidence: they do not show a difference in mortality between patients who receive continuous (CRRT) versus intermittent hemodialysis (IHD).”
From Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. (2021) · cites this paper as [501]
The Results passages compare shared-decision-making interventions, not mortality after continuous renal replacement therapy versus intermittent hemodialysis. Searches for CRRT, IHD, renal replacement therapy, mortality, and hemodialysis found no passage in our copy addressing that comparison. The copy is truncated, so the claim cannot be verified from it. (LLM, conf=0.74)
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Shared Decision Making and Long-Term Outcome in Schizophrenia Treatment
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Patient-based outcome results from a cluster randomized trial of shared decision making skill development and use of risk communication aids in general practice
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Parent-Reported Outcomes of a Shared Decision-Making Portal in Asthma: A Practice-Based RCT
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Cancer consultation preparation package: changing patients but not physicians is not enough.
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Randomized Controlled Trial of a Patient Decision Aid for Colorectal Cancer Screening
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Shared decision making in patients with low risk chest pain: prospective randomized pragmatic trial
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Long-term effects of a shared decision-making intervention on physician-patient interaction and outcome in fibromyalgia. A qualitative and quantitative 1 year follow-up of a randomized controlled trial.
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Shared decision making for patients with type 2 diabetes: a randomized trial in primary care
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A patient decision aid to support shared decision-making on anti-thrombotic treatment of patients with atrial fibrillation: randomised controlled trial
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Shared Decision Making for Antidepressants in Primary Care
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Use of evidence based leaflets to promote informed choice in maternity care: randomised controlled trial in everyday practice
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Patient Education on Prostate Cancer Screening and Involvement in Decision Making
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Impact of pharmacist intervention on adherence and measurable patient outcomes among depressed patients: a randomised controlled study
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The Impact of a Novel Computer-Based Decision Aid on Shared Decision Making for Colorectal Cancer Screening
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Personal health records and hypertension control: a randomized trial
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Supporting Treatment Decision Making in Advanced Cancer: A Randomized Trial of a Decision Aid for Patients With Advanced Colorectal Cancer Considering Chemotherapy
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Randomized trial of a shared decision-making intervention consisting of trade-offs and individualized treatment information for BRCA1/2 mutation carriers.
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Shared decision-making to improve attention-deficit hyperactivity disorder care
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Knowledge creation: synthesis, tools and products
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A treatment decision aid may increase patient trust in the diabetes specialist. The Statin Choice randomized trial
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A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial
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Consumer Empowerment and Self-Advocacy Outcomes in a Randomized Study of Peer-Led Education
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Patient education program to enhance decision autonomy in multiple sclerosis relapse management: a randomized-controlled trial
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Informed shared decision making about immunotherapy for patients with multiple sclerosis (ISDIMS): a randomized controlled trial
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Randomized controlled trial of the effectiveness of an intervention to implement evidence-based patient decision support in a nursing call centre
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Clinical effectiveness of a patient decision aid to improve decision quality and glycaemic control in people with diabetes making treatment choices: a cluster randomised controlled trial (PANDAs) in general practice
Mathers, N. J., Ng, C. J., Campbell, M. J., Colwell, B., Brown, I., & Bradley, A. (2012) · BMJ Open · doi:10.1136/bmjopen-2012-001469 · Cited by 90 · see citing works
Communicating with Patients on Health Care Evidence
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Randomized trial of a question prompt list to increase patient active participation during interactions with black patients and their oncologists
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Shared Decision Making and the Use of Decision Aids
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Involving patients in primary care consultations: assessing preferences using discrete choice experiments.
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Brief Training of Student Clinicians in Shared Decision Making: A Single-Blind Randomized Controlled Trial
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Informed Decision Making
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A Web-Based Tool to Support Shared Decision Making for People With a Psychotic Disorder: Randomized Controlled Trial and Process Evaluation
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Measurement challenges in shared decision making: putting the ‘patient’ in patient‐reported measures
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Contextual factors in shared decision making: a randomised controlled trial in women with a strong suspicion of breast cancer
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The effect of a multifaceted empowerment strategy on decision making about the number of embryos transferred in in vitro fertilisation: randomised controlled trial
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The impact of patient and physician computer mediated communication skill training on reported communication and patient satisfaction.
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Encounter Decision Aid vs. Clinical Decision Support or Usual Care to Support Patient-Centered Treatment Decisions in Osteoporosis: The Osteoporosis Choice Randomized Trial II
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Evidence-based patient information programme in early multiple sclerosis: a randomised controlled trial
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Comparing a Generic and Individualized Information Decision Support Intervention for Men Newly Diagnosed With Localized Prostate Cancer
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“How to Speak to Your Psychiatrist”: Shared Decision-Making Training for Inpatients With Schizophrenia
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Practice variation: implications for our health care system.
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PCI Choice Decision Aid for Stable Coronary Artery Disease
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Comparative Effectiveness of Standard versus Patient‐Centered Collaborative Care Interventions for Depression among African Americans in Primary Care Settings: The BRIDGE Study
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Impact of providing audiotapes of primary treatment consultations to men with prostate cancer: a multi‐site, randomized, controlled trial
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Decisions about treatment: interpretations of two measures of control by women having a hysterectomy
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Audit and feedback using the brief Decision Support Analysis Tool (DSAT-10) to evaluate nurse–standardized patient encounters
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Advance care planning for nursing home residents with dementia: Influence of ‘we DECide’ on policy and practice
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Does the Use of a Decision Aid Improve Decision Making in Prosthetic Heart Valve Selection?
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Autism-Specific Primary Care Medical Home Intervention
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Pre-consultation educational group intervention to improve shared decision-making for postmastectomy breast reconstruction: a pilot randomized controlled trial
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Shared decision-making in antihypertensive therapy: a cluster randomised controlled trial
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Assisting informed decision making for labour analgesia: a randomised controlled trial of a decision aid for labour analgesia versus a pamphlet
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Should Clinicians Deliver Decision Aids? Further Exploration of the Statin Choice Randomized Trial Results
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Improving transitions in acute stroke patients discharged to home: the Michigan stroke transitions trial (MISTT) protocol
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Feasibility of Using a Computer-assisted Intervention to Enhance the Way Women With Breast Cancer Communicate With Their Physicians
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Comparative Effectiveness of Audit-Feedback Versus Additional Physician Communication Training to Improve Cancer Screening for Patients with Limited Health Literacy
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Use of Low‐Literacy Decision Aid to Enhance Knowledge and Reduce Decisional Conflict Among a Diverse Population of Adults With Rheumatoid Arthritis: Results of a Pilot Study
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Enhancing Shared Decision Making Through Carefully Designed Interventions That Target Patient And Provider Behavior
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Effect of the statin choice encounter decision aid in Spanish patients with type 2 diabetes: A randomized trial
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The impact of an intervention to improve patient participation in a surgical care unit: A quasi-experimental study
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Physician Communication Regarding Prostate Cancer Screening: Analysis of Unannounced Standardized Patient Visits
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Does training general practitioners result in more shared decision making during consultations?
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Adjuncts or adversaries to shared decision-making? Applying the Integrative Model of behavior to the role and design of decision support interventions in healthcare interactions
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Communication about standard treatment options and clinical trials: can we teach doctors new skills to improve patient outcomes?
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Does a decision aid for prostate cancer affect different aspects of decisional regret, assessed with new regret scales? A randomized, controlled trial
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Effectiveness of a web-based, individually tailored decision aid for depression or acute low back pain: A randomized controlled trial
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Teaching Advance Care Planning to Medical Students with a Computer-Based Decision Aid
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Pairing Physician Education With Patient Activation to Improve Shared Decisions in Prostate Cancer Screening: A Cluster Randomized Controlled Trial
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Prediction of health professionals' intention to screen for decisional conflict in clinical practice
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Mediated decision support in prostate cancer screening: A randomized controlled trial of decision counseling
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Education and role modelling for clinical decisions with female cancer patients
Brown, R. F., Butow, P., Sharrock, M. A., Henman, M., Boyle, F., Goldstein, D., & Tattersall, M. (2004) · Health Expectations · doi:10.1111/j.1369-7625.2004.00294.x · Cited by 46 · see citing works
Shared decision making for prostate cancer screening: the results of a combined analysis of two practice-based randomized controlled trials
Sheridan, S., Golin, C. E., Bunton, A. J., Lykes, J. B., Schwartz, B., Mccormack, L. A., Driscoll, D., Bangdiwala, S. I., & Harris, R. (2012) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-12-130 · Cited by 45 · see citing works
Offering a treatment choice in the irradiation of prostate cancer leads to better informed and more active patients, without harm to well-being.
van Tol-Geerdink, J. V., Leer, J., van Lin, E. V., Schimmel, E., Huizenga, H., van Daal, W. V., & Stalmeier, P. (2008) · International Journal of Radiation Oncology, Biology, Physics · doi:10.1016/j.ijrobp.2007.06.058 · Cited by 44 · see citing works
Skills Training to Support Patients considering place of End-Of-Life Care: A Randomized Control Trial
Murray, M. A., Stacey, D., Wilson, K. G., & O'Connor, A. M. (2010) · Journal of Palliative Care · doi:10.1177/082585971002600207 · Cited by 43 · see citing works
Self-citation
Evaluation of a decision aid and a personal risk profile in community pharmacy for patients considering options to improve cardiovascular health: the OPTIONS pilot study
Lalonde, L., O'Connor, A. M. C., Duguay, P., Brassard, J., Drake, E. R., & Grover, S. A. (2006) · International Journal of Pharmacy Practice · doi:10.1211/ijpp.14.1.0007 · Cited by 43 · see citing works
Women's preferences for and views on decision-making for diagnostic tests
Davey, H. M., Lim, J., Butow, P. N., Barratt, A. L., & Redman, S. (2003) · Social Science & Medicine · doi:10.1016/s0277-9536(03)00339-3 · Cited by 42 · see citing works
Training patients with schizophrenia to share decisions with their psychiatrists: a randomized-controlled trial
Hamann, J., Parchmann, A., Sassenberg, N., Bronner, K., Albus, M., Richter, A., Hoppstock, S., & Kissling, W. (2017) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-016-1327-z · Cited by 42 · see citing works
Can consultation skills training change doctors' behaviour to increase involvement of patients in making decisions about standard treatment and clinical trials: a randomized controlled trial
Butow, P. N., Brown, R., Aldridge, J., Juraskova, I., Zoller, P., Boyle, F. M., Wilson, M., & Bernhard, J. (2014) · Health Expectations · doi:10.1111/hex.12229 · Cited by 40 · see citing works
Decision Aid for Cigarette Smokers Scheduled for Elective Surgery
Warner, D. O., LeBlanc, A., Kadimpati, S., Vickers, K. S., Shi, Y., & Montori, V. M. (2015) · Anesthesiology · doi:10.1097/aln.0000000000000704 · Cited by 40 · see citing works
Outcome Definition and Measurement
Velentgas, P., Dreyer, N. A., & Wu, A. W. (2013) · Cited by 40 · see citing works
The impact of different modalities for activating patients in a community health center setting
Deen, D., Lu, W.-H., Weintraub, M. R., Maranda, M. J., Elshafey, S., & Gold, M. R. (2012) · Patient Education and Counseling · doi:10.1016/j.pec.2012.04.012 · Cited by 39 · see citing works
Impact of DECISION + 2 on patient and physician assessment of shared decision making implementation in the context of antibiotics use for acute respiratory infections
Légaré, F., Guerrier, M., Nadeau, C., Rhéaume, C., Turcotte, S., & Labrecque, M. (2013) · Implementation Science · doi:10.1186/1748-5908-8-144 · Cited by 39 · see citing works
Self-citation
Effects of a question prompt sheet on active patient behaviour: A randomized controlled trial with depressed outpatients
Hamann, J., Maris, N., Iosifidou, P., Mendel, R., Cohen, R., Wolf, P., & Kissling, W. (2013) · International Journal of Social Psychiatry · doi:10.1177/0020764013482311 · Cited by 37 · see citing works
Radial Artery Versus Femoral Artery Access Options in Coronary Angiogram Procedures
Schwalm, J.-D., Stacey, D., Pericak, D., & Natarajan, M. K. (2012) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.111.962837 · Cited by 37 · see citing works
Self-citation
A Computer-Tailored Intervention to Promote Informed Decision Making for Prostate Cancer Screening Among African American Men
Allen, J. D., Mohllajee, A. P., Shelton, R. C., Drake, B. F., & Mars, D. R. (2008) · American Journal of Men s Health · doi:10.1177/1557988308325460 · Cited by 37 · see citing works
Is a Shared Decision–Making Approach Effective in Improving Hypertension Management?
Deinzer, A., Veelken, R. A., Kohnen, R., & Schmieder, R. E. (2009) · Journal of Clinical Hypertension · doi:10.1111/j.1751-7176.2009.00112.x · Cited by 36 · see citing works
An evaluation of two interventions to enhance patient-physician communication using the observer OPTION 5 measure of shared decision making
Dillon, E. C., Stults, C. D., Wilson, C., Chuang, J., Meehan, A. E., Li, M., Elwyn, G. J., Frosch, D. L., Yu, E., & Tai‐Seale, M. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2017.04.020 · Cited by 36 · see citing works
Self-citation
Supporting Goal-Oriented Primary Health Care for Seniors with Complex Care Needs Using Mobile Technology: Evaluation and Implementation of the Health System Performance Research Network, Bridgepoint Electronic Patient Reported Outcome Tool
Gray, C. S., Wodchis, W. P., Upshur, R. E. G., Cott, C. A., McKinstry, B., Mercer, S. W., Palen, T. E., Ramsay, T., & Thavorn, K. (2016) · JMIR Research Protocols · doi:10.2196/resprot.5756 · Cited by 35 · see citing works
A pilot randomized controlled trial of a decision aid with tailored fracture risk tool delivered via a patient portal
Smallwood, A. J., Schapira, M. M., Fedders, M., & Neuner, J. M. (2016) · Osteoporosis International · doi:10.1007/s00198-016-3767-4 · Cited by 35 · see citing works
Impact of pharmacist consultation versus a decision aid on decision making regarding hormone replacement therapy
Deschamps, M., Taylor, J., Neubauer, S. L., Whiting, S. J., & Green, K. (2004) · International Journal of Pharmacy Practice · doi:10.1211/0022357022999 · Cited by 34 · see citing works
Using an interactive video disk in breast cancer patient support.
Maslin, A., Baum, M., Walker, J. S., A’Hern, R., & Prouse, A. (1998) · PubMed · Cited by 34 · see citing works
How Does a Shared Decision-Making (SDM) Intervention for Oncologists Affect Participation Style and Preference Matching in Patients with Breast and Colon Cancer?
Bieber, C. S., Nicolai, J., Gschwendtner, K. M., Müller, N., Reuter, K., Buchholz, A., Kallinowski, B., Härter, M. C., & Eich, W. (2016) · Journal of Cancer Education · doi:10.1007/s13187-016-1146-7 · Cited by 34 · see citing works
The Effect of a Patient Portal With Electronic Messaging on Patient Activation Among Chronically Ill Patients: Controlled Before-and-After Study
Riippa, I., Linna, M., & Rönkkö, I. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3462 · Cited by 33 · see citing works
Evaluator-blinded trial evaluating nurse-led immunotherapy DEcision Coaching In persons with relapsing-remitting Multiple Sclerosis (DECIMS) and accompanying process evaluation: study protocol for a cluster randomised controlled trial
Rahn, A. C., Köpke, S., Kasper, J., Vettorazzi, E., Mühlhauser, I., & Heesen, C. (2015) · Trials · doi:10.1186/s13063-015-0611-7 · Cited by 33 · see citing works
A consultation leaflet to improve an older patient's involvement in general practice care: a randomized trial
Wetzels, R., Wensing, M., van Weel, C., & Grol, R. P. T. M. (2005) · Health Expectations · doi:10.1111/j.1369-7625.2005.00354.x · Cited by 33 · see citing works
Digital audio recordings improve the outcomes of patient consultations: A randomised cluster trial
Wolderslund, M., Kofoed, P., Holst, R., Axboe, M. K., & Ammentorp, J. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.08.029 · Cited by 33 · see citing works
The effect of a decision aid intervention on decision making about coronary heart disease risk reduction: secondary analyses of a randomized trial
Sheridan, S., Draeger, L. B., Pignone, M. P., Rimer, B. K., Bangdiwala, S. I., Cai, J., Gizlice, Z., Keyserling, T. C., & Simpson, R. J. (2014) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-14-14 · Cited by 32 · see citing works
Measuring Informed Decision Making about Prostate Cancer Screening in Primary Care
Leader, A. E., Daskalakis, C., Braddock, C. H., Kunkel, E. J. S., Cocroft, J. R., Merrell, S. B., RIGGIO, J. M., Capkin, M., & Myers, R. E. (2011) · Medical Decision Making · doi:10.1177/0272989x11410064 · Cited by 32 · see citing works
Risk Stratification and Shared Decision Making for Colorectal Cancer Screening
Schroy, P. C., Duhovic, E., Chen, C. A., Heeren, T., Lopez, W., Apodaca, D. L., & Wong, J. B. (2016) · Medical Decision Making · doi:10.1177/0272989x15625622 · Cited by 32 · see citing works
Implementing shared decision-making in interprofessional home care teams (the IPSDM-SW study): protocol for a stepped wedge cluster randomised trial
Légaré, F., Brière, N., Stacey, D., Lacroix, G., Desroches, S., Dumont, S., Fraser, K. D., Rivest, L., Durand, P. J., Turcotte, S., et al. (2016) · BMJ Open · doi:10.1136/bmjopen-2016-014023 · Cited by 32 · see citing works
Self-citation
The Impact of Individualized Evidence-Based Decision Support on Aneurysm Patients' Decision Making, Ideals of Autonomy, and Quality of Life
Stiggelbout, A. M., Molewijk, A. C., Otten, W., van Bockel, J. H., Bruijninckx, C. M. A., der Salm, I. V., & Kievit, J. (2008) · Medical Decision Making · doi:10.1177/0272989x08321680 · Cited by 31 · see citing works
Communicating risk using absolute risk reduction or prolongation of life formats: cluster-randomised trial in general practice
Harmsen, C. G., Kristiansen, I. S., Larsen, P. V., Nexøe, J., Støvring, H., Gyrd‐Hansen, D., Nielsen, J. B., Edwards, A., & Jarbøl, D. E. (2014) · British Journal of General Practice · doi:10.3399/bjgp14x677824 · Cited by 31 · see citing works
Satisfaction of Patients and Primary Care Physicians With Shared Decision Making
Hirsch, O., Keller, H., Albohn-Kühne, C., Krones, T., & Donner‐Banzhoff, N. (2010) · Evaluation & the Health Professions · doi:10.1177/0163278710376662 · Cited by 31 · see citing works
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Publication trends of shared decision making in 15 high impact medical journals: a full-text review with bibliometric analysis
Blanc, X., Collet, T., Auer, R., Fischer, R., Locatelli, I., Iriarte, P., Krause, J., Légaré, F., & Cornuz, J. (2014) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-14-71 · Cited by 30 · see citing works
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Impact of National Institutes of Health Gastrointestinal PROMIS Measures in Clinical Practice: Results of a Multicenter Controlled Trial
Almario, C. V., Chey, W. D., Khanna, D., Mosadeghi, S., Ahmed, S., Afghani, E., Whitman, C. B., Fuller, G., Reid, M. W., Bolus, R. R., et al. (2016) · The American Journal of Gastroenterology · doi:10.1038/ajg.2016.305 · Cited by 30 · see citing works
Interventions for improving the adoption of shared decision making by healthcare professionals
Légaré, F., Ratté, S., Stacey, D., Kryworuchko, J., Gravel, K., Turcot, L., & Graham, I. D. (2007) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006732 · Cited by 30 · see citing works
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The long-term effect on mental health symptoms and patient activation of using patient feedback scales in mental health out-patient treatment. A randomised controlled trial
Rise, M. B., Eriksen, L., Grimstad, H., & Steinsbekk, A. (2015) · Patient Education and Counseling · doi:10.1016/j.pec.2015.07.016 · Cited by 29 · see citing works
A multicentre cluster-randomized controlled study to evaluate a train-the-trainer programme for implementing internal and external participation in medical rehabilitation
Körner, M., Wirtz, M. A., Michaelis, M., Ehrhardt, H., Steger, A.-K., Zerpies, E., & Bengel, J. (2013) · Clinical Rehabilitation · doi:10.1177/0269215513494874 · Cited by 28 · see citing works
Shared Decision-Making following Disclosure of Coronary Heart Disease Genetic Risk: Results from a Randomized Clinical Trial
Jouni, H., Haddad, R. A., Marroush, T. S., Brown, S.-A. N., Kruisselbrink, T., Austin, E. E., Shameer, K., Behnken, E., Chaudhry, R., Montori, V. M., et al. (2016) · Journal of Investigative Medicine · doi:10.1136/jim-2016-000318 · Cited by 28 · see citing works
Time-to-event versus ten-year-absolute-risk in cardiovascular risk prevention – does it make a difference? Results from the Optimizing-Risk-Communication (OptRisk) randomized-controlled trial
Adarkwah, C. C., Jegan, N. R. A., Heinzel‐Gutenbrunner, M., Kühne, F., Siebert, U., Popert, U., Donner‐Banzhoff, N., & Kürwitz, S. (2016) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-016-0393-1 · Cited by 27 · see citing works
Self-citation
Informed shared decision-making supported by decision coaches for women with ductal carcinoma in situ: study protocol for a cluster randomized controlled trial
Berger‐Höger, B., Liethmann, K., Mühlhauser, I., Haastert, B., & Steckelberg, A. (2015) · Trials · doi:10.1186/s13063-015-0991-8 · Cited by 26 · see citing works
Evaluating the effectiveness of patient education and empowerment to improve patient–provider interactions in antiretroviral therapy clinics in Namibia
MacLachlan, E., Shepard-Perry, M., Ingo, P., Uusiku, J., Mushimba, R., Simwanza, R., Likoro, J., Brandt, L. J., Thomas, K., Kasonka, C., et al. (2015) · AIDS Care · doi:10.1080/09540121.2015.1124975 · Cited by 25 · see citing works
Translating research into practice: A German sickness fund supporting patient participation
Straub, C., Nebling, T., & Müller, H. (2008) · Patient Education and Counseling · doi:10.1016/j.pec.2008.07.019 · Cited by 23 · see citing works
Effect on motivation, perceived competence, and activation after participation in the ‘‘Ready to Act’’ programme for people with screen-detected dysglycaemia: A 1-year randomised controlled trial, Addition-DK
Maindal, H. T., Sandbæk, A., Kirkevold, M., & Lauritzen, T. (2011) · Scandinavian Journal of Public Health · doi:10.1177/1403494811402721 · Cited by 23 · see citing works
Missed opportunity? Caregiver participation in the clinical encounter. A videographic analysis
Boehmer, K. R., Egginton, J. S., Branda, M. E., Kryworuchko, J., Bodde, A. E., Montori, V. M., & LeBlanc, A. (2014) · Patient Education and Counseling · doi:10.1016/j.pec.2014.05.016 · Cited by 22 · see citing works
Self-citation
Deciding how many embryos to transfer after in vitro fertilisation: Development and pilot test of a decision aid
van Peperstraten, A. M., Hermens, R., Nelen, W. L. D. M., Stalmeier, P. F. M., Wetzels, A. M. M., Maas, P. H. M., Kremer, J. A. M., & Grol, R. P. T. M. (2009) · Patient Education and Counseling · doi:10.1016/j.pec.2009.04.007 · Cited by 22 · see citing works
CanDirect: Effectiveness of a Telephone-Supported Depression Self-Care Intervention for Cancer Survivors
McCusker, J., Jones, J. M., Li, M., Faria, R., Yaffe⃰, M. J., Lambert, S., Ciampi, A., Belzile, É., & de Raad, M. (2021) · Journal of Clinical Oncology · doi:10.1200/jco.20.01802 · Cited by 22 · see citing works
The short-term effect on alliance and satisfaction of using patient feedback scales in mental health out-patient treatment. A randomised controlled trial
Rise, M. B., Eriksen, L., Grimstad, H., & Steinsbekk, A. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-348 · Cited by 21 · see citing works
Shared Decision Making in Prostate-Specific Antigen Testing
Landrey, A. R., Matlock, D. D., Andrews, L., Bronsert, M. R., & Denberg, T. (2012) · Journal of Primary Care & Community Health · doi:10.1177/2150131912447074 · Cited by 21 · see citing works
Response to a Patient Activation Intervention among Spanish-speaking Patients at a Community Health Center in New York City
Maranda, M. J., Deen, D., Elshafey, S., Herrera, M., & Gold, M. R. (2014) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2014.0110 · Cited by 20 · see citing works
Design of the BRISC study: a multicentre controlled clinical trial to optimize the communication of breast cancer risks in genetic counselling
Ockhuysen-Vermey, C. F., Henneman, L., van Asperen, C. J., Oosterwijk, J. C., Menko, F. H., & Timmermans, D. R. M. (2008) · BMC Cancer · doi:10.1186/1471-2407-8-283 · Cited by 19 · see citing works
Can Participation in Documentation Influence Experiences of Involvement in Care Decision-Making?
Vestala, H., & Frisman, G. H. (2013) · The Open Nursing Journal · doi:10.2174/1874434620130516002 · Cited by 19 · see citing works
Clinical practice guidelines to improve shared decision-making about assistive device use in home care: a pilot intervention study
Roelands, M., Oost, P. V., Stevens, V. K., Depoorter, A., & Buysse, A. (2004) · Patient Education and Counseling · doi:10.1016/j.pec.2003.10.002 · Cited by 19 · see citing works
Interpersonal Community Psychiatric Treatment for non-psychotic chronic patients and nurses in outpatient mental health care: A controlled pilot study on feasibility and effects
Koekkoek, B., van Meijel, B., Schene, A. H., Smit, A., Kaasenbrood, A., & Hutschemaekers, G. J. M. (2011) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2011.11.003 · Cited by 18 · see citing works
Does the use of a visualised decision board by undergraduate students during shared decision‐making enhance patients' knowledge and satisfaction? – A randomised controlled trial
Kupke, J., Wicht, M. J., Stützer, H., Derman, S. H. M., Lichtenstein, N., & Noack, M. J. (2012) · European Journal Of Dental Education · doi:10.1111/eje.12002 · Cited by 16 · see citing works
Transforming the Patient Role to Achieve Better Outcomes Through a Patient Empowerment Program: A Randomized Wait-List Control Trial Protocol
Altshuler, L. A., Plaksin, J., Zabar, S. R., Wallach, A. B., Sawicki, C., Kundrod, S., & Kalet, A. L. (2016) · JMIR Research Protocols · doi:10.2196/resprot.5376 · Cited by 16 · see citing works
Translating Medical Evidence to Promote Informed Health Care Decisions
Mccormack, L. A., Treiman, K., Bann, C., Williams-Piehota, P. A., Driscoll, D., Poehlman, J. A., Soloe, C. S., Lohr, K. N., Sheridan, S., Golin, C. E., et al. (2011) · Health Services Research · doi:10.1111/j.1475-6773.2011.01248.x · Cited by 13 · see citing works
Effect of a participant‐driven health education programme in primary care for people with hyperglycaemia detected by screening: 3‐year results from the Ready to Act randomized controlled trial (nested within the ADDITION‐Denmark study)
Maindal, H. T., Carlsen, A. H., Lauritzen, T., Sandbæk, A., & Simmons, R. K. (2014) · Diabetic Medicine · doi:10.1111/dme.12440 · Cited by 13 · see citing works
Using m-health tools to reduce the misuse of opioid pain relievers
Omaki, E. C., Castillo, R. C., Eden, K., Davis, S., McDonald, E. M., Murtaza, U. I., & GIELEN, A. C. (2017) · Injury Prevention · doi:10.1136/injuryprev-2017-042319 · Cited by 9 · see citing works
Should I continue taking my acid reflux medication? Design of a pilot before/after study evaluating a patient decision aid
Thompson, W., Farrell, B. J., Welch, V. A., Tugwell, P., & Bjerre, L. M. (2016) · Canadian Pharmacists Journal / Revue des Pharmaciens du Canada · doi:10.1177/1715163516679425 · Cited by 8 · see citing works
Does the Use of a Decision Aid Improve Decision Making in Prosthetic Heart Valve Selection? A Multicenter Randomized Trial
Korteland, N. M., Ahmed, Y., Koolbergen, D. R., Brouwer, M., de Heer, F., Kluin, J., Bruggemans, E. F., Klautz, R. J. M., Stiggelbout, A. M., Bucx, J. J. J., et al. (2017) · Leiden Repository (Leiden University) · Cited by 8 · see citing works

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1 of the 205 references couldn’t be matched to a known paper.

Research works printed but not linked: 9

Simmons L, Meyer C, Marques F, Leavitt L, Sepucha K. Skills training for shared decision making: a randomized pilot study. ISDM2017. Lyon, France: 9th International Shared Decision Making Conference. Book of Abstract, Oral communications. 2017.
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Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021.
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., Machado, F. R., Mcintyre, L., Ostermann, M., Prescott, H. C., et al. (2021) · Critical Care Medicine · doi:10.1097/ccm.0000000000005337 · Cited by 2,935 · see citing works
2024 AHA/ACC/AMSSM/HRS/PACES/SCMR Guideline for the Management of Hypertrophic Cardiomyopathy: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines
Ommen, S. R., Ho, C. Y., Asif, I. M., Balaji, S., Burke, M. A., Day, S. M., Dearani, J. A., Epps, K., Evanovich, L., Ferrari, V. A., et al. (2024) · Circulation · doi:10.1161/cir.0000000000001250 · Cited by 786 · see citing works
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2020 AHA/ACC Guideline for the Diagnosis and Treatment of Patients With Hypertrophic Cardiomyopathy
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2024 AHA/ACC/AMSSM/HRS/PACES/SCMR Guideline for the Management of Hypertrophic Cardiomyopathy
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Stacey, D., Lewis, K. B., Smith, M. P., Carley, M. E., Volk, R. J., Douglas, E. E., Pacheco‐Brousseau, L., Finderup, J., Gunderson, J., Barry, M. J., et al. (2024) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001431.pub6 · Cited by 398 · see citing works
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Barriers and facilitators of pediatric shared decision-making: a systematic review
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The impact and utility of encounter patient decision aids: Systematic review, meta-analysis and narrative synthesis
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2021 PACES Expert Consensus Statement on the Indications and Management of Cardiovascular Implantable Electronic Devices in Pediatric Patients
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Empowering Precision Medicine: The Impact of 3D Printing on Personalized Therapeutic
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Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021
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Shared Decision Making: Improving Patient Outcomes by Understanding the Benefits of and Barriers to Effective Communication
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Shared decision making and physical therapy: What, when, how, and why?
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Co-Producing and Co-Designing
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Shared decision-making interventions for people with mental health conditions
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Navigating end-of-life decision-making in nursing: a systematic review of ethical challenges and palliative care practices
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What are women’s mode of birth preferences and why? A systematic scoping review
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2020 AHA/ACC guideline for the diagnosis and treatment of patients with hypertrophic cardiomyopathy
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Strategies to evaluate healthcare provider trainings in shared decision-making (SDM): a systematic review of evaluation studies
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General practitioners’ accounts of negotiating antibiotic prescribing decisions with patients: a qualitative study on what influences antibiotic prescribing in low, medium and high prescribing practices
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A Systematic Review and Meta-Analysis of Patient Decision Aids for Socially Disadvantaged Populations: Update from the International Patient Decision Aid Standards (IPDAS)
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When western concept meets eastern culture: Exploring the impact of Confucianism on shared decision-making in China
Meng, M., Li, X., Zhao, J., & Hao, Y. (2024) · Asia-Pacific Journal of Oncology Nursing · doi:10.1016/j.apjon.2024.100586 · Cited by 79 · see citing works
Decision coaching for people making healthcare decisions
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Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper
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Nurse-led coaching of shared decision-making for women with ductal carcinoma in situ in breast care centers: A cluster randomized controlled trial
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Effect of a Skills Training for Oncologists and a Patient Communication Aid on Shared Decision Making About Palliative Systemic Treatment: A Randomized Clinical Trial
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2021 PACES expert consensus statement on the indications and management of cardiovascular implantable electronic devices in pediatric patients
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Optimising GPs’ communication of advice to facilitate patients’ self-care and prompt follow-up when the diagnosis is uncertain: a realist review of ‘safety-netting’ in primary care
Smith, C. F., Lunn, H., Wong, G., & Nicholson, B. D. (2022) · BMJ Quality & Safety · doi:10.1136/bmjqs-2021-014529 · Cited by 68 · see citing works
Making shared decision-making (SDM) a reality: protocol of a large-scale long-term SDM implementation programme at a Northern German University Hospital
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Shared decision‐making interventions: An overview and a meta‐analysis of their impact on vaccine uptake
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Mitigating cognitive biases in clinical decision-making through multi-agent conversations using large language models: simulation study
Ke, Y., Yang, R., Lie, S. A., Lim, T. X. Y., Ning, Y., Li, I., Abdullah, H. R., Ting, D. S. W., & Liu, N. (2024) · Journal of Medical Internet Research · doi:10.2196/59439 · Cited by 64 · see citing works
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Big data analysis for decision-making processes: challenges and opportunities for the management of health-care organizations
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AI support for ethical decision-making around resuscitation: proceed with care
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Shared Decision Making in Cardiac Electrophysiology Procedures and Arrhythmia Management
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The effects of shared decision making on health outcomes, health care quality, cost, and consultation time: An umbrella review
Bruch, J. D., Khazen, M., Mahmić-Kaknjo, M., Légaré, F., & Ellen, M. (2024) · Patient Education and Counseling · doi:10.1016/j.pec.2024.108408 · Cited by 69 · see citing works
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Implementing models of care for musculoskeletal conditions in health systems to support value-based care
Speerin, R., Needs, C., Chua, J., Woodhouse, L. J., Nordin, M. C., McGlasson, R. A., & Briggs, A. M. (2020) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2020.101548 · Cited by 62 · see citing works
Induction of labour: Experiences of care and decision-making of women and clinicians
Coates, D., Goodfellow, A. M., & Sinclair, L. (2019) · Women and Birth · doi:10.1016/j.wombi.2019.06.002 · Cited by 61 · see citing works
Generalized shared decision making approaches and patient problems. Adapting AHRQ’s SHARE Approach for Purposeful SDM
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Shared decision-making in palliative cancer care: A systematic review and metasynthesis
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Strategies to facilitate shared decision‐making in long‐term care
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Toward an Ecologically Valid Conceptual Framework for the Use of Artificial Intelligence in Clinical Settings: Need for Systems Thinking, Accountability, Decision-making, Trust, and Patient Safety Considerations in Safeguarding the Technology and Clinicians
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Shared decision making in cardiology: a systematic review and meta-analysis
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Educational programs to teach shared decision making to medical trainees: A systematic review
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Shared decision making for adults with severe mental illness: A concept analysis
Aoki, Y. (2020) · Japan Journal of Nursing Science · doi:10.1111/jjns.12365 · Cited by 51 · see citing works
Towards a taxonomy of behavior change techniques for promoting shared decision making
Agbadjé, T. T., Elidor, H., Perin, M. S., Adekpedjou, R., & Légaré, F. (2020) · Implementation Science · doi:10.1186/s13012-020-01015-w · Cited by 51 · see citing works
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“I’m Putting My Trust in Their Hands”
Golden, S. E., Ono, S. S., Thakurta, S., Wiener, R. S., Iaccarino, J. M., Melzer, A. C., Datta, S., & Slatore, C. G. (2020) · CHEST Journal · doi:10.1016/j.chest.2020.02.072 · Cited by 51 · see citing works
Shared decision making in breast cancer treatment guidelines: Development of a quality assessment tool and a systematic review
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Shared Decision-Making for a Dialysis Modality
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Evaluation of a shared decision-making intervention for dialysis choice at four Danish hospitals: a qualitative study of patient perspective
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2021 PACES Expert Consensus Statement on the Indications and Management of Cardiovascular Implantable Electronic Devices in Pediatric Patients
Shah, M. J., Silka, M. J., Silva, J. N. A., Balaji, S., Beach, C. M., Benjamin, M. N., Berul, C. I., Cannon, B. C., Cecchin, F., Cohen, M. I., et al. (2021) · JACC. Clinical electrophysiology · doi:10.1016/j.jacep.2021.07.009 · Cited by 49 · see citing works
Training Interventions to Equip Health Care Professionals With Shared Decision-Making Skills: A Systematic Scoping Review
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The Patient's Perspective on Shared Decision-Making in Advanced Parkinson's Disease: A Cross-Sectional Survey Study
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Choice of dialysis modality: patients’ experiences and quality of decision after shared decision-making
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Postoperative outcomes in older patients living with frailty and multimorbidity in the UK: SNAP-3, a snapshot observational study
Swarbrick, C. J., Williams, K., Evans, B., Blake, H. A., Poulton, T. E., Nava, S., Shah, A., Martin, P., Partridge, J. S. L., & Moppett, I. K. (2025) · British Journal of Anaesthesia · doi:10.1016/j.bja.2025.04.026 · Cited by 46 · see citing works
Decision Support Strategies for Hip and Knee Osteoarthritis: Less Is More
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Trends, challenges, and priorities for shared decision making in mental health: The first umbrella review
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The patient at the centre: evidence from 17 European integrated care programmes for persons with complex needs
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Women’s experiences and satisfaction with having a cesarean birth: An integrative review
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Digital Shared Decision-Making Interventions in Mental Healthcare: A Systematic Review and Meta-Analysis
Vitger, T., Korsbek, L., Austin, S. F., Petersen, L., Nordentoft, M., & Hjorthøj, C. R. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.691251 · Cited by 42 · see citing works
People’s Experience of Shared Decision Making in Musculoskeletal Physiotherapy: A Systematic Review and Thematic Synthesis
Grenfell, J., & Soundy, A. (2022) · Behavioral Sciences · doi:10.3390/bs12010012 · Cited by 40 · see citing works
Interventions to support shared decision making for medication therapy in long term conditions: A systematic review
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Women’s experiences of decision-making and attitudes in relation to induction of labour: A survey study
Coates, D., Donnolley, N. R., Foureur, M. J., & Henry, A. (2020) · Women and Birth · doi:10.1016/j.wombi.2020.02.020 · Cited by 38 · see citing works
Rationalising medications through deprescribing
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Shared decision making: why the slow progress? An essay by Neal Maskrey
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Decision aids to assist patients and professionals in choosing the right treatment for kidney failure
Bekker, H., Winterbottom, A., Gavaruzzi, T., Finderup, J., & Mooney, A. F. (2023) · Clinical Kidney Journal · doi:10.1093/ckj/sfad172 · Cited by 38 · see citing works
“I was considering surgery because I believed that was how it was treated”: a qualitative study on willingness for joint surgery after completion of a digital management program for osteoarthritis
Cronström, A., Dahlberg, L., Nero, H., & Hammarlund, C. S. (2019) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2019.04.004 · Cited by 36 · see citing works
Factors Affecting Patient Adherence to Multivitamin Intake After Bariatric Surgery: a Multicentre Survey Study from the Patient’s Perspective
Smelt, H. J. M., Heusschen, L., Theel, W. B., van Rutte, P. W. J., Nijboer, T., Pouwels, S., Smulders, J. F., & Hazebroek, E. J. (2021) · Obesity Surgery · doi:10.1007/s11695-021-05571-y · Cited by 36 · see citing works
Digital health interventions for osteoporosis and post-fragility fracture care
Gupta, A., Maslen, C., Vindlacheruvu, M., Abel, R. L., Bhattacharya, P., Bromiley, P. A., Clark, E., Compston, J. E., Crabtree, N. J., Gregory, J. S., et al. (2022) · Therapeutic Advances in Musculoskeletal Disease · doi:10.1177/1759720x221083523 · Cited by 35 · see citing works
“What Is the Right Decision for Me?” Integrating Patient Perspectives Through Shared Decision-Making for Valvular Heart Disease Therapy
Lauck, S., Lewis, K. B., Borregaard, B., & Sousa, I. D. (2021) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2021.02.022 · Cited by 35 · see citing works
Ready for SDM: evaluating a train-the-trainer program to facilitate implementation of SDM training in Norway
Kienlin, S. M., Poitras, M.-È., Stacey, D., Nytrøen, K., & Kasper, J. (2021) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-021-01494-x · Cited by 36 · see citing works
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What does shared decision making ask from doctors? Uncovering suppressed qualities that could improve person-centered care
Pieterse, A. H., Gulbrandsen, P., Ofstad, E. H., & Menichetti, J. (2023) · Patient Education and Counseling · doi:10.1016/j.pec.2023.107801 · Cited by 35 · see citing works
Evaluation of a shared decision-making communication skills training for physicians treating patients with asthma: a mixed methods study using simulated patients
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New galaxies in the universe of shared decision-making and rheumatoid arthritis
Barton, J. L., & Décary, S. (2020) · Current Opinion in Rheumatology · doi:10.1097/bor.0000000000000699 · Cited by 34 · see citing works
Enhancing patient-centred care in dentistry: a narrative review
Kristensen, C. B., Asimakopoulou, K., & Scambler, S. (2023) · British Medical Bulletin · doi:10.1093/bmb/ldad026 · Cited by 35 · see citing works
Large language models as decision aids in neuro-oncology: a review of shared decision-making applications
McLean, A. L., Wu, Y., McLean, A. C. L., & Hristidis, V. (2024) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-024-05673-x · Cited by 33 · see citing works
Identifying Entrustable Professional Activities for Shared Decision Making in Postgraduate Medical Education: A National Delphi Study
Baghus, A., Giroldi, E., Muris, J. W. M., Stiggelbout, A. M., van de Pol, M. H. J., Timmerman, A. A., & van der Weijden, T. (2020) · Academic Medicine · doi:10.1097/acm.0000000000003618 · Cited by 37 · see citing works
Sex and gender considerations in implementation interventions to promote shared decision making: A secondary analysis of a Cochrane systematic review
Adisso, É. L., Zomahoun, H. T. V., Gogovor, A., & Légaré, F. (2020) · PLoS ONE · doi:10.1371/journal.pone.0240371 · Cited by 33 · see citing works
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Availability and effectiveness of decision aids for supporting shared decision making in patients with advanced colorectal and lung cancer: Results from a systematic review
Spronk, I., Meijers, M. C., Heins, M. J., Francke, A. L., Elwyn, G. J., van Lindert, A. S. R., van Dulmen, S., & van Vliet, L. M. (2019) · European Journal of Cancer Care · doi:10.1111/ecc.13079 · Cited by 32 · see citing works
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Making shared decisions in relation to planned caesarean sections: What are we up to?
Coates, D., Thirukumar, P., & Henry, A. (2019) · Patient Education and Counseling · doi:10.1016/j.pec.2019.12.001 · Cited by 33 · see citing works
Shared decision-making in healthcare in mainland China: a scoping review
Li, X., Yang, D., Meng, M., Zhao, J., Yin, Y., Wang, H., Zhang, X., Liu, Q., Li, M., Liu, J., et al. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1162993 · Cited by 32 · see citing works
Shared decision‐making across the specialties: Much potential but many challenges
Kalsi, D., Ward, J., Lee, R., Fulford, K. W. M., & Handa, A. I. (2019) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.13276 · Cited by 32 · see citing works
Decisional needs assessment of patients with complex care needs in primary care
Poitras, M.-È., Hudon, C., Godbout, I., Bujold, M., Pluye, P., Vaillancourt, V. T., Débarges, B., Poirier, A., Prévost, K., Spence, C., et al. (2019) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.13325 · Cited by 32 · see citing works
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Perspectives about dignity during acute care for older people and their relatives: A qualitative study
Kerr, D. C., Crone, R., & Dunning, T. L. (2020) · Journal of Clinical Nursing · doi:10.1111/jocn.15438 · Cited by 31 · see citing works
Interventions for involving older patients with multi-morbidity in decision-making during primary care consultations
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Engaging Caregivers in Health-Related Housing Decisions for Older Adults With Cognitive Impairment: A Cluster Randomized Trial
Adekpedjou, R., Stacey, D., Brière, N., Freitas, A., Garvelink, M. M., Dogba, M. J., Durand, P. J., Desroches, S., Croteau, J., Rivest, L., et al. (2019) · The Gerontologist · doi:10.1093/geront/gnz045 · Cited by 31 · see citing works
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Informed shared decision-making programme for patients with type 2 diabetes in primary care: cluster randomised controlled trial
Buhse, S., Kuniß, N., Liethmann, K., Müller, U., Lehmann, T., & Mühlhauser, I. (2018) · BMJ Open · doi:10.1136/bmjopen-2018-024004 · Cited by 30 · see citing works
Shared decision making between older people with multimorbidity and GPs: a qualitative study
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Preferences Across Pre-Exposure Prophylaxis Modalities Among Young Men Who Have Sex with Men in the United States: A Latent Class Analysis Study
Valente, P. K., Bauermeister, J. A., Lin, W., da Silva, D. T., Hightow‐Weidman, L., Drab, R., Mayer, K. H., Operario, D., Rusley, J. C., & Biello, K. B. (2022) · AIDS Patient Care and STDs · doi:10.1089/apc.2022.0111 · Cited by 30 · see citing works
The Six Steps of SDM: linking theory to practice, measurement and implementation
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Interventions for Indigenous Peoples making health decisions: a systematic review
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Interventions for improving the adoption of shared decision making by healthcare professionals
Légaré, F., Stacey, D., Turcotte, S., Cossi, M.-J., Kryworuchko, J., Graham, I. D., Lyddiatt, A., Politi, M. C., Thomson, R., Elwyn, G. J., et al. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006732.pub3 · Cited by 332 · see citing works
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A scoping review of interventions to promote the adoption of shared decision-making (SDM) among health care professionals in clinical practice
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Patients' Perceptions of Sharing in Decisions: A Systematic Review of Interventions to Enhance Shared Decision Making in Routine Clinical Practice
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Implementing shared decision making
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Patientsʼ Perceptions of Sharing in Decisions
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Self-citation

Authors: Légaré, F., Adekpedjou, R., Stacey, D., Turcotte, S., Kryworuchko, J., Graham, I. D., Lyddiatt, A., Politi, M. C., Thomson, R., Elwyn, G., & Donner-Banzhoff, N.
Affiliations: Université Laval (CA)
University of Ottawa (CA)
Hôpital Saint-François d'Assise (CA)
University of British Columbia (CA)
No affiliation; 28 Greenwood Road Ingersoll ON Canada N5C 3N1
Washington University in St. Louis (US)
Newcastle University (GB)
Cochrane (GB)
University of Marburg; Department of Family Medicine / General Practice; Karl-von-Frisch-Str. 4 Marburg Germany D-35039
ORCID: Légaré, France
Adekpedjou, Rhéda
Stacey, Dawn
Turcotte, Stéphane
Kryworuchko, Jennifer
Graham, Ian D
Lyddiatt, Anne
Politi, Mary C
Elwyn, Glyn
Venue: Cochrane Database of Systematic Reviews
Publisher: Wiley
Published: 2018-07-19
Volume: 2018
Issue: 7
Pages: CD006732-CD006732
ISSN: 1361-6137 (ISSN-L)
1465-1858
DOI: 10.1002/14651858.cd006732.pub4
PMC: PMC6513543
OpenAlex: W2884603128
Cited by: 698
References: 205
Citations by year: 2026: 34 · 2025: 120 · 2024: 124 · 2023: 94 · 2022: 99 · 2021: 95 · 2020: 67 · 2019: 54 · 2018: 8 · 2017: 1
FWCI: 10.20
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Cochrane Database of Systematic Reviews (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Keywords: shared decision-making, healthcare workers, intervention, decision aids, patient activation, patient education, patient-provider communication, decision regret, patient satisfaction, patient-reported outcomes, patient-centered care, implementation of shared decision making, multicomponent intervention, contamination risk, risk of bias, quality of evidence, patient engagement, patient participation
MeSH terms: Decision Making, Decision Support Techniques, Health Personnel, Humans, Patient Education as Topic, Patient Participation, Randomized Controlled Trials as Topic

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