When attitudes and beliefs get in the way of shared decision-making: A mediation analysis of participation preference.

ABSTRACT:

Introduction

Certain sociodemographic characteristics (e.g., older age) have previously been identified as barriers to patients' participation preference in shared decision-making (SDM). We aim to demonstrate that this relationship is mediated by the perceived power imbalance that manifests itself in patients' negative attitudes and beliefs about their role in decision-making.

Methods

We recruited a large sample (N = 434) of outpatients with a range of urological diagnoses (42.2% urooncological). Before the medical consultation at a university hospital, patients completed the Patients' Attitudes and Beliefs Scale and the Autonomy Preference Index. We evaluated attitudes as a mediator between sociodemographic factors and participation preference in a path model.

Results

SUBMITTER: Budenbender B 

PROVIDER: S-EPMC10010103 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature