Problem-based shared decision making: The role of canonical SDM steps.

ABSTRACT:

Objective

To evaluate the extent to which the canonical steps of shared decision making (SDM) take place in clinical encounters in practice and across SDM forms.

Methods

We assessed 100 randomly selected video-recorded primary care encounters, obtained as part of a randomized trial of an SDM intervention in patients with type 2 diabetes. Two coders, working independently, noted each instance of SDM, classified it as one of four problem-based forms to SDM (weighing alternatives, negotiating conflicting issues, solving problems, or developing existential insight), and noted the occurrence and timing of each of the four canonical SDM steps: fostering choice awareness, providing information, stating preferences, and deciding. Descriptive analyses sought to determine the relative

SUBMITTER: Montori VM 

PROVIDER: S-EPMC9854321 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature