biostudies-literatureStephen AMedical Research CouncilCIHR539https://www.ebi.ac.uk/biostudies/studies/S-EPMC12642203biostudies-literatureUnknown26(1)<h4>Background</h4>Recruitment to clinical trials is often challenging, and evidence on effective recruitment strategies remains limited. Framing trial recruitment as a behaviour, amenable to change, enables the application of behavioural science frameworks to better understand and potentially improve recruitment processes. Since trial participation is also a preference-sensitive decision, shared decision-making (SDM) may further enhance ethical recruitment. The present study aimed to explore how behavioural taxonomies and SDM frameworks can be applied to recruitment consultations to identify behaviour change techniques (BCTs) and assess the extent of SDM.<h4>Methods</h4>A secondary analysis was conducted on 53 audio-recorded consultations; consultations from 3 trials in oncology and gastrTrialsShared decision-making and behaviour change collide: an analysis of consultations discussing clinical trial recruitment.PMC12642203PJT 169055MR/X007464/1Carroll KMarlin SLawrie LCoffey TPresseau JBrehaut JStephen AHudek NMatuluko ASherratt FGillies KLorencatto FRichards DPfalseShared decision-making and behaviour change collide: an analysis of consultations discussing clinical trial recruitment.<h4>Background</h4>Recruitment to clinical trials is often challenging, and evidence on effective recruitment strategies remains limited. Framing trial recruitment as a behaviour, amenable to change, enables the application of behavioural science frameworks to better understand and potentially improve recruitment processes. Since trial participation is also a preference-sensitive decision, shared decision-making (SDM) may further enhance ethical recruitment. The present study aimed to explore how behavioural taxonomies and SDM frameworks can be applied to recruitment consultations to identify behaviour change techniques (BCTs) and assess the extent of SDM.<h4>Methods</h4>A secondary analysis was conducted on 53 audio-recorded consultations; consultations from 3 trials in oncology and gastr2025-01-01T00:00:00Z2025 Nov2026-06-05T18:44:28.373Z2026-05-20T03:13:06.125ZS-EPMC126422034128694110.1186/s13063-025-09260-4