Article Figures & Data
Tables
- Table 1.
Checklist of core set of shared decision-making domains presented to participants.
Are the following elements present in the vignettes? Low SDM Vignette High SDM Vignette Identifying the decision The decision to be made is pointed out Exchanging information The treatment options are listed and their pros and cons explained Clarifying patients’ views The patients’ feelings about the pros and cons of the options are discussed Deliberating The pros and cons of the options are weighted and the feasibility of the options is considered Making the decision A decision is made or postponed Putting into practice The steps are arranged to put the decision into practice Effect of the decision Comments SDM: shared decision making.
Domains and Subdomains No. Votes (10 per person) Patient Research Partners, N = 5 (weighted opinion)* Health Professionals / Researchers, N = 21 (weighted opinion)* Total, N = 26 (weighted opinion)* Exchanging information 13 (26%) 52 (25%) 65 (25%) General domain 6 (12%) 12 (6%) 18 (7%) Presenting the evidence for the risks and benefits of options and uncertainties in an unbiased manner 0 (0%) 18 (9%) 18 (7%) Tailoring the information (format and language patients understand) 4 (8%) 15 (7%) 19 (7%) Clarifying patient understanding 3 (6%) 7 (3%) 10 (4%) Clarifying views 13 (26%) 35 (17%) 48 (18%) General domain 6 (12%) 12 (6%) 18 (7%) Clarifying patients’ values 4 (8%) 6 (3%) 10 (4%) Clarifying patients’ expectations regarding the courses of action 3 (6%) 7 (3%) 10 (4%) Clarifying health practitioners’ views (global assessment of the patient) 0 (0%) 10 (5%) 10 (4%) Assessing the effect of the decision 7 (14%) 39 (19%) 46 (18%) General domain 1 (2%) 10 (5%) 11 (4%) Patient satisfaction, comfort with decision 1 (2%) 4 (2%) 5 (2%) Patient informed consent, understanding of information 2 (4%) 12 (6%) 14 (5%) Health outcomes 1 (2%) 4 (2%) 5 (2%) Trust in healthcare system 0 (0%) 4 (2%) 4 (2%) Health practitioner’s liability 1 (2%) 1 (0%) 2 (1%) Time and resources needed 1 (2%) 4 (2%) 5 (2%) Deliberating 6 (12%) 27 (13%) 33 (13%) General domain 1 (2%) 8 (4%) 9 (3%) Considering the benefit/risk ratio of the options 3 (6%) 11 (5%) 14 (5%) Considering the feasibility of the options 2 (4%) 8 (4%) 10 (4%) Identifying the decision 2 (4%) 9 (4%) 11 (4%) Making the decision 0 (0%) 6 (3%) 6 (2%) Putting the decision into practice 0 (0%) 4 (2%) 4 (2%) General domain 0 (0%) 4 (2%) 4 (2%) Preparing plans for implementation and followup 0 (0%) 0 (0%) 0 (0%) ↵* Analyzed as the no. votes/(participants × 10).
Contextual Factors No. Votes (10 per person) Patient Research Partners, N = 5 (weighted opinion)* Health Professionals / Researchers, N = 21 (weighted opinion)* Total, N = 26 (weighted opinion)* Establishing partnership and mutual respect 4 (8%) 28 (13%) 32 (12%) General domain 1 (2%) 4 (2%) 5 (2%) Health professionals’ empathy and desire to let patients speak (by using open-ended questions, empathetic non-verbal language) 2 (4%) 22 (10%) 24 (9%) No time pressure 1 (2%) 0 (0%) 1 (0%) Patients’ ability to speak their mind 0 (0%) 2 (1%) 2 (1%) Considering patient sociodemographic context and social support 4 (8%) 4 (2%) 8 (3%) Health professional’s assertiveness 1 (2%) 6 (3%) 7 (3%) Educational material and decision aids 0 (0%) 0 (0%) 0 (0%) Total 9 (18%) 38 (18%) 47 (18%) ↵* Analyzed as the number of votes/(participants × 10)