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Updated: Jun 1, 2026
04:56
Assessment of Social Transmission of Food Preferences Behaviors
Published on: January 25, 2018
Exploring dietitians' salient beliefs about shared decision-making behaviors
Sophie Desroches1, Annie Lapointe, Sarah-Maude Deschênes
1CHUQ Research Center, Centre Hospitalier Universitaire de Québec-Hôpital St-François-d'Assise, Québec, QC, Canada. sophie.desroches@fsaa.ulaval.ca
Implementation Science : IS
|June 3, 2011
Summary
Dietitians believe shared decision making (SDM) improves patient adherence. Key barriers to SDM in nutrition practice include patient factors and time constraints, which need addressing for effective implementation.
Area of Science:
- Nutrition and Dietetics
- Health Behavior
- Shared Decision Making
Background:
- Shared decision making (SDM) is a collaborative process between health professionals and patients to agree on treatment.
- SDM promotes informed, value-based, and adhered-to diet-related decisions.
- Two key SDM behaviors are presenting all dietary options and helping patients clarify values.
Purpose of the Study:
- To identify dietitians' salient beliefs regarding essential shared decision making (SDM) behaviors.
- To explore beliefs related to presenting dietary options and clarifying patient values in clinical encounters.
Main Methods:
- Four focus groups were conducted with 21 dietitians.
- A semistructured interview guide based on the Theory of Planned Behavior was used.
- Discussions were audiotaped, transcribed, coded, and analyzed using NVivo8 software.
Main Results:
- Dietitians perceived improved patient adherence as a key advantage of SDM behaviors.
- Normative referents influencing SDM adoption included patients, physicians, and the multidisciplinary team.
- Barriers and facilitators primarily related to patient characteristics, clinical situation, and time.
Conclusions:
- Addressing dietitians' salient beliefs can guide the implementation of SDM in nutrition practice.
- Identifying these beliefs provides a framework for developing quantitative surveys on SDM adoption determinants.
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