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Related Experiment Video

Updated: May 14, 2026

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
05:48

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

Published on: June 12, 2020

Re-thinking shared decision-making: context matters.

Marianne S Matthias1, Michelle P Salyers, Richard M Frankel

  • 1Department of Veterans Affairs Health Services Research and Development Center on Implementing Evidence-Based Practice, Roudebush Veterans Affairs Medical Center, USA. mmatthia@iupui.edu

Patient Education and Counseling
|February 16, 2013
PubMed
Summary
This summary is machine-generated.

Shared decision-making (SDM) is influenced by the entire clinical encounter and patient-provider relationship, not just the decision point. Effective communication frameworks, like the Four Habits, foster an environment conducive to SDM.

Related Experiment Videos

Last Updated: May 14, 2026

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
05:48

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

Published on: June 12, 2020

Area of Science:

  • Clinical Communication
  • Shared Decision-Making (SDM)
  • Patient-Provider Relationship

Background:

  • Traditional views of SDM narrowly focus on the initiation of treatment discussions.
  • SDM is influenced by broader contextual factors beyond the immediate decision point.

Purpose of the Study:

  • To explore how the entire clinical encounter and patient-provider relationship shape SDM.
  • To demonstrate the integral role of communication in facilitating SDM.

Main Methods:

  • Utilized the validated Four Habits approach to effective clinical communication.
  • Analyzed how communication behaviors within the Four Habits framework support SDM.

Main Results:

  • The Four Habits framework includes investing in the beginning and end, eliciting patient perspectives, and demonstrating empathy.
  • These behaviors collectively create an environment that supports and enables SDM.

Conclusions:

  • SDM should not be studied in isolation; broader communicative and relational contexts are crucial.
  • SDM training may be more effective when incorporating communication and relationship frameworks like the Four Habits.