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Related Experiment Video

Updated: Apr 26, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Understanding patient perceptions of shared decision making.

L Aubree Shay1, Jennifer Elston Lafata2

  • 1Center for Health Promotions and Research, University of Texas School of Public Health, San Antonio, USA.

Patient Education and Counseling
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PubMed
Summary

Patient perceptions of shared decision-making (SDM) focus on mutual agreement, not a specific process. A trusting relationship and clear communication are key for patients to feel involved in healthcare decisions.

Keywords:
Patient perceptionsPrimary care decision-makingQualitative interviewsShared decision making

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Area of Science:

  • Health Services Research
  • Patient-Centered Care
  • Qualitative Research

Background:

  • Shared decision-making (SDM) is crucial for patient-centered care.
  • Understanding patient perspectives on SDM is essential for improving healthcare interactions.

Purpose of the Study:

  • To develop a conceptual model of patient-defined SDM.
  • To identify factors influencing patients' labeling of decision-making processes as shared.

Main Methods:

  • Qualitative interviews with 23 primary care patients.
  • Analysis of patient descriptions of SDM and specific shared decisions.
  • Qualitative content analysis of interview data.

Main Results:

  • Patient definitions of SDM involve information exchange, mutual respect, self-advocacy, and physician recommendations.
  • A trusting, long-term patient-physician relationship facilitates SDM.
  • Patients primarily identify decisions as shared based on mutual agreement, regardless of the process.

Conclusions:

  • Patient labeling of shared decisions prioritizes agreement over a standardized process.
  • Further research should explore longitudinal communication and self-advocacy's impact on SDM perceptions.