Post-training Shared Decision Making Barriers and Facilitators for Pediatric Healthcare Providers: A Mixed-Methods...

Area of Science:

• Pediatric Healthcare
• Clinical Decision Making
• Healthcare Provider Training

Background:

• Shared decision making (SDM) is crucial in pediatric care.
• Healthcare providers (HCPs) receive training to implement SDM.
• Post-training barriers can hinder SDM adoption.

Purpose of the Study:

• To assess barriers and facilitators of SDM for pediatric HCPs post-training.
• To identify factors influencing the use of SDM in pediatric healthcare settings.

Main Methods:

• Mixed-methods study involving surveys and semi-structured interviews with trained pediatric HCPs.
• Quantitative analysis of SDM barriers survey data (n=60).
• Qualitative content analysis of interview data (n=11) using the Ottawa Model of Research Use.

Main Results:

• High intention to use SDM (mean score 5.6/7), positively correlated with use.
• 52% of HCPs reported not using SDM post-training.
• Key barriers included insufficient time; facilitators included buy-in and agreement with SDM.

Conclusions:

• Despite training, significant barriers prevent SDM use among pediatric HCPs.
• HCPs recommend team-based SDM training and implementation support.
• Findings can inform interventions to improve SDM uptake in pediatric healthcare.