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Related Experiment Video

Updated: Jan 31, 2026

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Shared decision-making (SHARE-D) for healthy behaviour change: a feasibility study in general practice.

Margaret E Cupples1,2,3, Judith A Cole4,5, Nigel D Hart6,7

  • 1Professor, Department of General Practice, Queen's University Belfast, Dunluce Health Centre, Belfast, UK.

BJGP Open
|December 20, 2018
PubMed
Summary

A new paper-based tool for shared decision-making shows promise for supporting health behaviour change in cardiovascular disease prevention. While feasible, healthcare professionals' workloads may limit its routine implementation.

Keywords:
cardiovascular diseasedietgeneral practicephysical activity

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Area of Science:

  • Public Health
  • Health Behavior Change
  • Cardiovascular Disease Prevention

Background:

  • Effective interventions are crucial for cardiovascular disease (CVD) prevention.
  • The role of decision tools in shared decision-making with health professionals (HPs) for behaviour change is not well understood.

Purpose of the Study:

  • To assess the feasibility of a novel, paper-based tool for shared decision-making to initiate behaviour change.
  • To explore participant and HP perspectives on the tool's utility and implementation.

Main Methods:

  • Feasibility study conducted in five general practices.
  • Adults at high risk for CVD discussed diet and physical activity (PA) with HPs using a paper-based decision aid.
  • Diet and PA were assessed using validated questionnaires and accelerometers; participant and HP views were explored through thematic analysis of interviews.

Main Results:

  • Recruitment and completion rates (87%) indicate feasibility.
  • Participants and HPs valued the tool's structure and content, facilitating discussion.
  • HP workloads were identified as a barrier to routine use, though the tool showed potential value.

Conclusions:

  • The paper-based shared decision-making tool is feasible for promoting behaviour change in CVD prevention.
  • Qualitative insights highlight the tool's potential, but practical implementation is hindered by HP workloads.
  • Further research into sustainable models for integrating such tools into clinical practice is recommended.