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Related Experiment Video

Updated: Dec 8, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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What makes a patient ready for Shared Decision Making? A qualitative study.

Sascha M Keij1, Nanny van Duijn-Bakker1, Anne M Stiggelbout1

  • 1Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands.

Patient Education and Counseling
|September 23, 2020
PubMed
Summary

Patients need specific elements like health literacy and communication skills to be ready for shared decision making (SDM). Readiness for SDM varies based on patient and decision characteristics, requiring clinician support.

Keywords:
Decision situationDecision supportEmpowermentEngagementInvolvementPatient characteristicsPatient readinessShared decision makingTreatment decision making

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Area of Science:

  • Healthcare research
  • Patient engagement

Background:

  • Shared decision making (SDM) necessitates active patient participation.
  • Patient readiness for SDM can be a barrier to effective treatment discussions.

Purpose of the Study:

  • To identify patient needs for readiness in SDM.
  • To explore patient and decision characteristics influencing SDM readiness.

Main Methods:

  • Conducted semi-structured interviews with patients and healthcare professionals.
  • Utilized inductive analysis for interview data.

Main Results:

  • Identified five key elements of patient readiness: understanding of SDM, health literacy, communication skills, self-awareness, and consideration skills.
  • Identified ten influencing characteristics: age, cultural/educational background, relationships, mental health, emotional distress, diagnosis acceptance, clinician-patient relationship, decision type, and time.

Conclusions:

  • Patient readiness for SDM is multifaceted, encompassing understanding, skills, and personal characteristics.
  • Readiness for SDM is dynamic and influenced by a combination of individual patient factors and the nature of the decision.