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Updated: Sep 9, 2025

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
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Characterizing How Pediatric Clinicians Create Choice Awareness When Performing Shared Decision-Making.

Holly Hoa Vo1, Jeffrey D Robinson2, Douglas J Opel3

  • 1Division of Pulmonary and Sleep Medicine and Division of Bioethics and Palliative Care (HH Vo), Department of Pediatrics, University of Washington School of Medicine and Treuman Katz, Center for Pediatric Bioethics and Palliative Care, Seattle Children's Research Institute, Seattle, Wash.

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|August 30, 2025
PubMed
Summary
This summary is machine-generated.

Clinicians use varied approaches to inform patients about medical choices during shared decision-making (SDM). Standardizing how choice awareness is communicated can improve SDM implementation in pediatric care.

Keywords:
decision-makingpediatricsshared

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Area of Science:

  • Medical Communication
  • Shared Decision-Making (SDM)
  • Pediatric Healthcare

Background:

  • Shared decision-making (SDM) is crucial for patient-centered care, involving patients in medical choices.
  • Effective communication of treatment options is essential for successful SDM.
  • Understanding how clinicians create choice awareness is key to improving SDM implementation.

Purpose of the Study:

  • To characterize the methods pediatric clinicians use to create choice awareness during SDM.
  • To analyze clinician communication strategies for presenting multiple treatment options to patients.
  • To identify variations in how choice awareness is established in pediatric clinical encounters.

Main Methods:

  • Secondary analysis of a cross-sectional observational study involving videotaped pediatric encounters.
  • Conversation analysis applied to 34 shared decisions from 21 encounters where clinicians reported performing SDM.
  • Inclusion of clinicians from 6 pediatric specialties at a single US children's hospital.

Main Results:

  • Two primary approaches for creating choice awareness were identified: the 'single-option approach' and the 'multiple-options approach'.
  • The single-option approach presents one recommended option initially, allowing others to emerge if needed.
  • The multiple-options approach explicitly presents all available choices upfront, facilitating SDM more unambiguously.

Conclusions:

  • Pediatric clinicians exhibit variability in establishing choice awareness during SDM.
  • The multiple-options approach appears more effective in unambiguously facilitating SDM.
  • Standardizing the communication of choice awareness can enhance the implementation and effectiveness of SDM.