{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:02:07Z","timestamp":1791244927851,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"22","license":[{"start":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T00:00:00Z","timestamp":1633392000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100002429","name":"Amgen","doi-asserted-by":"publisher","award":["18\u201000630"],"award-info":[{"award-number":["18\u201000630"]}],"id":[{"id":"10.13039\/100002429","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Multiple myeloma (MM) is an incurable cancer with complex treatment options. Trusting patient\u2013clinician relationships are essential to promote effective shared decision\u2010making that aligns best clinical practices with patient values and preferences. This study sought to shed light on the development of trust between MM patients and clinicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Nineteen individual semi\u2010structured interviews were conducted with MM patients within 2\u00a0years of initial diagnosis or relapse for this qualitative study. Interviews were recorded and transcripts were coded thematically.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified three main themes: (1) <jats:italic>externally validated trust<\/jats:italic> describes patients\u2019 predisposition to trust or distrust clinicians based on factors outside of patient\u2013clinician interactions; (2) <jats:italic>internally validated trust<\/jats:italic> describes how patients develop trust based on interactions with specific clinicians. Internally validated trust is driven primarily by clinician communication practices that demonstrate competence, responsiveness, listening, honesty, and empathy; and (3) <jats:italic>trust in relation to shared decision<\/jats:italic>\u2010<jats:italic>making<\/jats:italic> describes how patients relate the feeling of trust, or lack thereof, to the process of shared decision\u2010making.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Many factors contribute to the development of trust between MM patients and clinicians. While some are outside of clinicians\u2019 control, others derive from clinician behaviors and interpersonal communication skills. These findings suggest the possibility that trust can be enhanced through communication training or shared decision\u2010making tools that emphasize relational communication. Given the important role trust plays in shared decision\u2010making, clinicians working with MM patients should prioritize establishing positive, trusting relationships.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.4322","type":"journal-article","created":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T12:28:23Z","timestamp":1633609703000},"page":"8040-8057","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Trust and shared decision\u2010making among individuals with multiple myeloma: A qualitative study"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3883-8082","authenticated-orcid":false,"given":"Robin L.","family":"Whitney","sequence":"first","affiliation":[{"name":"The Valley Foundation School of Nursing San Jose State University San Jose California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6574-2812","authenticated-orcid":false,"given":"Anne Elizabeth Clark","family":"White","sequence":"additional","affiliation":[{"name":"Department of Family Medicine University of California San Diego La Jallo California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0714-734X","authenticated-orcid":false,"given":"Aaron S.","family":"Rosenberg","sequence":"additional","affiliation":[{"name":"UC Davis Comprehensive Cancer Center Sacramento California USA"},{"name":"Department of Internal Medicine University of California, Davis Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5575-529X","authenticated-orcid":false,"given":"Richard L.","family":"Kravitz","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of California, Davis Davis California USA"},{"name":"Center for Health Policy and Research University of California, Davis Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5766-3938","authenticated-orcid":false,"given":"Katherine K.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences School of Medicine, University of California Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,5]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"American Cancer Society Cancer Statistics Center.Myeloma.2020. 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