{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:56:02Z","timestamp":1791186962524,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Shared decision\u2010making (SDM) is increasingly recognized as a core element of patient\u2010centered dental care, promoting collaboration between clinicians and patients to ensure that treatment decisions reflect both clinical evidence and individual preferences. However, few patient decision aids (PDAs) tailored to dental contexts have been systematically developed or evaluated. This study aimed to develop a dental\u2010specific PDA and explore patients\u2019 perceptions of SDM following PDA\u2010assisted consultations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A mixed\u2010methods design was employed in Taiwan, combining a quantitative survey (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200946) using the 9\u2010item Shared Decision\u2010Making Questionnaire (SDM\u2010Q\u20109) and qualitative focus group interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911). Quantitative analyses included\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests and ANOVA to examine demographic and treatment\u2010related variations, while qualitative data were analyzed using thematic analysis with open, axial, and selective coding procedures derived from grounded theory approaches.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients reported high overall SDM\u2010Q\u20109 scores (\n                      <jats:italic>M<\/jats:italic>\n                      \u2009=\u20095.88, SD\u2009=\u20090.27; however, this mean approaches the scale maximum of 6.0, suggesting a potential ceiling effect that may have limited score discrimination). Significant variations were observed by gender (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), marital status (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and treatment type (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), suggesting that demographic and clinical contexts were associated with differences in perceived SDM. Focus group findings identified three modes of participation: tool\u2010driven, passive acceptance, and integrative reflective participation. Patients emphasized the importance of clear communication, supportive provider interaction, and contextual readiness in shaping their decision\u2010making experiences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients reported high levels of perceived SDM following PDA\u2010assisted consultations, and qualitative findings suggested that the PDA was viewed positively as a tool to support communication and treatment discussions. The study contributes theoretically by extending transformative learning theory into dental decision\u2010making, practically by providing tailored strategies for PDA deployment, and at the policy level by highlighting dentistry as a favorable setting for SDM implementation due to its multi\u2010visit treatment structure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73091","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:25:30Z","timestamp":1787808330000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and Evaluation of a Shared Decision\u2010Making Patient Decision Aid for Dental Clinic Care: A Mixed\u2010Methods Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0572-3697","authenticated-orcid":false,"given":"Ching\u2010Wen","family":"Liu","sequence":"first","affiliation":[{"name":"Graduate Institute of Adult Education National Kaohsiung Normal University Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1456-1933","authenticated-orcid":false,"given":"Hsiao\u2010Hui","family":"Jung","sequence":"additional","affiliation":[{"name":"Graduate Institute of Adult Education National Kaohsiung Normal University Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-012-2077-6"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001431.pub5"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-031763"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001431.pub2"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2013.10.031"},{"key":"e_1_2_15_7_1","unstructured":"C.\u2010W.Liu \u201cDevelopment and Assessment of a Dental Patient Decision Aid to Facilitate Shared Decision\u2010Making (Doctoral Dissertation National Kaohsiung Normal University Kaohsiung Taiwan) In Chinese (2025) 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