{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T08:07:33Z","timestamp":1780387653282,"version":"3.54.1"},"reference-count":32,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100017930","name":"Academic Pediatric Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017930","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R03HS26994-01A1"],"award-info":[{"award-number":["R03HS26994-01A1"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["academicpedsjnl.net","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Academic Pediatrics"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.acap.2025.103140","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T17:29:41Z","timestamp":1756402181000},"page":"103140","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Characterizing How Pediatric Clinicians Create Choice Awareness When Performing Shared Decision-Making"],"prefix":"10.1016","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5465-7938","authenticated-orcid":false,"given":"Holly Hoa","family":"Vo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey D.","family":"Robinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7021-191X","authenticated-orcid":false,"given":"Douglas J.","family":"Opel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.acap.2025.103140_bib1","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s13012-018-0851-5","article-title":"Barriers and facilitators of pediatric shared decision-making: a systematic review","volume":"14","author":"Boland","year":"2019","journal-title":"Implement Sci"},{"key":"10.1016\/j.acap.2025.103140_bib2","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1080\/10410236.2012.710873","article-title":"Patient trust in physicians and shared decision-making among African-Americans with diabetes","volume":"28","author":"Peek","year":"2013","journal-title":"Health Commun"},{"key":"10.1016\/j.acap.2025.103140_bib3","doi-asserted-by":"crossref","first-page":"1309","DOI":"10.1001\/jama.2017.0616","article-title":"Prime time for shared decision making","volume":"317","author":"Spatz","year":"2017","journal-title":"JAMA"},{"key":"10.1016\/j.acap.2025.103140_bib4","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-031763","article-title":"Key components of shared decision making models: a systematic review","volume":"9","author":"Bomhof-Roordink","year":"2019","journal-title":"BMJ Open"},{"key":"10.1016\/j.acap.2025.103140_bib5","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.mayocpiqo.2017.12.002","article-title":"Fostering choice awareness for shared decision making: a secondary analysis of video-recorded clinical encounters","volume":"2","author":"Kunneman","year":"2018","journal-title":"Mayo Clin Proc Innov Qual Outcomes"},{"key":"10.1016\/j.acap.2025.103140_bib6","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1177\/0272989X211056334","article-title":"Fostering patient choice awareness and presenting treatment options neutrally: a randomized trial to assess the effect on perceived room for involvement in decision making","volume":"42","author":"Pieterse","year":"2022","journal-title":"Med Decis Making"},{"key":"10.1016\/j.acap.2025.103140_bib7","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.e256","article-title":"Shared decision making: really putting patients at the centre of healthcare","volume":"344","author":"Stiggelbout","year":"2012","journal-title":"BMJ"},{"key":"10.1016\/j.acap.2025.103140_bib8","doi-asserted-by":"crossref","first-page":"1588","DOI":"10.1016\/j.acap.2023.01.007","article-title":"Validation of a process for shared decision-making in pediatrics","volume":"23","author":"Opel","year":"2023","journal-title":"Acad Pediatr"},{"key":"10.1016\/j.acap.2025.103140_bib9","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1097\/PCC.0000000000000617","article-title":"Family conferences in the neonatal ICU: observation of communication dynamics and contributions","volume":"17","author":"Boss","year":"2016","journal-title":"Pediatr Crit Care Med"},{"key":"10.1016\/j.acap.2025.103140_bib10","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1542\/hpeds.2014-0017","article-title":"The Pediatric Inpatient Family Care Conference: a proposed structure toward shared decision-making","volume":"4","author":"Fox","year":"2014","journal-title":"Hosp Pediatr"},{"key":"10.1016\/j.acap.2025.103140_bib11","series-title":"Management and the Worker: An Account of a Research Program Conducted by the Western Electric Company, Hawthorne Works","article-title":"Western electric company","author":"Roethlisberger","year":"1939"},{"key":"10.1016\/j.acap.2025.103140_bib12","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1186\/1471-2288-14-101","article-title":"Getting under the skin of the primary care consultation using video stimulated recall: a systematic review","volume":"14","author":"Paskins","year":"2014","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.acap.2025.103140_bib13","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.1089\/jpm.2017.0528","article-title":"A descriptive study of decision-making conversations during pediatric intensive care unit family conferences","volume":"21","author":"Smith","year":"2018","journal-title":"J Palliat Med"},{"key":"10.1016\/j.acap.2025.103140_bib14","series-title":"Communication in Medical Care: Interaction between Primary Care Physicians and Patients","author":"Heritage","year":"2006"},{"key":"10.1016\/j.acap.2025.103140_bib15","series-title":"Handbook of Methods in Conversation Analysis","author":"Robinson","year":"2024"},{"key":"10.1016\/j.acap.2025.103140_bib16","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1080\/10410236.2017.1350914","article-title":"Treatment recommendation actions, contingencies, and responses: an introduction","volume":"33","author":"Stivers","year":"2018","journal-title":"Health Commun"},{"key":"10.1016\/j.acap.2025.103140_bib17","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.pec.2013.04.009","article-title":"Shared decision-making to improve attention-deficit hyperactivity disorder care","volume":"93","author":"Brinkman","year":"2013","journal-title":"Patient Educ Couns"},{"key":"10.1016\/j.acap.2025.103140_bib18","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/s40463-019-0351-x","article-title":"Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations","volume":"48","author":"Evong","year":"2019","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.acap.2025.103140_bib19","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1097\/DBP.0000000000000903","article-title":"Shared decision-making during initial diagnostic and treatment planning visits for children with autism spectrum disorder","volume":"42","author":"Mule","year":"2021","journal-title":"J Dev Behav Pediatr"},{"key":"10.1016\/j.acap.2025.103140_bib20","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1007\/s00431-023-05280-x","article-title":"Shared decision-making between paediatric haematologists, children with sickle cell disease and their parents: an exploratory study","volume":"183","author":"Wijngaarde","year":"2024","journal-title":"Eur J Pediatr"},{"key":"10.1016\/j.acap.2025.103140_bib21","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1080\/10410236.2017.1350913","article-title":"Treatment recommendations as actions","volume":"33","author":"Stivers","year":"2018","journal-title":"Health Commun"},{"key":"10.1016\/j.acap.2025.103140_bib22","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.pec.2019.07.025","article-title":"The duality of option-listing in cancer care","volume":"103","author":"Tate","year":"2020","journal-title":"Patient Educ Couns"},{"key":"10.1016\/j.acap.2025.103140_bib23","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1080\/10410236.2017.1350916","article-title":"How psychiatrists recommend treatment and its relationship with patient uptake","volume":"33","author":"Thompson","year":"2018","journal-title":"Health Commun"},{"key":"10.1016\/j.acap.2025.103140_bib24","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.1080\/10410236.2017.1350912","article-title":"Deferring the decision point: treatment assertions in neurology outpatient consultations","volume":"33","author":"Toerien","year":"2018","journal-title":"Health Commun"},{"key":"10.1016\/j.acap.2025.103140_bib25","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1207\/s15327027hc1801_3","article-title":"Parent resistance to physicians' treatment recommendations: one resource for initiating a negotiation of the treatment decision","volume":"18","author":"Stivers","year":"2005","journal-title":"Health Commun"},{"key":"10.1016\/j.acap.2025.103140_bib26","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1080\/08351813.2024.2305038","article-title":"Communication in primary healthcare: a state-of-the-art literature review of conversation-analytic research","volume":"57","author":"Barnes","year":"2024","journal-title":"Res Lang Soc Interact"},{"key":"10.1016\/j.acap.2025.103140_bib27","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1207\/s15327027hc1902_1","article-title":"The structure of patients' presenting concerns: physicians' opening questions","volume":"19","author":"Heritage","year":"2006","journal-title":"Health Commun"},{"key":"10.1016\/j.acap.2025.103140_bib28","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1007\/s11606-016-3616-3","article-title":"Development of a conceptual framework for understanding shared decision making among African-American LGBT patients and their clinicians","volume":"31","author":"Peek","year":"2016","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.acap.2025.103140_bib29","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.amjsurg.2018.01.011","article-title":"Association of shared decision-making on patient-reported health outcomes and healthcare utilization","volume":"216","author":"Hughes","year":"2018","journal-title":"Am J Surg"},{"key":"10.1016\/j.acap.2025.103140_bib30","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.2105\/AJPH.2005.080762","article-title":"Racial\/ethnic differences in physician distrust in the United States","volume":"97","author":"Armstrong","year":"2007","journal-title":"Am J Public Health"},{"key":"10.1016\/j.acap.2025.103140_bib31","doi-asserted-by":"crossref","first-page":"2084","DOI":"10.2105\/AJPH.94.12.2084","article-title":"Patient race\/ethnicity and quality of patient-physician communication during medical visits","volume":"94","author":"Johnson","year":"2004","journal-title":"Am J Public Health"},{"key":"10.1016\/j.acap.2025.103140_bib32","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1001\/jama.2024.15857","article-title":"Word choice and the patient encounter","volume":"332","author":"Robinson","year":"2024","journal-title":"JAMA"}],"container-title":["Academic Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1876285925003651?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1876285925003651?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T07:21:54Z","timestamp":1780384914000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1876285925003651"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["S1876285925003651"],"URL":"https:\/\/doi.org\/10.1016\/j.acap.2025.103140","relation":{},"ISSN":["1876-2859"],"issn-type":[{"value":"1876-2859","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Characterizing How Pediatric Clinicians Create Choice Awareness When Performing Shared Decision-Making","name":"articletitle","label":"Article Title"},{"value":"Academic Pediatrics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.acap.2025.103140","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2025 by Academic Pediatric Association All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"103140"}}