{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:47:32Z","timestamp":1790347652579,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T00:00:00Z","timestamp":1773532800000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale, Aims, and Objectives<\/jats:title>\n                    <jats:p>Shared decision making (SDM) is widely endorsed in clinical guidelines, yet clinicians may not use it consistently across different clinical problems. This study explores how SDM is influenced by the clinical topic under discussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using unannounced standardized patients (USPs), we observed how resident physicians engaged in SDM during new patient visits involving both gastroesophageal reflux disease (GERD) and smoking cessation. Audio recordings were evaluated using the validated Observer OPTION\u20105 tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>SDM scores were significantly higher in smoking cessation discussions than in GERD management. Residents more frequently integrated patient preferences when discussing smoking but gave more information when managing GERD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Residents appeared to adjust their SDM behaviors based on topic, suggesting context\u2010dependent application. Educational interventions should address this variability and promote balanced use of SDM across routine and behaviorally complex decisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70404","type":"journal-article","created":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T21:54:22Z","timestamp":1773611662000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Assessing the Implementation of Shared Decision\u2010Making in Primary Care: A Study With Unannounced Standardized Patients"],"prefix":"10.1111","volume":"32","author":[{"given":"Mahima","family":"Khan","sequence":"first","affiliation":[{"name":"Department of Medicine, NYU Grossman School of Medicine Division of General Internal Medicine and Clinical Innovation New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Medicine, NYU Grossman School of Medicine Division of General Internal Medicine and Clinical Innovation New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6747-4303","authenticated-orcid":false,"given":"Abigail","family":"Henderson","sequence":"additional","affiliation":[{"name":"Department of Medicine, NYU Grossman School of Medicine Division of General Internal Medicine and Clinical Innovation New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Medicine, NYU Grossman School of Medicine Division of General Internal Medicine and Clinical Innovation New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Kijowski","sequence":"additional","affiliation":[{"name":"Department of Medicine, NYU Grossman School of Medicine Division of General Internal Medicine and Clinical Innovation New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Hanley","sequence":"additional","affiliation":[{"name":"Department of Medicine, NYU Grossman School of Medicine Division of General Internal Medicine and Clinical Innovation New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Altshuler","sequence":"additional","affiliation":[{"name":"Department of Medicine, NYU Grossman School of Medicine Division of General Internal Medicine and Clinical Innovation New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1109283"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2012.1078"},{"issue":"2","key":"e_1_2_8_4_1","first-page":"221","article-title":"A \u2018Talk\u2019 Model of Shared Decision Making: Proposal of a Model to Foster Implementation","volume":"90","author":"Elwyn G.","year":"2013","journal-title":"Patient Education and Counseling"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2013.10.031"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j4891"},{"issue":"12","key":"e_1_2_8_7_1","first-page":"734","article-title":"The Observer OPTION\u20105 Measure of Shared Decision Making: Systematic Development and Psychometric Evaluation","volume":"24","author":"Barr P. J.","year":"2015","journal-title":"BMJ Qual Saf"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X14551638"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7212.766"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70404","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jep.70404","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T06:11:50Z","timestamp":1774591910000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.70404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/jep.70404"],"URL":"https:\/\/doi.org\/10.1111\/jep.70404","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"value":"1356-1294","type":"print"},{"value":"1365-2753","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-07-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70404"}}