{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T17:46:52Z","timestamp":1791740812648,"version":"4.3.4"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale<\/jats:title>\n                    <jats:p>Guidelines for the treatment of a variety of diseases and medical conditions increasingly call for decision\u2010making by a multidisciplinary team, which typically takes place during multidisciplinary team meetings (MDTMs). However, studies examining in\u2010person MDTMs show that the decision\u2010making processes during such meetings often fall short of optimal performance due to participants refraining from exercising voice behavior\u2014denoting the communicative act of sharing one's perspectives, suggestions, and concerns related to the patient's diagnosis and treatment options with fellow participants. The expanding digitalization and the COVID\u201019 pandemic have led to an increase in online and hybrid meetings, potentially introducing new obstacles to participants' voice behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives<\/jats:title>\n                    <jats:p>The present paper aims to explore the challenges encountered by participants of online and hybrid MDTMs in exercising their voice behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Observations of neuro\u2010oncology MDTMs in two Dutch hospitals and interviews with chairpersons and participants of the observed MDTMs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Respondents encountered difficulties in expressing their perspectives, ideas, and concerns during online and hybrid meetings, which could be attributed to (1) the absence of non\u2010verbal cues, (2) technological deficiencies, (3) a personal lack of focus, (4) suboptimal layout of the meeting room, and (5) challenges in building relationships with other attendees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Obstacles to voice behavior in MDTMs are multifaceted, with specific barriers inherent to online and hybrid meetings that are not present in in\u2010person meetings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70614","type":"journal-article","created":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T17:35:15Z","timestamp":1791740115000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Barriers to Voice Behavior in Online and Hybrid Multidisciplinary Team Meetings: A Qualitative Study"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4897-2346","authenticated-orcid":false,"given":"Karin","family":"Kee","sequence":"first","affiliation":[{"name":"Department of Organization Sciences Vrije Universiteit Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie M. E.","family":"van der Burgt","sequence":"additional","affiliation":[{"name":"Teaching and Learning Center (TLC), Amsterdam University Medical Center University of Amsterdam Amsterdam the Netherlands"},{"name":"Amsterdam Public Health Section Quality of Care Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marike L. D.","family":"Broekman","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Haaglanden Medical Center The Hague the Netherlands"},{"name":"Department of Neurosurgery Leiden University Medical Center Leiden the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rob J. A.","family":"Nabuurs","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Haaglanden Medical Center The Hague the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2020-011793"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000923"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-08112-0"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S196660"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2020.0024"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000003885"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2022-002130"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1088868307304092"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.7446"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/13561820.2022.2037530"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2025-003335"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1108\/JHOM-06-2023-0191"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0263611"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annonc.2021.01.002"},{"key":"e_1_2_8_16_1","volume-title":"Qualitative Research Practice: A Guide for Social Science Students and Researchers","author":"Ritchie J.","year":"2013"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2006.03.034"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781526435620.n19"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1020909529486"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.21037\/qims-20-638"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jop.12853"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-022-09083-w"},{"issue":"3","key":"e_1_2_8_23_1","first-page":"253","article-title":"The Relational Road to Voice: How Members of a Low\u2010Status Occupational Group Can Develop Voice Behavior That Transcends Hierarchical Levels","volume":"8","author":"Kee K.","year":"2021","journal-title":"Journal of Professions and Organization"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S332972"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70614","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jep.70614","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70614","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T17:35:17Z","timestamp":1791740117000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.70614"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":23,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/jep.70614"],"URL":"https:\/\/doi.org\/10.1111\/jep.70614","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"value":"1356-1294","type":"print"},{"value":"1365-2753","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-01-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70614"}}