{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T09:18:20Z","timestamp":1783588700010,"version":"3.55.0"},"reference-count":65,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"unspecified","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,3,18]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Shared decision making (SDM) is advocated as an approach for patient-centred asthma care. However, this approach may not always be feasible or preferred by patients and\/or healthcare professionals (HCPs). Knowledge and insights into whether and how the preferred collaboration style in medical decision making is discussed and managed during consultations for severe asthma are limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate how HCPs\u2019 and patients\u2019 preferred collaboration styles in treatment decision making are experienced, discussed and managed during consultations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Qualitative research using semi-structured interviews with HCPs specialised in severe asthma and a focus group with severe asthma patients in The Netherlands. Inductive thematic analysis was used, with results reported according to the COREQ checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four themes concerning HCPs\u2019 and patients\u2019 experiences were identified: (1) overall preference for SDM, yet (2) ambiguity of SDM\u2019s content, (3) variation in application of SDM and (4) friction between medical focus and patient autonomy in SDM. A fifth theme concerned the discussion and management of collaboration style preferences: limited metacommunication. HCPs and patients seem unable to identify each other\u2019s preferences in collaboration styles. Overall, a lack of communication regarding how to collaborate in making treatment decisions was found. Varying views on meaning and content of collaboration styles, especially SDM, and HCPs\u2019 medical focus seemed to contribute to the lack of communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>With the lack of communication regarding preferences in collaborating, HCPs and patients are likely to miss out on effective collaboration. Future studies should explore how views and preferences regarding HCP-patient collaboration can be bridged.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-103743","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T16:40:42Z","timestamp":1776271242000},"page":"e103743","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring collaboration preferences of health care professionals and patients regarding treatment decision making in severe asthma: a qualitative study in The Netherlands"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7304-2012","authenticated-orcid":false,"given":"Maria","family":"Achterbosch","sequence":"first","affiliation":[{"name":"Department of Clinical Pharmacy and Pharmacology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hinke M","family":"van der Werf","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioural Science, University of Groningen, Groningen, The Netherlands"},{"name":"School of Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1720-5478","authenticated-orcid":false,"given":"Laura","family":"Mortelmans","sequence":"additional","affiliation":[{"name":"Department of Nursing and Midwifery Sciences, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), University of Antwerp, Faculty of Medicine and Health Sciences, Wilrijk, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tinne","family":"Dilles","sequence":"additional","affiliation":[{"name":"Department of Nursing and Midwifery Sciences, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), University of Antwerp, Faculty of Medicine and Health Sciences, Wilrijk, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boudewijn J H","family":"Dierick","sequence":"additional","affiliation":[{"name":"Department of Clinical Pharmacy and Pharmacology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands"},{"name":"Department of Primary and Long-Term Care, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liset","family":"van Dijk","sequence":"additional","affiliation":[{"name":"Nivel, Netherlands Institute for Health Services Research, Utrecht, The Netherlands"},{"name":"Department of Pharmacotherapy, Epidemiology and Economics, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, The Netherlands"},{"name":"Medication Adherence Expertise Centre of the Northern Netherlands (MAECON), Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2368-2262","authenticated-orcid":false,"given":"Job F M","family":"van Boven","sequence":"additional","affiliation":[{"name":"Department of Clinical Pharmacy and Pharmacology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands"},{"name":"Medication Adherence Expertise Centre of the Northern Netherlands (MAECON), Groningen, The Netherlands"},{"name":"Groningen Research Institute for Asthma and COPD (GRIAC), Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"2026070902002096000_16.4.e103743.1","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.zefq.2017.05.016","article-title":"Shared decision making, a buzz-word in the Netherlands, the pace quickens towards nationwide implementation\u2026","volume":"123\u2013124","author":"van der Weijden","year":"2017","journal-title":"Z Evid Fortbild Qual Gesundhwes"},{"key":"2026070902002096000_16.4.e103743.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2013.10.031"},{"key":"2026070902002096000_16.4.e103743.3","doi-asserted-by":"publisher","DOI":"10.1046\/j.1369-6513.2002.00181.x"},{"key":"2026070902002096000_16.4.e103743.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.zefq.2011.04.005"},{"key":"2026070902002096000_16.4.e103743.5","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2004.029041"},{"key":"2026070902002096000_16.4.e103743.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2011.02.004"},{"key":"2026070902002096000_16.4.e103743.7","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-012-2077-6"},{"key":"2026070902002096000_16.4.e103743.8","doi-asserted-by":"crossref","unstructured":"Kew KM , Malik P , Aniruddhan K , et al . 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