{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:49:20Z","timestamp":1777916960344,"version":"3.51.4"},"reference-count":48,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T00:00:00Z","timestamp":1617062400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100023681","name":"Graduate School of Economic and Social Sciences","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100023681","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Decis Making"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The COVID-19 pandemic pushed some of the most well-developed health care systems to their limits. In many cases, this has challenged patient-centered care. We set out to examine individuals\u2019 attitudes toward shared decision making (SDM) and to identify predictors of participation preference during the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted an online survey with a large convenience sample ( N = 1061). Our main measures of interest were participants\u2019 generic and COVID-19\u2013related participation preference as well as their acceptance and distress regarding a triage vignette. We also assessed anxiety, e-health literacy, and aspects of participants\u2019 health. We conducted group comparisons and multiple linear regression analyses on participation preference as well as triage acceptance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In generic decision making, most participants expressed a strong need for information and a moderate participation preference. In the hypothetical case of COVID-19 infection, most preferred physician-led decisions. Generic participation preference was the strongest predictor of COVID-19\u2013related participation preference, followed by age, education, and anxiety. Furthermore, both higher generic and COVID-19\u2013related participation preferences predicted lower triage acceptance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings demonstrate potential health care recipients\u2019 attitudes toward SDM during a severe health care crisis and emphasize that participation preference varies according to the context.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0272989x211004147","type":"journal-article","created":{"date-parts":[[2021,3,30]],"date-time":"2021-03-30T07:30:16Z","timestamp":1617089416000},"page":"430-438","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Shared Decision Making during the COVID-19 Pandemic"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1136-6385","authenticated-orcid":false,"given":"Anja K.","family":"K\u00f6ther","sequence":"first","affiliation":[{"name":"Department of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Baden-Wurttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina U.","family":"Siebenhaar","sequence":"additional","affiliation":[{"name":"Department of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Baden-Wurttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georg W.","family":"Alpers","sequence":"additional","affiliation":[{"name":"Department of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Baden-Wurttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,3,30]]},"reference":[{"key":"bibr1-0272989X211004147","unstructured":"World Health Organization. WHO Director-General\u2019s opening remarks at the media briefing on COVID-19. March 11, 2020. Available from: https:\/\/www.who.int\/dg\/speeches\/detail\/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19\u201411-march-2020. Accessed June 17, 2020."},{"key":"bibr2-0272989X211004147","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2005689"},{"key":"bibr3-0272989X211004147","unstructured":"Strengthening the health system response to Covid-19: recommendations for the WHO European Region (1 April 2020): Regional Office for Europe. 2020. Available from: https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/333072\/WHO-EURO-2020-806-40541-54465-eng.pdf?sequence=1&isAllowed=y. 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Available from: https:\/\/www.psychiatry.org\/newsroom\/news-releases\/new-poll-covid-19-impacting-mental-well-being-americans-feeling-anxious-especially-for-loved-ones-older-adults-are-less-anxious. 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Available from: https:\/\/www.bundesgesundheitsministerium.de\/coronavirus\/chronik-coronavirus.html. Accessed July 4, 2020."},{"key":"bibr27-0272989X211004147","unstructured":"Ein neuer Alltag auch f\u00fcr den Klinikbetrieb in Deutschland [A new daily life also for the clinic operation in Germany]. Bundesministerium f\u00fcr Gesundheit; 2020 Available from: https:\/\/www.bundesgesundheitsministerium.de\/fileadmin\/Dateien\/3_Downloads\/C\/Coronavirus\/Faktenpapier_Neuer_Klinikalltag.pdf. Accessed July 4, 2020."},{"key":"bibr28-0272989X211004147","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"bibr29-0272989X211004147","doi-asserted-by":"publisher","DOI":"10.1007\/BF02596485"},{"key":"bibr30-0272989X211004147","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.567905"},{"key":"bibr31-0272989X211004147","unstructured":"Robert Koch-Institut. Informationen und Hilfestellungen f\u00fcr Personen mit einem h\u00f6heren Risiko f\u00fcr einen schweren COVID-19-Krankheitsverlauf [Information and assistance for people at higher risk of developing severe progression of COVID-19 disease]. 2020. Available from: https:\/\/www.rki.de\/DE\/Content\/InfAZ\/N\/Neuartiges_Coronavirus\/Risikogruppen.html. Accessed June 18, 2020."},{"key":"bibr32-0272989X211004147","unstructured":"H\u00e4rter M, Simon D, Kriston L. API-Dm: Die deutsche modifizierte Fassung des Autonomie-Pr\u00e4ferenz-Index [Autonomy-Preference Index: German modified version]. Klin Diagn Eval. 2011;4(1E):5\u201314. Available from: https:\/\/fis-uke.de\/portal\/de\/publications\/die-deutsche-modifizierte-fassung-des-autonomiepraferenzindex-apidm(ebaabc8a-7e6a-4723-95d6-e5a27b7339a5)\/export.html. 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