{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T12:35:08Z","timestamp":1767098108213,"version":"3.37.3"},"reference-count":55,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T00:00:00Z","timestamp":1568764800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T00:00:00Z","timestamp":1568764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"crossref","award":["KAL 290086"],"award-info":[{"award-number":["KAL 290086"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Inform Decis Mak"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n              <jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>An individualized approach using shared decision-making (SDM) and goal setting is a person-centred strategy that may facilitate prioritization of treatment options. SDM has not been adopted extensively in clinical practice. An interprofessional approach to SDM with tools to facilitate patient participation may overcome barriers to SDM use. The aim was to explore decision-making experiences of health professionals and people with diabetes (PwD), then develop an intervention to facilitate interprofessional shared decision-making (IP-SDM) and goal-setting.<\/jats:p>\n              <\/jats:sec>\n              <jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This was a multi-phased study. <jats:italic>1) Feasibility<\/jats:italic>: Using a descriptive qualitative study, individual interviews with primary care physicians, nurses, dietitians, pharmacists, and PwD were conducted. The interviews explored their experiences with SDM and priority-setting, including facilitators and barriers, relevance of a decision aid for priority-setting, and integration of SDM and a decision aid into practice. <jats:italic>2) Development<\/jats:italic>: An evidence-based SDM toolkit was developed, consisting of an online decision aid, <jats:italic>MyDiabetesPlan<\/jats:italic>, and implementation tools. <jats:italic>MyDiabetesPlan<\/jats:italic> was reviewed by content experts for accuracy and comprehensiveness. Usability assessment was done with <jats:italic>3) heuristic evaluation<\/jats:italic> and <jats:italic>4) user testing<\/jats:italic>, followed by <jats:italic>5) refinement<\/jats:italic>.<\/jats:p>\n              <\/jats:sec>\n              <jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Seven PwD and 10 clinicians participated in the interviews. From interviews with PwD, we identified that: (1) approaches to decision-making were diverse and dynamic; (2) a trusting relationship with the clinician and dialog were critical precursors to SDM; and, (3) goal-setting was a dynamic process. From clinicians, we found: (1) complementary (holistic and disease specific) approaches to the complex patient were used; (2) patient-provider agendas for goal-setting were often conflicting; (3) a flexible approach to decision-making was needed; and, (4) conflict could be resolved through SDM. Following usability assessment, we redesigned <jats:italic>MyDiabetesPlan<\/jats:italic> to consist of data collection and recommendation stages. Findings were used to finalize a multi-component toolkit and implementation strategy, consisting of <jats:italic>MyDiabetesPlan<\/jats:italic>, instructional card and videos, and orientation meetings with participating patients and clinicians.<\/jats:p>\n              <\/jats:sec>\n              <jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>A decision aid can provide information, facilitate clinician-patient dialog and strengthen the therapeutic relationship. Implementation of the decision aid can fit into a model of team care that respects and exemplifies professional identity, and can facilitate intra-team communication.<\/jats:p>\n              <\/jats:sec>\n              <jats:sec>\n                <jats:title>Trial registration<\/jats:title>\n                <jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/clinicaltrials.gov\">Clinicaltrials.gov<\/jats:ext-link> Identifier: NCT02379078. Date of Registration: 11 February 2015.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12911-019-0898-5","type":"journal-article","created":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T10:03:22Z","timestamp":1568801002000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Beyond pros and cons \u2013 developing a patient decision aid to cultivate dialog to build relationships: insights from a qualitative study and decision aid development"],"prefix":"10.1186","volume":"19","author":[{"name":"on behalf of the IP-SDM Team;","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2355-1046","authenticated-orcid":false,"given":"Catherine H.","family":"Yu","sequence":"first","affiliation":[]},{"given":"Calvin","family":"Ke","sequence":"additional","affiliation":[]},{"given":"Aleksandra","family":"Jovicic","sequence":"additional","affiliation":[]},{"given":"Susan","family":"Hall","sequence":"additional","affiliation":[]},{"given":"Sharon E.","family":"Straus","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2019,9,18]]},"reference":[{"key":"898_CR1","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1111\/j.1369-7625.2006.00359.x","volume":"9","author":"VM Montori","year":"2006","unstructured":"Montori VM, Gafni A, Charles C. 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Dr. SE Straus is supported by a Tier 1 Canada Research Chair. Dr. J. Sale is supported by a New Investigator Award from the Canadian Institutes of Health Research.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"186"}}