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The aim of this study is to identify provider-related barriers to shared decision-making (SDM) for chemoprevention in the primary care setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Primary care providers (PCPs) and high-risk women eligible for chemoprevention were enrolled in a pilot study and a randomized clinical trial of web-based decision support tools to increase chemoprevention uptake. PCPs included internists, family practitioners, and gynecologists, whereas patients were high-risk women, age 35\u201375\u00a0years, who had a 5-year invasive breast cancer risk\u2009\u2265\u20091.67%, according to the Gail model. Seven clinical encounters of high-risk women and their PCPs who were given access to these decision support tools were included in this study. Audio-recordings of the clinical encounters were transcribed verbatim and analyzed using grounded theory methodology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six primary care providers, of which four were males (mean age 36 [SD 6.5]) and two were females (mean age 39, [SD 11.5]) and seven racially\/ethnically diverse high-risk female patients participated in this study. Qualitative analysis revealed three themes: (1) Competing demands during clinical encounters; (2) lack of knowledge among providers about chemoprevention; and (3) limited risk communication during clinical encounters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Critical barriers to SDM about chemoprevention were identified among PCPs. Providers need education and resources through decision support tools to engage in risk communication and SDM with their high-risk patients, and to gain confidence in prescribing chemoprevention in the primary care setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12911-022-01954-y","type":"journal-article","created":{"date-parts":[[2022,8,4]],"date-time":"2022-08-04T10:08:48Z","timestamp":1659607728000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Qualitative analysis of shared decision-making for chemoprevention in the primary care setting: provider-related barriers"],"prefix":"10.1186","volume":"22","author":[{"given":"Tarsha","family":"Jones","sequence":"first","affiliation":[]},{"given":"Thomas","family":"Silverman","sequence":"additional","affiliation":[]},{"given":"Ashlee","family":"Guzman","sequence":"additional","affiliation":[]},{"given":"Julia E.","family":"McGuinness","sequence":"additional","affiliation":[]},{"given":"Meghna S.","family":"Trivedi","sequence":"additional","affiliation":[]},{"given":"Rita","family":"Kukafka","sequence":"additional","affiliation":[]},{"given":"Katherine D.","family":"Crew","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2022,8,4]]},"reference":[{"key":"1954_CR1","unstructured":"American Cancer Society (ACS). 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