{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T21:15:16Z","timestamp":1775855716087,"version":"3.50.1"},"reference-count":73,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Inform Decis Mak"],"DOI":"10.1186\/s12911-025-03194-2","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T07:27:55Z","timestamp":1760081275000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Barriers and facilitators to shared decision-making for patients with cancer and health care providers based on the COM-B model: a systematic review"],"prefix":"10.1186","volume":"25","author":[{"given":"Lisi","family":"Duan","sequence":"first","affiliation":[]},{"given":"Ting","family":"Wang","sequence":"additional","affiliation":[]},{"given":"Yinning","family":"Guo","sequence":"additional","affiliation":[]},{"given":"Zhongmin","family":"Fu","sequence":"additional","affiliation":[]},{"given":"Ting","family":"Xu","sequence":"additional","affiliation":[]},{"given":"Ping","family":"Zhu","sequence":"additional","affiliation":[]},{"given":"Liuliu","family":"Zhang","sequence":"additional","affiliation":[]},{"given":"Shijuan","family":"Gao","sequence":"additional","affiliation":[]},{"given":"Qin","family":"Xu","sequence":"additional","affiliation":[]},{"given":"Chulei","family":"Tang","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2025,10,10]]},"reference":[{"key":"3194_CR1","doi-asserted-by":"publisher","unstructured":"Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229\u201363. https:\/\/doi.org\/10.3322\/caac.21834.","DOI":"10.3322\/caac.21834"},{"key":"3194_CR2","doi-asserted-by":"publisher","unstructured":"McCune JS. Rapid advances in immunotherapy to treat cancer. Clin Pharmacol Ther. 2018;103(4):540\u201344. https:\/\/doi.org\/10.1002\/cpt.985.","DOI":"10.1002\/cpt.985"},{"key":"3194_CR3","doi-asserted-by":"publisher","unstructured":"Shickh S, Leventakos K, Lewis MA, Bombard Y, Montori VM. Shared decision making in the care of patients with cancer. Am Soc Clin Oncol Educ Book. 2023;43:e389516. https:\/\/doi.org\/10.1200\/EDBK_389516.","DOI":"10.1200\/EDBK_389516"},{"key":"3194_CR4","doi-asserted-by":"crossref","unstructured":"Muzzin LJ, Anderson NJ, Figueredo AT, Gudelis SO. The experience of cancer. Soc Sci Med. 1994;38:1201\u201308.","DOI":"10.1016\/0277-9536(94)90185-6"},{"key":"3194_CR5","doi-asserted-by":"publisher","unstructured":"H\u00e4rter M, Buchholz A, Nicolai J, et al. Shared decision making and the Use of decision aids. Dtsch Arztebl Int. 2015;112(40):672\u201379. https:\/\/doi.org\/10.3238\/arztebl.2015.0672.","DOI":"10.3238\/arztebl.2015.0672"},{"key":"3194_CR6","doi-asserted-by":"publisher","unstructured":"L\u00e9gar\u00e9 F, Stacey D, Pouliot S, et al. Interprofessionalism and shared decision-making in primary care: a stepwise approach towards a new model. J Interprof Care. 2011;25(1):18\u201325. https:\/\/doi.org\/10.3109\/13561820.","DOI":"10.3109\/13561820"},{"key":"3194_CR7","doi-asserted-by":"publisher","unstructured":"Yang S, Yu L, Zhang C, et al. Effects of decision aids on breast reconstruction: A systematic review and meta-analysis of randomised controlled trials. J Clin Nurs. 2023;32(7\u20138):1025\u201344. https:\/\/doi.org\/10.1111\/jocn.16328.","DOI":"10.1111\/jocn.16328"},{"key":"3194_CR8","doi-asserted-by":"publisher","unstructured":"Berger ZD, Brito JP, Ospina NS, et al. Patient centred diagnosis: Sharing diagnostic decisions with patients in clinical practice. BMJ. 2017;359:j4218. https:\/\/doi.org\/10.1136\/bmj.j4218. Published 2017 Nov 1.","DOI":"10.1136\/bmj.j4218"},{"key":"3194_CR9","doi-asserted-by":"publisher","unstructured":"Mokhles S, Nuyttens JJME, de Mol M, et al. Treatment selection of early stage non-small cell lung cancer: The role of the patient in clinical decision making. BMC Cancer. 2018;18(1):79. https:\/\/doi.org\/10.1186\/s12885-018-3986-5. Published 2018 Jan 15.","DOI":"10.1186\/s12885-018-3986-5"},{"key":"3194_CR10","doi-asserted-by":"publisher","unstructured":"Wang Y, Zhang J, Hu B, et al. Influencing factors of lung cancer patients\u2019 participation in shared decision-making: A cross-sectional study. J Cancer Res Clin Oncol. 2022;148(12):3303\u201312. https:\/\/doi.org\/10.1007\/s00432-022-04105-y.","DOI":"10.1007\/s00432-022-04105-y"},{"key":"3194_CR11","doi-asserted-by":"publisher","unstructured":"Abe M, Hashimoto H, Soejima A, et al. Shared decision-making in patients with gynecological cancer and healthcare professionals: a cross-sectional observational study in Japan. J Gynecol Oncol. https:\/\/doi.org\/10.3802\/jgo.2025.36.e47. Published online November 19, 2024.","DOI":"10.3802\/jgo.2025.36.e47"},{"key":"3194_CR12","doi-asserted-by":"publisher","unstructured":"Karuturi MS, Giordano SH, Hoover DS, Volk RJ, Housten AJ. Exploring and supporting older women\u2019s chemotherapy decision-making in early-stage breast cancer. J Geriatr Oncol. 2022;13(2):170\u201375. https:\/\/doi.org\/10.1016\/j.jgo.2021.11.018.","DOI":"10.1016\/j.jgo.2021.11.018"},{"key":"3194_CR13","doi-asserted-by":"publisher","unstructured":"Covvey JR, Kamal KM, Gorse EE, et al. Barriers and facilitators to shared decision-making in oncology: A systematic review of the literature. Support Care Cancer. 2019;27(5):1613\u201337. https:\/\/doi.org\/10.1007\/s00520-019-04675-7.","DOI":"10.1007\/s00520-019-04675-7"},{"key":"3194_CR14","doi-asserted-by":"publisher","unstructured":"Yang W, Lee YK, Lorgelly P, Rogers SN, Kim D. Challenges of shared decision-making by clinicians and patients with low-risk differentiated thyroid cancer: a systematic review and meta-ethnography. JAMA Otolaryngol Head Neck Surg. 2023;149(5):452\u201359. https:\/\/doi.org\/10.1001\/jamaoto.2023.0101.","DOI":"10.1001\/jamaoto.2023.0101"},{"key":"3194_CR15","doi-asserted-by":"publisher","unstructured":"Zheng H, Yang L, Hu J, Yang Y. Behaviour, barriers and facilitators of shared decision making in breast cancer surgical treatment: a qualitative systematic review using a \u2018Best Fit\u2019 framework approach. Health Expect. 2024;27(2):e14019. https:\/\/doi.org\/10.1111\/hex.14019.","DOI":"10.1111\/hex.14019"},{"key":"3194_CR16","doi-asserted-by":"publisher","unstructured":"Murray A, Francks L, Hassanein ZM, Lee R, Wilson E. Breast cancer surgical decision-making. Experiences of non-Caucasian women globally. A qualitative systematic review. Eur J Surg Oncol. 2023;49(12):107109. https:\/\/doi.org\/10.1016\/j.ejso.2023.107109.","DOI":"10.1016\/j.ejso.2023.107109"},{"key":"3194_CR17","doi-asserted-by":"publisher","unstructured":"Joseph-Williams N, Elwyn G, Edwards A. Knowledge is not power for patients: a systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making. Patient Educ Couns. 2014;94(3):291\u2013309. https:\/\/doi.org\/10.1016\/j.pec.2013.10.031.","DOI":"10.1016\/j.pec.2013.10.031"},{"key":"3194_CR18","doi-asserted-by":"publisher","unstructured":"Gravel K, L\u00e9gar\u00e9 F, Graham ID. Barriers and facilitators to implementing shared decision-making in clinical practice: a systematic review of health professionals\u2019 perceptions. Implement Sci. 2006;1:16. https:\/\/doi.org\/10.1186\/1748-5908-1-16. Published 2006 Aug 9.","DOI":"10.1186\/1748-5908-1-16"},{"key":"3194_CR19","doi-asserted-by":"publisher","unstructured":"House S, Havens D. Nurses\u2019 and Physicians\u2019 perceptions of Nurse-physician collaboration: a systematic review. J Nurs Adm. 2017;47(3):165\u201371. https:\/\/doi.org\/10.1097\/NNA.0000000000000460.","DOI":"10.1097\/NNA.0000000000000460"},{"key":"3194_CR20","doi-asserted-by":"publisher","unstructured":"Zheng H, Yang L, Hu J, Yang Y. Frequency and influencing factors of shared decision making among breast cancer patients receiving surgery: a systematic review and meta-analysis. Clin Breast Cancer. 2023;23(1):e20\u201331. https:\/\/doi.org\/10.1016\/j.clbc.2022.10.007.","DOI":"10.1016\/j.clbc.2022.10.007"},{"key":"3194_CR21","doi-asserted-by":"publisher","unstructured":"Hu C, Zuo B, Wang S, et al. Meta-analysis of influencing factors of cancer patients participationin doctor patient joint decision making. CHIN J Cancer PREV Treat. 2022;29(3):217\u201322. https:\/\/doi.org\/10.16073\/j.cnki.cjcpt.2022.03.11.","DOI":"10.16073\/j.cnki.cjcpt.2022.03.11"},{"key":"3194_CR22","doi-asserted-by":"publisher","unstructured":"Li X, Meng M, Zhao J, et al. Shared decision-making in breast reconstruction for breast cancer patients: A scoping review. Patient Prefer Adherence. 2021;15:2763\u201381. https:\/\/doi.org\/10.2147\/PPA.S335080. Published 2021 Dec 10.","DOI":"10.2147\/PPA.S335080"},{"key":"3194_CR23","unstructured":"Padilla Garrido N, Aguado Correa F, Bayo Lozano E, Bayo Calero J, Ortega Moreno M. onocimiento y evaluaci\u00f3n de la toma de decisiones compartidas en la pr\u00e1ctica oncol\u00f3gica desde el punto de vista m\u00e9dico [Physicians\u2019 awareness and assessment of shared decision making in oncology practice.]. Rev. Esp. Salud Publica. 2019;93:e201910066. Published 2019 Oct 9."},{"key":"3194_CR24","doi-asserted-by":"publisher","unstructured":"Chang HL, Li FS, Lin CF. Factors influencing implementation of shared medical decision making in patients with cancer. Patient Prefer Adherence. 2019;13:1995\u20132005. https:\/\/doi.org\/10.2147\/PPA.S217561. Published 2019 Nov 27.","DOI":"10.2147\/PPA.S217561"},{"key":"3194_CR25","unstructured":"Michie S, Atkins L, West R. The behaviour change wheel. A guide to designing interventions. 1st ed Great. Vol. 1003. Britain: silverback Publishing; 2014. p. 1010. https:\/\/doi.org\/www.behaviourchangewheel.com."},{"key":"3194_CR26","doi-asserted-by":"publisher","unstructured":"Yang Y, Gao Y, An R, Wan Q. Barriers and facilitators to exercise adherence in community-dwelling older adults: a mixed-methods systematic review using the COM-B model and theoretical domains framework. Int J Nurs Stud. 2024;157:104808. https:\/\/doi.org\/10.1016\/j.ijnurstu.2024.104808.","DOI":"10.1016\/j.ijnurstu.2024.104808"},{"key":"3194_CR27","doi-asserted-by":"publisher","unstructured":"Atkins L, Sallis A, Chadborn T, et al. Reducing catheter-associated urinary tract infections: a systematic review of barriers and facilitators and strategic behavioural analysis of interventions. In: Implement Sci. Vol. 15 (1). Published; 2020. p. 44. 2020 Jul 6. doi: https:\/\/doi.org\/10.1186\/s13012-020-01001-2.","DOI":"10.1186\/s13012-020-01001-2"},{"key":"3194_CR28","unstructured":"Higgins J, Green S. Cochrane handbook for systematic reviews of interventions version 5.1.0. 2011. https:\/\/training.cochrane.org\/handbook"},{"key":"3194_CR29","doi-asserted-by":"publisher","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA, 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https:\/\/doi.org\/10.1136\/bmj.n71.","DOI":"10.1136\/bmj.n71"},{"key":"3194_CR30","doi-asserted-by":"crossref","unstructured":"Schardt C, Adams MB, Owens T, Keitz S, Fontelo P. Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Med Inf Decis Mak. 2007;7:16.","DOI":"10.1186\/1472-6947-7-16"},{"key":"3194_CR31","unstructured":"Hong QN, Pluye P, F\u00e0bregues S, Bartlett G, Boardman F, Cargo M, et al. Mixed methods appraisal tool (MMAT). 2018, version 2018."},{"key":"3194_CR32","doi-asserted-by":"crossref","unstructured":"Pluye P, Gagnon MPGF, Johnson-Lafleur J. A scoring system for appraising mixed methods research, and concomitantly appraising qualitative, quantitative and mixed methods primary studies in mixed studies reviews. Int J Nurs Stud. 2009;46(4):529\u201346.","DOI":"10.1016\/j.ijnurstu.2009.01.009"},{"key":"3194_CR33","doi-asserted-by":"crossref","unstructured":"Souto RQ, Hong QN, Bush PL, Vedel I, Pluye P. Systematic mixed studies reviews: updating results on the reliability and efficiency of the mixed methods appraisal tool. Int J Nurs Stud. 2015;52(1):500\u201301.","DOI":"10.1016\/j.ijnurstu.2014.08.010"},{"key":"3194_CR34","doi-asserted-by":"crossref","unstructured":"Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res In Phychol. 2006;3(2):77\u2013101.","DOI":"10.1191\/1478088706qp063oa"},{"issue":"12","key":"3194_CR35","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1007\/s00520-024-08975-5","volume":"32","author":"SY Yu","year":"2024","unstructured":"Yu SY, Lee YE, Shin SJ, Woo GU, Kim D, Kwon JH, Kim DY, Suh EE. Navigating shared decision-making after the Life-sustaining treatment decision Act: a qualitative study of in-depth interviews with terminal cancer patients, families, and healthcare professionals. Support Care Cancer. 2024, Nov, 16;32(12):796. https:\/\/doi.org\/10.1007\/s00520-024-08975-5.","journal-title":"Support Care Cancer"},{"key":"3194_CR36","doi-asserted-by":"publisher","first-page":"100897","DOI":"10.1016\/j.ctro.2024.100897","volume":"50","author":"van Hienen Ar","year":"2024","unstructured":"van Hienen Ar, Offermann CJW, Boersma LJ, Jacobs MJG, Fijten RRR. Bridging the care gap: patients\u2019 needs and experiences regarding shared decision-making in radiotherapy. Clin Transl Radiat Oncol. 2024;50:100897. https:\/\/doi.org\/10.1016\/j.ctro.2024.100897. Published 2024 Nov 24.","journal-title":"Clin Transl Radiat Oncol"},{"issue":"12","key":"3194_CR37","doi-asserted-by":"publisher","first-page":"1486","DOI":"10.1089\/thy.2024.0210","volume":"34","author":"X Gu","year":"2024","unstructured":"Gu X, Zhu P, Zhang H, et al. A qualitative thematic analysis exploring Chinese young adults\u2019 experiences in decision making on the management of low-risk papillary thyroid cancer. Thyroid. 2024;34(12):1486\u201394. https:\/\/doi.org\/10.1089\/thy.2024.0210.","journal-title":"Thyroid"},{"key":"3194_CR38","doi-asserted-by":"publisher","first-page":"133","DOI":"10.2340\/sju.v58.14730","volume":"58","author":"M Otrebski Nilsson","year":"2023","unstructured":"Otrebski Nilsson M, Aas K, T\u00c5 M, et al. Do all prostate cancer patients want, and experience shared decision making prior to curative treatment? Scand J UrOl. 2023;58:133\u201340. https:\/\/doi.org\/10.2340\/sju.v58.14730. Published 2023 Dec 20.","journal-title":"Scand J UrOl"},{"key":"3194_CR39","doi-asserted-by":"publisher","unstructured":"Orstad S, Fl\u00f8tten \u00d8, Madebo T, et al. \u201cThe challenge is the complexity\u201d - a qualitative study about decision-making in advanced lung cancer treatment. Lung Cancer. 2023;183:107312. https:\/\/doi.org\/10.1016\/j.lungcan.2023.107312.","DOI":"10.1016\/j.lungcan.2023.107312"},{"key":"3194_CR40","doi-asserted-by":"publisher","unstructured":"Lee PY, Cheong AT, Ghazali SS, et al. Barriers of and strategies for shared decision-making implementation in the care of metastatic breast cancer: a qualitative study among patients and healthcare professionals in an Asian country. Health Expect. 2022;25(6):2837\u201350. https:\/\/doi.org\/10.1111\/hex.13590.","DOI":"10.1111\/hex.13590"},{"key":"3194_CR41","doi-asserted-by":"publisher","unstructured":"Cao J, Peng C, Lu X, Zhou L, Wu J. Factors influencing the degree of participation in surgical decision-making among Chinese patients with prostate cancer: a qualitative research. Asian J UrOl. 2022;9(2):177\u201385. https:\/\/doi.org\/10.1016\/j.ajur.2021.08.003.","DOI":"10.1016\/j.ajur.2021.08.003"},{"key":"3194_CR42","doi-asserted-by":"publisher","unstructured":"Steenbergen M, de Vries J, Arts R, Beerepoot LV, Traa MJ. Barriers and facilitators for shared decision-making in oncology inpatient practice: an explorative study of the healthcare providers\u2019 perspective. Support Care Cancer. 2022;30(5):3925\u201331. https:\/\/doi.org\/10.1007\/s00520-022-06820-1.","DOI":"10.1007\/s00520-022-06820-1"},{"key":"3194_CR43","doi-asserted-by":"publisher","unstructured":"Lawhon VM, England RE, Wallace AS, et al. \u201cIt\u2019s important to me\u201d: a qualitative analysis on shared decision-making and patient preferences in older adults with early-stage breast cancer. Psychooncology. 2021;30(2):167\u201375. https:\/\/doi.org\/10.1002\/pon.5545.","DOI":"10.1002\/pon.5545"},{"key":"3194_CR44","doi-asserted-by":"publisher","unstructured":"Lowenstein M, Vijayaraghavan M, Burke NJ, et al. Real-world lung cancer screening decision-making: barriers and facilitators. Lung Cancer. 2019;133:32\u201337. https:\/\/doi.org\/10.1016\/j.lungcan.2019.04.026.","DOI":"10.1016\/j.lungcan.2019.04.026"},{"key":"3194_CR45","doi-asserted-by":"publisher","unstructured":"Gru\u00df I, McMullen CK. Barriers to eliciting patient goals and values in shared decision-making breast cancer surgery consultations: an ethnographic and interview study. Psychooncology. 2019;28(11):2233\u201339. https:\/\/doi.org\/10.1002\/pon.5212.","DOI":"10.1002\/pon.5212"},{"key":"3194_CR46","doi-asserted-by":"publisher","unstructured":"Chung MC, Juang WC, Li YC. Perceptions of shared decision making among health care professionals. J Eval Clin Pract. 2019;25(6):1080\u201387. https:\/\/doi.org\/10.1111\/jep.13249.","DOI":"10.1111\/jep.13249"},{"key":"3194_CR47","doi-asserted-by":"publisher","unstructured":"Aminaie N, Mirlashari J, Lehto RH, Lashkari M, Negarandeh R. Iranian cancer patients perceptions of barriers to participation in decision-making: potential impact on patient-centered care. Asia Pac J Oncol Nurs. 2019;6(4):372\u201380. https:\/\/doi.org\/10.4103\/apjon.apjon_11_19.","DOI":"10.4103\/apjon.apjon_11_19"},{"key":"3194_CR48","doi-asserted-by":"publisher","unstructured":"Obeidat RF, Lally RM. Jordanian physicians\u2019 perceived barriers and facilitators to patient participation in treatment decision-making: an exploratory study. Indian J Cancer. 2018;55(4):377\u201381. https:\/\/doi.org\/10.4103\/ijc.IJC_122_18.","DOI":"10.4103\/ijc.IJC_122_18"},{"key":"3194_CR49","doi-asserted-by":"publisher","unstructured":"Brom L, De Snoo-Trimp JC, Onwuteaka-Philipsen BD, Widdershoven GA, Stiggelbout AM, Pasman HR. Challenges in shared decision making in advanced cancer care: A qualitative longitudinal observational and interview study. Health Expect. 2017;20(1):69\u201384. https:\/\/doi.org\/10.1111\/hex.12434.","DOI":"10.1111\/hex.12434"},{"key":"3194_CR50","doi-asserted-by":"publisher","unstructured":"Lawn S, Fallon-Ferguson J, Koczwara B. Shared care involving cancer specialists and primary care providers - what do cancer survivors want? Health Expect. 2017;20(5):1081\u201387. https:\/\/doi.org\/10.1111\/hex.12551.","DOI":"10.1111\/hex.12551"},{"issue":"2","key":"3194_CR51","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1093\/icvts\/ivx103","volume":"25","author":"S Mokhles","year":"2017","unstructured":"Mokhles S, Maat APWM, Aerts JGJV, Nuyttens JJME, Bogers AJJC, Takkenberg JJM. Opinions of lung cancer clinicians on shared decision making in early-stage non-small-cell lung cancer. Interact Cardiovasc Thorac Surg. 2017;25(2):278\u201384. https:\/\/doi.org\/10.1093\/icvts\/ivx103.","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"3194_CR52","doi-asserted-by":"publisher","unstructured":"Ortega-Moreno M, Padilla-Garrido N, Huelva-L\u00f3pez L, Aguado-Correa F, Bayo-Calero J, Bayo-Lozano E. Barriers and facilitators to implementing shared decision-making in oncology: patient perceptions. Rev Calid asist. 2017;32(3):141\u201345. https:\/\/doi.org\/10.1016\/j.cali.2017.01.002.","DOI":"10.1016\/j.cali.2017.01.002"},{"key":"3194_CR53","doi-asserted-by":"publisher","unstructured":"Colley A, Halpern J, Paul S, et al. Factors associated with oncology patients\u2019 involvement in shared decision making during chemotherapy. Psychooncology. 2017;26(11):1972\u201379. https:\/\/doi.org\/10.1002\/pon.4284.","DOI":"10.1002\/pon.4284"},{"key":"3194_CR54","doi-asserted-by":"publisher","unstructured":"Hasak JM, Myckatyn TM, Grabinski VF, Philpott SE, Parikh RP, Politi MC. Stakeholders\u2019 perspectives on postmastectomy breast reconstruction: recognizing ways to improve shared decision making. Plast reconstr surg glob open. 2017;5(11):e1569. https:\/\/doi.org\/10.1097\/GOX.0000000000001569. Published 2017 Nov 13.","DOI":"10.1097\/GOX.0000000000001569"},{"key":"3194_CR55","doi-asserted-by":"publisher","unstructured":"Engelhardt EG, Pieterse AH, van der Hout A, et al. Use of implicit persuasion in decision making about adjuvant cancer treatment: a potential barrier to shared decision making. Eur J Cancer. 2016;66:55\u201366. https:\/\/doi.org\/10.1016\/j.ejca.2016.07.011.","DOI":"10.1016\/j.ejca.2016.07.011"},{"key":"3194_CR56","doi-asserted-by":"publisher","unstructured":"Frerichs W, Hahlweg P, M\u00fcller E, Adis C, Scholl I. Shared decision-making in oncology - a qualitative analysis of healthcare Providers\u2019 views on current practice. PLoS One. 2016;11(3):e0149789. https:\/\/doi.org\/10.1371\/journal.pone.0149789. Published 2016 Mar 11.","DOI":"10.1371\/journal.pone.0149789"},{"key":"3194_CR57","doi-asserted-by":"crossref","unstructured":"Lee PY, Cheong AT, Ng CJ, Lee YK, Abdullah KL, Razack AHA, Ong TA. Supporting patients in making treatment decisions for early prostate cancer: A qualitative study of healthcare professionals\u2019 views on barriers and challenges in an Asian country. J Educ Chang Men\u2019s Health. 2016;12(1).","DOI":"10.31083\/jomh.v12i1.21"},{"key":"3194_CR58","doi-asserted-by":"publisher","unstructured":"McCarter SP, Tariman JD, Spawn N, et al. Barriers and promoters to participation in the era of shared treatment decision-making. West J Nurs Res. 2016;38(10):1282\u201397. https:\/\/doi.org\/10.1177\/0193945916650648.","DOI":"10.1177\/0193945916650648"},{"key":"3194_CR59","doi-asserted-by":"publisher","unstructured":"Beaussant Y, Mathieu-Nicot F, Pazart L, et al. Is shared decision-making vanishing at the end-of-life? A descriptive and qualitative study of advanced cancer patients\u2019 involvement in specific therapies decision-making. BMC Palliat Care. 2015;14:61. https:\/\/doi.org\/10.1186\/s12904-015-0057-4. Published 2015 Nov 16.","DOI":"10.1186\/s12904-015-0057-4"},{"key":"3194_CR60","doi-asserted-by":"publisher","unstructured":"Shepherd HL, Butow PN, Tattersall MH. Factors which motivate cancer doctors to involve their patients in reaching treatment decisions. Patient Educ Couns. 2011;84(2):229\u201335. https:\/\/doi.org\/10.1016\/j.pec.2010.10.018.","DOI":"10.1016\/j.pec.2010.10.018"},{"key":"3194_CR61","doi-asserted-by":"publisher","unstructured":"Shepherd HL, Tattersall MH, Butow PN. The context influences doctors\u2019 support of shared decision-making in cancer care. Br J Cancer. 2007;97(1):6\u201313. https:\/\/doi.org\/10.1038\/sj.bjc.6603841.","DOI":"10.1038\/sj.bjc.6603841"},{"key":"3194_CR62","doi-asserted-by":"publisher","unstructured":"Thompson-Leduc P, Clayman ML, Turcotte S, L\u00e9gar\u00e9 F. Shared decision-making behaviours in health professionals: a systematic review of studies based on the theory of planned behaviour. Health Expect. 2015;18(5):754\u201374. https:\/\/doi.org\/10.1111\/hex.12176.","DOI":"10.1111\/hex.12176"},{"key":"3194_CR63","doi-asserted-by":"publisher","unstructured":"Waddell A, Lennox A, Spassova G, Bragge P. Barriers and facilitators to shared decision-making in hospitals from policy to practice: a systematic review. Implement Sci. 2021;16(1):74. https:\/\/doi.org\/10.1186\/s13012-021-01142-y. Published 2021 Jul 31.","DOI":"10.1186\/s13012-021-01142-y"},{"key":"3194_CR64","doi-asserted-by":"publisher","unstructured":"McDonagh LK, Saunders JM, Cassell J, et al. Application of the COM-B model to barriers and facilitators to chlamydia testing in general practice for young people and primary care practitioners: A systematic review. Implementation Sci. 2018;13:130. https:\/\/doi.org\/10.1186\/s13012-018-0821-y.","DOI":"10.1186\/s13012-018-0821-y"},{"key":"3194_CR65","doi-asserted-by":"publisher","unstructured":"Ehrbar V, Urech C, Rochlitz C, et al. Randomized controlled trial on the effect of an online decision aid for young female cancer patients regarding fertility preservation. Hum reprod. 2019;34(9):1726\u201334. https:\/\/doi.org\/10.1093\/humrep\/dez136.","DOI":"10.1093\/humrep\/dez136"},{"key":"3194_CR66","doi-asserted-by":"publisher","unstructured":"Wu H, Fan Y, Cheng Y, Zhang JE. Predictors of shared decision-making in patients with recurrent and metastatic nasopharyngeal carcinoma: An observational structural equation modeling approach. Eur J Oncol Nurs. https:\/\/doi.org\/10.1016\/j.ejon.2025.102869. Published online March 17, 2025.","DOI":"10.1016\/j.ejon.2025.102869"},{"key":"3194_CR67","doi-asserted-by":"publisher","unstructured":"Dray A, Chepuru R, Erickson S, et al. Targeted simulation training in ICU shared decision-making boosts confidence and competence in medical students. Am J Hosp Palliat Care. https:\/\/doi.org\/10.1177\/10499091251334637. Published online April 29, 2025.","DOI":"10.1177\/10499091251334637"},{"key":"3194_CR68","doi-asserted-by":"publisher","unstructured":"Rietjens JAC, Griffioen I, Sierra-P\u00e9rez J, et al. Improving shared decision-making about cancer treatment through design-based data-driven decision-support tools and redesigning care paths: an overview of the 4D PICTURE project. Palliat Care Soc Pract. 2024;18:26323524231225249. https:\/\/doi.org\/10.1177\/26323524231225249. Published 2024 Feb 12.","DOI":"10.1177\/26323524231225249"},{"key":"3194_CR69","doi-asserted-by":"publisher","unstructured":"Veenendaal HV, Chernova G, Bouman CM, Etten-Jamaludin FSV, Dieren SV, Ubbink DT. Shared decision-making and the duration of medical consultations: a systematic review and meta-analysis. Patient Educ Couns. 2023;107:107561. https:\/\/doi.org\/10.1016\/j.pec.2022.11.003.","DOI":"10.1016\/j.pec.2022.11.003"},{"key":"3194_CR70","unstructured":"Kenny DA, Kashy DA, Cook WL. Dyadic data analysis. Guilford Press; 2006."},{"key":"3194_CR71","doi-asserted-by":"publisher","unstructured":"Scholl I, Hahlweg P, Lindig A, et al. Evaluation of a program for routine implementation of shared decision-making in cancer care: results of a stepped wedge cluster randomized trial. Implement Sci. 2021;16(1):106. https:\/\/doi.org\/10.1186\/s13012-021-01174-4. Published 2021 Dec 29.","DOI":"10.1186\/s13012-021-01174-4"},{"key":"3194_CR72","doi-asserted-by":"publisher","unstructured":"Najafi N, Addie M, Meterissian S, Kersten-Oertel M. Breamy: An augmented reality mHealth prototype for surgical decision-making in breast cancer. Healthc Technol Lett. 2023;11(2\u20133):137\u201345. https:\/\/doi.org\/10.1049\/htl2.12071. Published 2023 Dec 27.","DOI":"10.1049\/htl2.12071"},{"key":"3194_CR73","unstructured":"Ring N, Ritchie K, Mandava L, Jepson R. a guide to synthesising qualitative research for researchers undertaking health technology assessments and systematic reviews. 2010."}],"container-title":["BMC Medical Informatics and Decision Making"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-025-03194-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12911-025-03194-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-025-03194-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T11:49:09Z","timestamp":1760356149000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmedinformdecismak.biomedcentral.com\/articles\/10.1186\/s12911-025-03194-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,10]]},"references-count":73,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3194"],"URL":"https:\/\/doi.org\/10.1186\/s12911-025-03194-2","relation":{},"ISSN":["1472-6947"],"issn-type":[{"value":"1472-6947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,10]]},"assertion":[{"value":"4 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 September 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Nanjing Medical University (Date 2024.07.16\/No 2022(811)). The researcher obtained informed consent from all participants involved in this study. The participants were assured that they could withdraw from the study at any time.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable to the manuscript.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"369"}}