{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T18:18:29Z","timestamp":1787941109336,"version":"build-2784847793"},"reference-count":40,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Myeloma Patients Europe"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Shared decision-making (SDM) can enhance patient involvement in treatment and care decisions. Still, questions remain on how multiple myeloma (MM) patients perceive and evaluate their current and desired roles in these decisions and whether characteristics influence their willingness to be involved. This study aimed to identify I) the current knowledge of the concept SDM among MM patients and healthcare professionals (HCPs) involved in MM care, II) how MM patients are and want to be involved in decisions, and III) differences in the willingness to be involved in view of participants\u2019 characteristics (e.g., age, gender, health literacy).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An online survey for MM patients and HCPs involved in MM care was launched in October and December 2023, respectively. The data was statistically analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>558 patients and 89 HCPs completed the survey. Most patients lived in the Netherlands (28.7%), Israel (23.5%) and Belgium (15.8%), and most HCPs lived in France (39.3%) and Israel (24.7%). 56.6% of the patients and 28.1% of the HCPs had not previously heard of SDM. Almost all patients (96.1%) indicated wanting to be involved in treatment decisions. 3.9% of patients indicated not wanting to be involved, because they did not know whether they would have enough knowledge to decide or because they were used to the HCP deciding. All HCPs believed that MM patients should be involved if they want to. Patients had higher involvement scores at recent consultations and desired to be more involved in initial decisions following diagnosis. The survey revealed no significant differences in participants\u2019 involvement and their characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MM patients want to be involved in decisions and HCPs are willing to involve MM patients. However, challenges remain concerning the practical implementation of involvement and SDM. This highlights the importance of understanding SDM and patient involvement and assessing the individual needs and preferences of MM patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0356989","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T17:32:36Z","timestamp":1787938356000},"page":"e0356989","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing patient involvement through shared decision-making: Are we there yet in multiple myeloma? Findings from a cross-country survey"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7149-2239","authenticated-orcid":true,"given":"Charlotte","family":"Verbeke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3663-0334","authenticated-orcid":true,"given":"Jolien","family":"Broekmans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elise","family":"Schoefs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sil\u00e8ne","family":"ten Seldam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Morgan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Joyner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eilidh","family":"Duncan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariel","family":"Aviv","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varda","family":"Shoham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Delforge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anneleen","family":"Vanhellemont","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosanne","family":"Janssens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Bohyn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Huys","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"issue":"10","key":"pone.0356989.ref001","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.1002\/pon.5750","article-title":"Patients\u2019 preferred and perceived level of involvement in decision making for cancer treatment: A systematic review","volume":"30","author":"EA Noteboom","year":"2021","journal-title":"Psychooncology"},{"issue":"3","key":"pone.0356989.ref002","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1016\/j.pec.2006.05.002","article-title":"Patient involvement in treatment decision-making: the case for a broader conceptual framework","volume":"63","author":"VA Entwistle","year":"2006","journal-title":"Patient Educ Couns"},{"issue":"1","key":"pone.0356989.ref003","doi-asserted-by":"crossref","first-page":"100382","DOI":"10.1016\/j.bjpt.2021.100382","article-title":"Shared decision making and physical therapy: What, when, how, and why?","volume":"26","author":"T Hoffmann","year":"2022","journal-title":"Braz J Phys Ther"},{"issue":"3","key":"pone.0356989.ref004","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.pec.2005.06.010","article-title":"An integrative model of shared decision making in medical encounters","volume":"60","author":"G Makoul","year":"2006","journal-title":"Patient Educ Couns"},{"issue":"5","key":"pone.0356989.ref005","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/S0277-9536(96)00221-3","article-title":"Shared decision-making in the medical encounter: what does it mean? (or it takes at least two to tango)","volume":"44","author":"C Charles","year":"1997","journal-title":"Soc Sci Med"},{"issue":"1","key":"pone.0356989.ref006","doi-asserted-by":"crossref","first-page":"18","DOI":"10.3109\/13561820.2010.490502","article-title":"Interprofessionalism and shared decision-making in primary care: a stepwise approach towards a new model","volume":"25","author":"F L\u00e9gar\u00e9","year":"2011","journal-title":"J Interprof Care"},{"key":"pone.0356989.ref007","article-title":"A three-talk model for shared decision making: multistage consultation process","volume":"359","author":"G Elwyn","year":"2017","journal-title":"BMJ"},{"key":"pone.0356989.ref008","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.pec.2022.09.015","article-title":"For which decisions is Shared Decision Making considered appropriate? - A systematic review","volume":"106","author":"DEM van der Horst","year":"2023","journal-title":"Patient Educ Couns"},{"key":"pone.0356989.ref009","first-page":"91","article-title":"Shared Decision Making in Oncology Practice: What Do Oncologists Need to Know?","author":"MC Politi","year":"2013","journal-title":"Oncologist"},{"issue":"10","key":"pone.0356989.ref010","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1016\/j.pec.2015.06.022","article-title":"Shared decision making: Concepts, evidence, and practice","volume":"98","author":"AM Stiggelbout","year":"2015","journal-title":"Patient Educ Couns"},{"key":"pone.0356989.ref011","doi-asserted-by":"crossref","first-page":"686165","DOI":"10.3389\/fmed.2021.686165","article-title":"Patient Preferences for Multiple Myeloma Treatments: A Multinational Qualitative Study","volume":"8","author":"R Janssens","year":"2021","journal-title":"Front Med (Lausanne)"},{"issue":"3","key":"pone.0356989.ref012","first-page":"275","article-title":"Chimeric antigen receptor T-cell therapy in multiple myeloma: A comprehensive review of current data and implications for clinical practice","volume":"73","author":"RH Parikh","year":"2023","journal-title":"CA Cancer J Clin"},{"issue":"10","key":"pone.0356989.ref013","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1200\/JCO-25-02587","article-title":"Treatment of Multiple Myeloma: ASCO-Ontario Health (Cancer Care Ontario) Living Guideline","volume":"44","author":"LK Hicks","year":"2026","journal-title":"J Clin Oncol"},{"key":"pone.0356989.ref014","article-title":"Bispecific T-cell engagers for treatment of multiple myeloma","author":"G Ravi","year":"2023","journal-title":"Am J Hematol"},{"issue":"3","key":"pone.0356989.ref015","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/j.annonc.2020.11.014","article-title":"Multiple myeloma: EHA-ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up\u2020","volume":"32","author":"MA Dimopoulos","year":"2021","journal-title":"Ann Oncol"},{"issue":"10","key":"pone.0356989.ref016","doi-asserted-by":"crossref","DOI":"10.1016\/S2352-3026(22)00226-5","article-title":"Access to and affordability of CAR T-cell therapy in multiple myeloma: an EBMT position paper","volume":"9","author":"N Gagelmann","year":"2022","journal-title":"Lancet Haematol"},{"issue":"6","key":"pone.0356989.ref017","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1111\/jep.13260","article-title":"Person-centred shared decision making","volume":"25","author":"MR Tonelli","year":"2019","journal-title":"J Eval Clin Pract"},{"issue":"4","key":"pone.0356989.ref018","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1136\/bmjebm-2022-112068","article-title":"Shared decision-making as a method of care","volume":"28","author":"VM Montori","year":"2023","journal-title":"BMJ Evid Based Med"},{"issue":"22","key":"pone.0356989.ref019","doi-asserted-by":"crossref","first-page":"8040","DOI":"10.1002\/cam4.4322","article-title":"Trust and shared decision-making among individuals with multiple myeloma: A qualitative study","volume":"10","author":"RL Whitney","year":"2021","journal-title":"Cancer Med"},{"key":"pone.0356989.ref020","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.zefq.2024.04.002","article-title":"MMpowerment: Empowering patients with multiple myeloma for shared decision-making by developing an intervention to integrate personal preferences into digital care pathways","volume":"187","author":"M Garvelink","year":"2024","journal-title":"Z Evid Fortbild Qual Gesundhwes"},{"issue":"1","key":"pone.0356989.ref021","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1186\/s12911-025-03229-8","article-title":"Patients and healthcare professionals\u2019 perspectives on the implementation of shared decision making in multiple myeloma: a multinational qualitative study","volume":"25","author":"E Schoefs","year":"2025","journal-title":"BMC Med Inform Decis Mak"},{"issue":"3","key":"pone.0356989.ref022","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-050816","article-title":"Treatment decision making (TDM): a qualitative study exploring the perspectives of patients with chronic haematological cancers","volume":"12","author":"D McCaughan","year":"2022","journal-title":"BMJ Open"},{"issue":"4","key":"pone.0356989.ref023","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1093\/tbm\/ibac099","article-title":"Survey of patients and physicians on shared decision-making in treatment selection in relapsed\/refractory multiple myeloma","volume":"13","author":"CL Bylund","year":"2023","journal-title":"Transl Behav Med"},{"issue":"1","key":"pone.0356989.ref024","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.pec.2009.09.034","article-title":"The 9-item Shared Decision Making Questionnaire (SDM-Q-9). Development and psychometric properties in a primary care sample","volume":"80","author":"L Kriston","year":"2010","journal-title":"Patient Educ Couns"},{"issue":"8","key":"pone.0356989.ref025","first-page":"588","article-title":"Brief questions to identify patients with inadequate health literacy","volume":"36","author":"LD Chew","year":"2004","journal-title":"Fam Med"},{"key":"pone.0356989.ref026","article-title":"Visual Analogue Scale","author":"M Koo","year":"2025","journal-title":"Encyclopedia"},{"issue":"2","key":"pone.0356989.ref027","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.pec.2012.03.005","article-title":"Development and psychometric properties of the Shared Decision Making Questionnaire--physician version (SDM-Q-Doc)","volume":"88","author":"I Scholl","year":"2012","journal-title":"Patient Educ Couns"},{"key":"pone.0356989.ref028","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/1471-2288-13-117","article-title":"Using the framework method for the analysis of qualitative data in multi-disciplinary health research","volume":"13","author":"NK Gale","year":"2013","journal-title":"BMC Med Res Methodol"},{"key":"pone.0356989.ref029","volume-title":"R: A Language and Environment for Statistical Computing","author":"R Core Team","year":"2024"},{"issue":"5","key":"pone.0356989.ref030","first-page":"293","article-title":"Decision making in oncology: a review of patient decision aids to support patient participation","volume":"58","author":"D Stacey","year":"2008","journal-title":"CA Cancer J Clin"},{"issue":"3","key":"pone.0356989.ref031","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/j.pec.2008.07.018","article-title":"Barriers and facilitators to implementing shared decision-making in clinical practice: update of a systematic review of health professionals\u2019 perceptions","volume":"73","author":"F L\u00e9gar\u00e9","year":"2008","journal-title":"Patient Educ Couns"},{"key":"pone.0356989.ref032","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/1748-5908-1-16","article-title":"Barriers and facilitators to implementing shared decision-making in clinical practice: a systematic review of health professionals\u2019 perceptions","volume":"1","author":"K Gravel","year":"2006","journal-title":"Implement Sci"},{"issue":"5","key":"pone.0356989.ref033","first-page":"1613","article-title":"Barriers and facilitators to shared decision-making in oncology: a systematic review of the literature","volume":"27","author":"JR Covvey","year":"2019","journal-title":"Support Care Cancer"},{"issue":"1","key":"pone.0356989.ref034","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1186\/s13012-021-01142-y","article-title":"Barriers and facilitators to shared decision-making in hospitals from policy to practice: a systematic review","volume":"16","author":"A Waddell","year":"2021","journal-title":"Implement Sci"},{"issue":"20","key":"pone.0356989.ref035","first-page":"30436","article-title":"What Influences the Implementation of Shared Decision Making: An Umbrella Review","author":"N Alsulamy","year":"2020","journal-title":"Patient Educ Couns"},{"issue":"7","key":"pone.0356989.ref036","doi-asserted-by":"crossref","first-page":"1490","DOI":"10.1002\/pon.5105","article-title":"Determinants of satisfactory patient communication and shared decision making in patients with multiple myeloma","volume":"28","author":"B Nejati","year":"2019","journal-title":"Psychooncology"},{"issue":"1","key":"pone.0356989.ref037","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.pec.2011.12.014","article-title":"How well are we meeting haematological cancer survivors\u2019 preferences for involvement in treatment decision making?","volume":"88","author":"M Carey","year":"2012","journal-title":"Patient Educ Couns"},{"issue":"9","key":"pone.0356989.ref038","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1016\/j.leukres.2008.12.008","article-title":"Information needs of adult patients 50 or older with newly diagnosed acute myeloid leukemia","volume":"33","author":"T Yogaparan","year":"2009","journal-title":"Leuk Res"},{"issue":"2","key":"pone.0356989.ref039","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1002\/pon.1723","article-title":"The desire for shared decision making among patients with solid and hematological cancer","volume":"20","author":"J Ernst","year":"2011","journal-title":"Psychooncology"},{"issue":"4","key":"pone.0356989.ref040","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1188\/14.ONF.411-419","article-title":"Older adults newly diagnosed with symptomatic myeloma and treatment decision making","volume":"41","author":"JD Tariman","year":"2014","journal-title":"Oncol Nurs Forum"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0356989","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T17:32:46Z","timestamp":1787938366000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0356989"}},"subtitle":[],"editor":[{"given":"Mehmet","family":"Baysal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,8,28]]},"references-count":40,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8,28]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0356989","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,28]]}}}