2020
DOI: 10.1186/s13012-020-01015-w
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Towards a taxonomy of behavior change techniques for promoting shared decision making

Abstract: Background There is little information about the functions and behavior change techniques (BCTs) needed to implement shared decision making (SDM) in clinical practice. To guide future implementation initiatives, we sought to develop a BCT taxonomy for SDM implementation interventions. Methods This study is a secondary analysis of a 2018 Cochrane review on interventions for increasing the use of shared decision making by healthcare professionals. We examined all 87 studi… Show more

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Cited by 32 publications
(25 citation statements)
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“…Overall, 18 out of 93 possible behaviour change techniques were identified in SDM interventions in child and youth mental health. This is less than the 32 found in the previous review [29]; however, as the previous review did not limit itself to any specific presenting difficulty nor population, a wider range of behaviour change techniques may be expected.…”
Section: Behaviour Change Techniquescontrasting
confidence: 58%
“…Overall, 18 out of 93 possible behaviour change techniques were identified in SDM interventions in child and youth mental health. This is less than the 32 found in the previous review [29]; however, as the previous review did not limit itself to any specific presenting difficulty nor population, a wider range of behaviour change techniques may be expected.…”
Section: Behaviour Change Techniquescontrasting
confidence: 58%
“…Evidence from the Center shows that between two groups of clinicians who had received SDM training, the level of patient engagement and SDM measured by OPTION scores was significantly higher when a PDA was used [ 11 ]. This suggests that while training on its own may improve clinicians’ knowledge and skills to an extent, the repetition of using the five-step PDA may help solidify the contents of the training till it becomes routine [ 39 ]. There is preliminary evidence of PDAs being used as ‘scaffolding’ to facilitate SDM consultations, and certain PDA formats such as decision cards are specifically designed to function as collaborative tools rather than purely information tools [ 40 , 41 ].…”
Section: Discussionmentioning
confidence: 99%
“…6 The implementation of SDM in clinical practice, however, remains suboptimal. [7][8][9] Clinician-reported barriers to applying SDM include time constraints and the perceived incapability of patients to participate in decision making. 10 Advancing the implementation of SDM is also hindered by clinicians' perception that they already practise SDM.…”
Section: Introductionmentioning
confidence: 99%