E-Bibliothek Gesundheitskompetenz des DNGK
Fachliteratur Shared Decision Makung
Hier finden Sie die in der Datenbank des DNGK eingestellten Fachartikel zum o.a. Thema.
6298796
ZFT52UPQ
items
1
0
author
asc
title
2612
https://gesundheitskompetenz.online/wp-content/plugins/zotpress/
%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3A%22zotpress-a9c08baf4f517c9231d4c1e5ff45a63c%22%2C%22meta%22%3A%7B%22request_last%22%3A250%2C%22request_next%22%3A50%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22K3F3WJ8M%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Adam%20and%20Carol%22%2C%22parsedDate%22%3A%222020%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EAdam%2C%20Yvonne%2C%20and%20Sarah%20Carol.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fpub.uni-bielefeld.de%5C%2Frecord%5C%2F2949096%27%3EGesundheitskompetenz%20von%20Menschen%20mit%20Migrationshintergrund%3A%20Perspektive%20und%20Erfahrungen%20von%20t%5Cu00fcrkisch-%20und%20russischsprachigen%20Frauen%3C%5C%2Fa%3E.%5C%22%20Univ.%20Bielefeld%2C%20Interdisziplin%5Cu00e4res%20Zentrum%20f%5Cu00fcr%20Gesundheitskompetenzforschung%20%28IZKG%29%2C%202020.%20https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.4119%5C%2FUNIBI%5C%2F2949096.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22report%22%2C%22title%22%3A%22Gesundheitskompetenz%20von%20Menschen%20mit%20Migrationshintergrund%3A%20Perspektive%20und%20Erfahrungen%20von%20t%5Cu00fcrkisch-%20und%20russischsprachigen%20Frauen%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yvonne%22%2C%22lastName%22%3A%22Adam%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sarah%22%2C%22lastName%22%3A%22Carol%22%7D%5D%2C%22abstractNote%22%3A%22Menschen%20mit%20Migrationshintergrund%20sehen%20sich%20mit%20unterschiedlichen%20Herausforderungen%20im%20deutschen%20Gesundheitssystem%20konfrontiert.%20Um%20ihre%20Gesundheit%20erhalten%20und%20verbessern%20zu%20k%5Cu00f6nnen%20und%20um%20Zugang%20zu%20den%20Angeboten%20des%20Gesundheitssystems%20zu%20bekommen%2C%20ben%5Cu00f6tigen%20sie%20eine%20ausgepr%5Cu00e4gte%20Gesundheitskompetenz.%20Unter%20Gesundheitskompetenz%20wird%20hier%20das%20Wissen%2C%20die%20Motivation%20und%20die%20F%5Cu00e4higkeit%20verstanden%2C%20gesundheitsbezogene%20Informationen%20finden%2C%20verstehen%2C%20bewerten%20und%20anwenden%20zu%20k%5Cu00f6nnen%2C%20um%20sich%20im%20Gesundheitssystem%20zurecht%20zu%20finden%2C%20an%20pr%5Cu00e4ventiven%20und%20gesundheitsf%5Cu00f6rdernden%20Ma%5Cu00dfnahmen%20teilzuhaben%20und%20sich%20im%20Krankheitsfall%20an%20Behandlungs-%20und%20Versorgungsentscheidungen%20beteiligen%20zu%20k%5Cu00f6nnen.%20Die%20wenigen%20bislang%20vorliegenden%20empirischen%20Studien%20deuten%20an%2C%20dass%20Menschen%20mit%20Migrationshintergrund%20gr%5Cu00f6%5Cu00dfere%20Schwierigkeiten%20im%20Umgang%20mit%20gesundheitsrelevanter%20Information%20haben%20und%20ihre%20Gesundheitskompetenz%20weniger%20gut%20ausgepr%5Cu00e4gt%20ist%20als%20die%20der%20Allgemeinbev%5Cu00f6lkerung.%20Sie%20stellen%20zugleich%20heraus%2C%20dass%20es%20an%20differenzierteren%20Erkenntnissen%20zur%20Gesundheitskompetenz%20von%20Menschen%20mit%20Migrationshintergrund%20fehlt%2C%20die%20der%20Diversit%5Cu00e4t%20dieser%20Bev%5Cu00f6lkerungsgruppe%20entspricht.%20Hier%20kn%5Cu00fcpft%20der%20vorliegende%20Bericht%20an.%20In%20ihm%20werden%20die%20Ergebnisse%20einer%20Untersuchung%20dargestellt%2C%20die%20darauf%20zielt%2C%20%5Cu00fcberwiegend%20die%20Perspektive%20von%20Frauen%20mit%20t%5Cu00fcrkisch-%20und%20russischsprachigem%20Migrationshintergrund%20der%20mittleren%20Generation%20auf%20das%20Thema%20Gesundheitskompetenz%20und%20Migration%20zu%20analysieren.%20Dazu%20wurden%20drei%20Fokusgruppendiskussionen%20abgehalten.%20Des%20Weiteren%20wurden%20sechs%20Einzelinterviews%20mit%20Frauen%20der%20Selbsthilfe%20von%20Migrant%2Ainnen%20durchgef%5Cu00fchrt%2C%20um%20die%20Ergebnisse%20der%20Fokusgruppendiskussionen%20zu%20erg%5Cu00e4nzen%20und%20die%20Bedeutung%20der%20%28muttersprachlichen%29%20Selbsthilfearbeit%20zur%20St%5Cu00e4rkung%20der%20Gesundheitskompetenz%20zu%20eruieren.%20Weibliche%20Teilnehmerinnen%20wurden%20deshalb%20ausgew%5Cu00e4hlt%2C%20weil%20sie%20eine%20besondere%20Rolle%20in%20der%20Familie%20als%20Gesundheitsmanagerin%20und%20den%20dazu%20n%5Cu00f6tigen%20Umgang%20mit%20gesundheitsrelevanter%20Information%20spielen.%20Bei%20der%20Analyse%20der%20erhobenen%20Daten%20wurde%20gefragt%2C%20%281%29%20welches%20Verst%5Cu00e4ndnis%20die%20Frauen%20von%20Gesundheitskompetenz%20haben%2C%20%282%29%20wie%20sich%20ihre%20Erfahrungen%20beim%20Suchen%2C%20Verstehen%2C%20Beurteilen%20und%20Anwenden%20von%20Informationen%20darstellen%20und%20%283%29%20welche%20Informationsquellen%20sie%20wie%20nutzen%20bzw.%20welche%20W%5Cu00fcnsche%20sie%20an%20die%20Verbesserung%20von%20Gesundheitsinformationen%20f%5Cu00fcr%20Menschen%20mit%20Migrationshintergrund%20haben.%20Die%20Bedeutung%20der%20Migrationserfahrung%20zieht%20sich%20dabei%20als%20grundlegende%20Frage%20durch.%20Es%20zeigt%20sich%2C%20dass%20die%20Frauen%20mit%20t%5Cu00fcrkisch-%20und%20russischsprachigem%20Migrationshintergrund%20der%20mittleren%20Generation%20sehr%20versiert%20im%20Umgang%20mit%20Gesundheitsinformationen%20sind%3A%20Sie%20nutzen%20die%20unterschiedlichsten%20Informationsquellen%20%5Cu2013%20insbesondere%20digitale%20Informationsmedien%20%5Cu2013%20mehrgleisig%20und%20mehrsprachig.%20Gleichzeitig%20f%5Cu00fchlen%20sie%20sich%20durch%20die%20Vielfalt%20%5Cu00fcberfordert%20und%20w%5Cu00fcnschen%20sich%20Orientierungshilfen.%20Vor%20allem%20f%5Cu00fcr%20%5Cu00e4ltere%20Angeh%5Cu00f6rige%20sehen%20sie%20einen%20gro%5Cu00dfen%20Bedarf%2C%20deren%20Gesundheitskompetenz%20%5Cu2013%20auch%20die%20Gesundheitssystemkompetenz%20%5Cu2013%20zu%20erh%5Cu00f6hen%20und%20die%20Informationsvermittlung%20mehrsprachig%2C%20kultur-%20und%20migrationssensibel%20auszurichten.%20Die%20Frauen%20unterst%5Cu00fctzen%20die%20gesundheitsbezogene%20Informationssuche%2C%20Informationsverarbeitung%20und%20auch%20die%20Entscheidungsfindungen%20ihrer%20Angeh%5Cu00f6rigen%20und%20verantworten%20somit%20nicht%20nur%20ihre%20eigene%20Gesundheitskompetenz%2C%20sondern%20auch%20die%20der%20Familie.%20Die%20vorliegende%20Untersuchung%20zeigt%20die%20Wichtigkeit%20auf%2C%20sie%20in%20dieser%20Mittlerinnen-Funktion%20zu%20f%5Cu00f6rdern%2C%20nicht%20zuletzt%2C%20um%20die%20Erreichbarkeit%20%5Cu00e4lterer%20Menschen%20mit%20Migrationshintergrund%20und%20geringer%20Gesundheitskompetenz%20zu%20erh%5Cu00f6hen.%22%2C%22reportNumber%22%3A%22%22%2C%22reportType%22%3A%22%22%2C%22institution%22%3A%22Univ.%20Bielefeld%2C%20Interdisziplin%5Cu00e4res%20Zentrum%20f%5Cu00fcr%20Gesundheitskompetenzforschung%20%28IZKG%29%22%2C%22date%22%3A%222020%22%2C%22language%22%3A%22de%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fpub.uni-bielefeld.de%5C%2Frecord%5C%2F2949096%22%2C%22collections%22%3A%5B%227NLACL24%22%2C%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%222G8YLGV7%22%2C%22X7PUUBWP%22%2C%225GSCIHTA%22%2C%22SG8SD8IJ%22%5D%2C%22dateModified%22%3A%222023-01-31T17%3A39%3A03Z%22%7D%7D%2C%7B%22key%22%3A%22I7C2SCLY%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Adarkwah%20et%20al.%22%2C%22parsedDate%22%3A%222016-11-29%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EAdarkwah%2C%20Charles%20Christian%2C%20Nikita%20Jegan%2C%20Monika%20Heinzel-Gutenbrunner%2C%20Felicitas%20K%26%23xFC%3Bhne%2C%20Uwe%20Siebert%2C%20Uwe%20Popert%2C%20Norbert%20Donner-Banzhoff%2C%20and%20Sarah%20K%26%23xFC%3Brwitz.%20%26%23x201C%3BTime-to-Event%20versus%20Ten-Year-Absolute-Risk%20in%20Cardiovascular%20Risk%20Prevention%20-%20Does%20It%20Make%20a%20Difference%3F%20Results%20from%20the%20Optimizing-Risk-Communication%20%28OptRisk%29%20Randomized-Controlled%20Trial.%26%23x201D%3B%20%3Ci%3EBMC%20Medical%20Informatics%20and%20Decision%20Making%3C%5C%2Fi%3E%2016%2C%20no.%201%20%28November%2029%2C%202016%29%3A%20152.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12911-016-0393-1%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12911-016-0393-1%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Time-to-event%20versus%20ten-year-absolute-risk%20in%20cardiovascular%20risk%20prevention%20-%20does%20it%20make%20a%20difference%3F%20Results%20from%20the%20Optimizing-Risk-Communication%20%28OptRisk%29%20randomized-controlled%20trial%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Charles%20Christian%22%2C%22lastName%22%3A%22Adarkwah%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nikita%22%2C%22lastName%22%3A%22Jegan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Monika%22%2C%22lastName%22%3A%22Heinzel-Gutenbrunner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Felicitas%22%2C%22lastName%22%3A%22K%5Cu00fchne%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Uwe%22%2C%22lastName%22%3A%22Siebert%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Uwe%22%2C%22lastName%22%3A%22Popert%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Norbert%22%2C%22lastName%22%3A%22Donner-Banzhoff%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sarah%22%2C%22lastName%22%3A%22K%5Cu00fcrwitz%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20The%20concept%20of%20shared-decision-making%20is%20a%20well-established%20approach%20to%20increase%20the%20participation%20of%20patients%20in%20medical%20decisions.%20Using%20lifetime%20risk%20or%20time-to-event%20%28TTE%29%20formats%20has%20been%20increasingly%20suggested%20as%20they%20might%20have%20advantages%2C%20e.g.%20in%20younger%20patients%2C%20to%20better%20show%20consequences%20of%20unhealthy%20behaviour.%20In%20this%20study%2C%20the%20most-popular%20ten-year%20risk%20illustration%20in%20the%20decision-aid-software%20arribaTM%20%28emoticons%29%2C%20is%20compared%20within%20a%20randomised%20trial%20to%20a%20new-developed%20TTE%20illustration%2C%20which%20is%20based%20on%20a%20Markov%20model.%5CnMETHODS%3A%20Thirty-two%20General%20Practitioners%20%28GPs%29%20took%20part%20in%20the%20study.%20A%20total%20of%20304%20patients%20were%20recruited%20and%20counseled%20by%20their%20GPs%20with%20arribaTM%2C%20and%20randomized%20to%20either%20the%20emoticons%20or%20the%20TTE%20illustration%2C%20followed%20by%20a%20patient%20questionnaire%20to%20figure%20out%20the%20degree%20of%20shared-decision-making%20%28PEF-FB9%2C%20German%20questionnaire%20to%20measure%20the%20participation%20in%20the%20shared%20decision-making%20process%2C%20primary%20outcome%29%2C%20as%20well%20as%20the%20decisional%20conflict%2C%20perceived%20risk%2C%20accessibility%20and%20the%20degree%20of%20information%2C%20which%20are%20all%20secondary%20outcomes.%5CnRESULTS%3A%20Regarding%20our%20primary%20outcome%20PEF-FB9%20the%20new%20TTE%20illustration%20is%20not%20inferior%20compared%20to%20the%20well-established%20emoticons%20taking%20the%20whole%20study%20population%20into%20account.%20Furthermore%2C%20the%20non-inferiority%20of%20the%20innovative%20TTE%20could%20be%20confirmed%20for%20all%20secondary%20outcome%20variables.%20The%20explorative%20analysis%20indicates%20even%20advantages%20in%20younger%20patients%20%28below%2046%5Cu00a0years%20of%20age%29.%5CnCONCLUSION%3A%20The%20TTE%20format%20seems%20to%20be%20as%20useful%20as%20the%20well-established%20emoticons.%20For%20certain%20patient%20populations%2C%20especially%20younger%20patients%2C%20the%20TTE%20may%20be%20even%20superior%20to%20demonstrate%20a%20cardiovascular%20risk%20at%20early%20stages.%20Our%20results%20suggest%20that%20time-to-event%20illustrations%20should%20be%20considered%20for%20current%20decision%20support%20tools%20covering%20cardiovascular%20prevention.%5CnTRIAL%20REGISTRATION%3A%20The%20study%20was%20registered%20at%20the%20German%20Clinical%20Trials%20Register%20and%20at%20the%20WHO%20International%20Clinical%20Trials%20Register%20Platform%20%28%20ICTRP%2C%20ID%20DRKS00004933%20%29%3B%20registered%202%20February%202016%20%28retrospectively%20registered%29.%22%2C%22date%22%3A%222016-11-29%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1186%5C%2Fs12911-016-0393-1%22%2C%22ISSN%22%3A%221472-6947%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22R2J5Y2I9%22%5D%2C%22dateModified%22%3A%222024-03-11T09%3A22%3A56Z%22%7D%7D%2C%7B%22key%22%3A%22Q88QE3EK%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Adarkwah%20et%20al.%22%2C%22parsedDate%22%3A%222019%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EAdarkwah%2C%20Charles%20Christian%2C%20Nikita%20Jegan%2C%20Monika%20Heinzel-Gutenbrunner%2C%20Felicitas%20K%26%23xFC%3Bhne%2C%20Uwe%20Siebert%2C%20Uwe%20Popert%2C%20Norbert%20Donner-Banzhoff%2C%20and%20Sarah%20K%26%23xFC%3Brwitz.%20%26%23x201C%3BThe%20Optimizing-Risk-Communication%20%28OptRisk%29%20Randomized%20Trial%20-%20Impact%20of%20Decision-Aid-Based%20Consultation%20on%20Adherence%20and%20Perception%20of%20Cardiovascular%20Risk.%26%23x201D%3B%20%3Ci%3EPatient%20Preference%20and%20Adherence%3C%5C%2Fi%3E%2013%20%282019%29%3A%20441%26%23x2013%3B52.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.2147%5C%2FPPA.S197545%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.2147%5C%2FPPA.S197545%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22The%20Optimizing-Risk-Communication%20%28OptRisk%29%20randomized%20trial%20-%20impact%20of%20decision-aid-based%20consultation%20on%20adherence%20and%20perception%20of%20cardiovascular%20risk%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Charles%20Christian%22%2C%22lastName%22%3A%22Adarkwah%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nikita%22%2C%22lastName%22%3A%22Jegan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Monika%22%2C%22lastName%22%3A%22Heinzel-Gutenbrunner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Felicitas%22%2C%22lastName%22%3A%22K%5Cu00fchne%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Uwe%22%2C%22lastName%22%3A%22Siebert%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Uwe%22%2C%22lastName%22%3A%22Popert%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Norbert%22%2C%22lastName%22%3A%22Donner-Banzhoff%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sarah%22%2C%22lastName%22%3A%22K%5Cu00fcrwitz%22%7D%5D%2C%22abstractNote%22%3A%22Background%3A%20Shared%20decision-making%20is%20a%20well-established%20approach%20to%20increasing%20patient%20participation%20in%20medical%20decisions.%20Increasingly%2C%20using%20lifetime-risk%20or%20time-to-event%20%28TTE%29%20formats%20has%20been%20suggested%2C%20as%20these%20might%20have%20advantages%20in%20comparison%20with%20a%2010-year%20risk%20prognosis%2C%20particularly%20for%20younger%20patients%2C%20whose%20lifetime%20risk%20for%20some%20events%20may%20be%20considerably%20greater%20than%20their%2010-year%20risk.%20In%20this%20study%2C%20a%20randomized%20trial%2C%20the%20most%20popular%2010-year%20risk%20illustration%20in%20the%20decision-aid%20software%20Arriba%20%28emoticons%29%2C%20is%20compared%20with%20a%20newly%20developed%20TTE%20illustration%2C%20which%20is%20based%20on%20a%20Markov%20model.%20The%20study%20compares%20the%20effect%20of%20these%20two%20methods%20of%20presenting%20cardiovascular%20risk%20to%20patients%20on%20their%20subsequent%20adherence%20to%20intervention.%5CnMethods%3A%20A%20total%20of%20294%20patients%20were%20interviewed%203%20months%20after%20they%20had%20had%20a%20consultation%20with%20their%20GP%20on%20cardiovascular%20risk%20prevention.%20Adherence%20to%20behavioral%20change%20or%20medication%20intervention%20was%20measured%20as%20the%20primary%20outcome.%20The%20latter%20was%20expressed%20as%20a%20generated%20score.%20Furthermore%2C%20different%20secondary%20outcomes%20were%20measured%2C%20ie%2C%20patient%20perception%20of%20risk%20and%20self-rated%20importance%20of%20avoiding%20a%20cardiovascular%20event%2C%20as%20well%20as%20patient%20numeracy%2C%20which%20was%20used%20as%20a%20proxy%20for%20patient%20health%20literacy.%5CnResults%3A%20Overall%2C%20no%20significant%20difference%20in%20patient%20adherence%20was%20found%20depending%20on%20risk%20representation.%20In%20the%20emoticon%20group%2C%20the%20number%20of%20interventions%20had%20a%20significant%20impact%20on%20the%20adherence%20score%20%28P%3D0.025%29.%20Perception%20of%20risk%20was%20significantly%20higher%20in%20patients%20counseled%20with%20the%20TTE%20risk%20display%2C%20whereas%20the%20importance%20of%20avoiding%20a%20cardiovascular%20event%20was%20rated%20equally%20highly%20in%20both%20groups%20and%20actually%20increased%20over%20time.%5CnConclusion%3A%20The%20TTE%20format%20is%20an%20appropriate%20means%20for%20counseling%20patients.%20Adherence%20is%20a%20very%20complex%20construct%2C%20which%20cannot%20be%20fully%20explained%20by%20our%20findings.%20The%20study%20results%20support%20our%20call%20for%20considering%20TTE%20illustrations%20as%20a%20valuable%20alternative%20to%20current%20decision-support%20tools%20covering%20cardiovascular%20prevention.%20Nevertheless%2C%20further%20research%20is%20needed%20to%20shed%20light%20on%20patient%20motivation%20and%20adherence%20with%20regard%20to%20cardiovascular%20risk%20prevention.%5CnTrial%20registration%3A%20The%20study%20was%20registered%20at%20the%20German%20Clinical%20Trials%20Register%20and%20at%20the%20WHO%20International%20Clinical%20Trials%20Register%20Platform%20%28ICTRP%2C%20ID%20DRKS00004933%29%3B%20registered%20February%202%2C%202016%20%28retrospectively%20registered%29.%22%2C%22date%22%3A%222019%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.2147%5C%2FPPA.S197545%22%2C%22ISSN%22%3A%221177-889X%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22IE7JTZ2W%22%2C%2246NNKHWR%22%2C%22R2J5Y2I9%22%2C%22X7PUUBWP%22%5D%2C%22dateModified%22%3A%222021-03-23T16%3A28%3A34Z%22%7D%7D%2C%7B%22key%22%3A%224FKYQ5SH%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22AHRQ%20Agency%20for%20Healthcare%20Research%20and%20Quality%22%2C%22parsedDate%22%3A%222020-10%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EAHRQ%20Agency%20for%20Healthcare%20Research%20and%20Quality.%20%5C%22%3Ca%20href%3D%27http%3A%5C%2F%5C%2Fwww.ahrq.gov%5C%2Fhealth-literacy%5C%2Fprofessional-training%5C%2Fshared-decision%5C%2Findex.html%27%3EThe%20SHARE%20Approach%20for%20shared%20decision%20making.%3C%5C%2Fa%3E%2C%5C%22%20October%202020.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22webpage%22%2C%22title%22%3A%22The%20SHARE%20Approach%20for%20shared%20decision%20making.%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22%22%2C%22lastName%22%3A%22AHRQ%20Agency%20for%20Healthcare%20Research%20and%20Quality%22%7D%5D%2C%22abstractNote%22%3A%22AHRQ%5Cu2019s%20SHARE%20Approach%20is%20a%20five-step%20process%20for%20shared%20decisionmaking%20that%20includes%20exploring%20and%20comparing%20the%20benefits%2C%20harms%2C%20and%20risks%20of%20each%20option%20through%20meaningful%20dialogue%20about%20what%20matters%20most%20to%20the%20patient.%22%2C%22date%22%3A%222020-10%22%2C%22url%22%3A%22http%3A%5C%2F%5C%2Fwww.ahrq.gov%5C%2Fhealth-literacy%5C%2Fprofessional-training%5C%2Fshared-decision%5C%2Findex.html%22%2C%22language%22%3A%22en-us%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22X7PUUBWP%22%2C%22ZKMQLZWF%22%5D%2C%22dateModified%22%3A%222021-05-26T07%3A37%3A24Z%22%7D%7D%2C%7B%22key%22%3A%2244ZXJCFE%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Albrecht%22%2C%22parsedDate%22%3A%222017-06-28%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EAlbrecht%2C%20Martina.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fwww.sub.uni-hamburg.de%5C%2Fstartseite.html%27%3EInformierte%20Entscheidungen%20in%20der%20zahnmedizinischen%20Versorgung%20f%5Cu00f6rdern%3A%20Gesundheitsinformationen%20und%20Schulungsprogramme%3C%5C%2Fa%3E.%5C%22%20Hamburg%2C%202017.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22thesis%22%2C%22title%22%3A%22Informierte%20Entscheidungen%20in%20der%20zahnmedizinischen%20Versorgung%20f%5Cu00f6rdern%3A%20Gesundheitsinformationen%20und%20Schulungsprogramme%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Martina%22%2C%22lastName%22%3A%22Albrecht%22%7D%5D%2C%22abstractNote%22%3A%22Diese%20Dissertation%20beinhaltet%20die%20Forschungsergebnisse%20mehrerer%20Studien%2C%20die%20die%20methodischen%20Grundlagen%20und%20Voraussetzungen%20f%5Cu00fcr%20informierte%20Entscheidungen%20definieren%20und%20komplexe%20Interventionen%2C%20wie%20z.B.%20evidenzbasierte%20Gesundheitsinformationen%20%28EBGI%29%20und%20Schulungsprogramme%2C%20in%20der%20zahnmedizinischen%20Versorgung%20%5Cu00fcberpr%5Cu00fcfen.%20Alle%20Studien%20sind%20in%20begutachteten%20Zeitschriften%20ver%5Cu00f6ffentlicht.%5CnDas%20Ziel%20der%20ersten%20Arbeit%20ist%20es%2C%20die%20Kriterien%20f%5Cu00fcr%20EBGI%20aus%20der%20internationalen%20Literatur%20zu%20erfassen%20und%20die%20Evidenz%20f%5Cu00fcr%20die%20identifizierten%20Kriterien%20darzustellen.%20Insgesamt%20wurden%2013%20Kriterien%20identifiziert.%20Die%20zweite%20Arbeit%20pr%5Cu00e4sentiert%20eine%20Erhebung%20zur%20Qualit%5Cu00e4t%20von%20Telefonberatungen%20zu%20ausgew%5Cu00e4hlten%20Gesundheitsthemen%20durch%20verdeckte%20Klienten.%20Die%20Analyse%20zeigt%2C%20dass%20die%20derzeit%20vermittelten%20Informationen%20nicht%20den%20Kriterien%20f%5Cu00fcr%20EBGI%20entsprechen.%20Die%20dritte%20Arbeit%20stellt%20die%20Ergebnisse%20einer%20randomisiert-kontrollierten%20Studie%20%28RCT%29%20dar%2C%20die%20die%20Effekte%20eines%20Informationsflyers%20zur%20HPV-Impfung%2C%20der%20mit%20Risikoinformationen%20erg%5Cu00e4nzt%20wurde%2C%20mit%20einem%20Standardflyer%20hinsichtlich%20des%20Risikowissens%20vergleicht.%20Die%20Teilnehmerinnen%2C%20die%20den%20Flyer%20mit%20Risikoinformationen%20erhielten%2C%20gaben%20h%5Cu00e4ufiger%20korrekte%20Antworten%20im%20Vergleich%20zu%20Teilnehmerinnen%20mit%20der%20Standardinformation.%20Der%20vierte%20Artikel%20gibt%20Einblick%20in%20die%20Methodik%20der%20Entwicklung%20einer%20evidenzbasierten%20Leitlinie%20f%5Cu00fcr%20EBGI.%20Au%5Cu00dferdem%20werden%20die%20Ergebnisse%20einer%20qualitativen%20Studie%2C%20die%20die%20Kompetenzen%20von%20Gesundheitsinformationserstellern%20explorierte%2C%20berichtet.%20Die%20Ergebnisse%20weisen%20auf%20einen%20Schulungsbedarf%20hin%2C%20da%20die%20Kompetenzen%20zu%20den%20Methoden%20der%20Evidenzbasierten%20Medizin%20%28EbM%29%20und%20EBGI%20sehr%20unterschiedlich%20ausgepr%5Cu00e4gt%20sind.%20Das%20Ziel%20der%20f%5Cu00fcnften%20Arbeit%20ist%20es%20aufzuzeigen%2C%20welche%20edukativen%20Interventionen%20in%20einem%20definierten%20Zeitraum%20von%20drei%20Jahren%20in%20RCTs%20untersucht%20wurden.%20Die%20Ergebnisse%20zeigen%2C%20dass%20nur%20wenige%20RCTs%20zu%20edukativen%20Interventionen%2C%20insbesondere%20in%20Deutschland%2C%20durchgef%5Cu00fchrt%20wurden%20und%20weisen%20auf%20den%20dringenden%5CnBedarf%20an%20methodisch%20hochwertigen%20Studien%20mit%20ausreichender%20Power%20hin.%20Der%20sechste%20Artikel%20stellt%20das%20Studienprotokoll%20f%5Cu00fcr%20eine%20systematische%20%5Cu00dcbersichtsarbeit%20zur%20Wirksamkeit%20von%20Schulungsprogrammen%20f%5Cu00fcr%20Pflegende%20oder%20Bewohner%20von%20Alten-%20und%20Pflegeheimen%20zur%20Erhaltung%20der%20Mundgesundheit%20der%20Bewohner%20dar.%20Die%20Methodik%20folgt%20dem%20Handbuch%20f%5Cu00fcr%20systematische%20%5Cu00dcbersichtsarbeiten%20der%20Cochrane%20Collaboration%20und%20nutzt%20die%20Criteria%20for%20Reporting%20the%20Development%20and%20Evaluation%20of%20Complex%20Interventions%20in%20healthcare%20%28CReDECI%29.%5CnDer%20letzte%20Artikel%20pr%5Cu00e4sentiert%20die%20Ergebnisse%20der%20systematischen%20%5Cu00dcbersichtsarbeit.%20Wichtige%20bewohnerbezogene%20Endpunkte%2C%20wie%20mundgesundheitsbezogene%20Lebensqualit%5Cu00e4t%20oder%20unerw%5Cu00fcnschte%20Ereignisse%2C%20wurden%20nicht%20untersucht.%20Die%20identifizierten%20Studien%20zeigen%20keinen%20Nutzen%20der%20Schulungen%20hinsichtlich%20der%20untersuchten%20Parameter%20zur%20Zahngesundheit.%20Angaben%20zur%20Entwicklung%20und%20Evaluation%20der%20komplexen%20Interventionen%20wurden%20unzureichend%20berichtet.%20Die%20Ergebnisse%20erlauben%20daher%20keine%20Schlussfolgerungen%20hinsichtlich%20der%20Implementierung%20der%20Schulungsprogramme.%20Zusammenfassend%20l%5Cu00e4sst%20sich%20sagen%2C%20dass%20diese%20Dissertation%20wesentlich%20zur%20Implementierung%20von%20informierten%20Entscheidungen%20sowohl%20auf%20der%20Ebene%20der%20Patienten%20als%20auch%20der%20Ebene%20des%20Gesundheitssystems%20beitr%5Cu00e4gt.%20%5CnThis%20dissertation%20comprises%20the%20research%20results%20of%20several%20original%20studies%2C%20which%20define%20the%20methodological%20principles%20and%20requirements%20for%20informed%20choices%2C%20and%20assesses%20complex%20interventions%20such%20as%20evidence-based%20health%20information%20and%20educational%20programmes%20in%20dental%20care.%20All%20studies%20have%20been%20published%20in%20peer-reviewed%20journals.%5CnThe%20objective%20of%20the%20first%20article%20is%20to%20survey%20criteria%20for%20evidence-based%20health%20information%20from%20the%20international%20literature%20and%20to%20compile%20the%20evidence%20for%20the%20identified%20criteria.%20In%20total%2013%20criteria%20have%20been%20identified.%20The%20second%20article%20presents%20a%20survey%20on%20the%20quality%20of%20telephone%20consultations%20on%20selected%20health%20topics%20using%20inquiries%20by%20hidden%20clients.%20The%20analysis%20shows%20that%20currently%20provided%20information%20does%20not%20meet%20the%20criteria%20for%20evidence-based%20health%20information.%20The%20third%20article%20shows%20the%20results%20of%20a%20randomised%20controlled%20trial%20%28RCT%29%20comparing%20the%20effects%20of%20an%20information%20leaflet%20on%20HPV%20vaccination%20supplemented%20with%20risk%20information%20with%20a%20standard%20leaflet%20on%20risk%20knowledge.%20Risk%20information%20recipients%20were%20more%20likely%20to%20give%20correct%20answers%20compared%20to%20standard%20information%20recipients.%20The%20fourth%20article%20highlights%20the%20methodology%20of%20the%20development%20process%20of%20an%5Cnevidence-based%20guideline%20on%20evidence-based%20health%20information.%20Furthermore%2C%20the%20results%20of%20a%20qualitative%20study%20exploring%20the%20competences%20of%20health%20information%20developers%20are%20reported.%20The%20results%20indicate%20a%20need%20for%20training%20as%20the%20levels%20of%20competences%20regarding%20the%20methods%20of%20evidence-based%20medicine%20and%20health%20information%20vary%20substantially.%20The%20objective%20of%20the%20fifth%20article%20is%20to%20survey%20which%20educational%20interventions%20have%20been%20evaluated%20in%20RCTs%20during%20a%20defined%20period%20of%20three%20years.%20The%20results%20show%20that%20only%20very%20few%20RCTs%20have%20been%20conducted%2C%20especially%20in%20Germany%2C%20and%20highlight%20an%20urgent%20need%20for%20adequately%20powered%20high-quality%20studies.%20The%20sixth%20article%20comprises%20the%20study%20protocol%20for%20a%20systematic%20review%20on%20the%20effects%20of%20oral%20health%20educational%20interventions%20for%20nursing%20home%20staff%20or%20residents%20to%20maintain%20oral%20health%20of%20nursing%20home%20residents.%20The%20methodology%20follows%20the%5CnCochrane%20Handbook%20for%20Systematic%20Reviews%20of%20Interventions%20and%20the%20Criteria%20for%20Reporting%20the%20Development%20and%20Evaluation%20of%20Complex%20Interventions%20in%20healthcare%20%28CReDECI%29.%20The%20last%20article%20shows%20the%20results%20of%20the%20systematic%20review.%20Important%20residentrelated%20outcomes%20such%20as%20oral%20health-related%20quality%20of%20life%20or%20adverse%20events%20have%20not%20been%20assessed.%20Eligible%20studies%20do%20not%20provide%20evidence%20on%20the%20effectiveness%20of%20educational%20interventions%20on%20any%20measure%20of%20residents%5Cu2019%20oral%20health.%20Details%20of%20the%20development%20and%20evaluation%20of%20the%20complex%20interventions%20have%20been%20insufficiently%20reported.%20Therefore%2C%20results%20do%20not%20allow%20to%20draw%20conclusions%20regarding%20the%20implementation%20of%20such%20interventions.%20In%20sum%2C%20this%20dissertation%20substantially%20contributes%20to%20the%20implementation%20of%20informed%20choices%20on%20the%20patient%20level%20as%20well%20as%20on%20the%20level%20of%20the%20health%20care%20system.%22%2C%22thesisType%22%3A%22%22%2C%22university%22%3A%22Hamburg%22%2C%22date%22%3A%222017%5C%2F06%5C%2F28%22%2C%22language%22%3A%22de%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.sub.uni-hamburg.de%5C%2Fstartseite.html%22%2C%22collections%22%3A%5B%227NLACL24%22%2C%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22X7PUUBWP%22%2C%226DCTQ3Z4%22%2C%22ZKMQLZWF%22%2C%224KVK6YUS%22%5D%2C%22dateModified%22%3A%222020-02-28T09%3A02%3A53Z%22%7D%7D%2C%7B%22key%22%3A%228HFU3LAV%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Albrecht%20et%20al.%22%2C%22parsedDate%22%3A%222011-04%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EAlbrecht%2C%20Karoline%2C%20Daniela%20Simon%2C%20Angela%20Buchholz%2C%20Katrin%20Reuter%2C%20Dominick%20Frosch%2C%20Laura%20Seebauer%2C%20and%20Martin%20H%26%23xE4%3Brter.%20%26%23x201C%3BHow%20Does%20a%20German%20Audience%20Appraise%20an%20American%20Decision%20Aid%20on%20Early%20Stage%20Breast%20Cancer%3F%26%23x201D%3B%20%3Ci%3EPatient%20Education%20and%20Counseling%3C%5C%2Fi%3E%2083%2C%20no.%201%20%28April%202011%29%3A%2058%26%23x2013%3B63.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.pec.2010.04.038%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.pec.2010.04.038%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22How%20does%20a%20German%20audience%20appraise%20an%20American%20decision%20aid%20on%20early%20stage%20breast%20cancer%3F%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Karoline%22%2C%22lastName%22%3A%22Albrecht%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Daniela%22%2C%22lastName%22%3A%22Simon%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Angela%22%2C%22lastName%22%3A%22Buchholz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Katrin%22%2C%22lastName%22%3A%22Reuter%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dominick%22%2C%22lastName%22%3A%22Frosch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Laura%22%2C%22lastName%22%3A%22Seebauer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Martin%22%2C%22lastName%22%3A%22H%5Cu00e4rter%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVE%3A%20To%20investigate%20how%20a%20German%20audience%20appraises%20an%20American%20video-based%20decision%20aid%20on%20early%20stage%20breast%20cancer%20for%20potential%20use%20in%20Germany.%5CnMETHODS%3A%20A%20German%20synchronized%20voice-over%20version%20was%20produced%20and%20subject%20to%20different%20focus%20groups%20with%20patients%20%28n%3D9%29%2C%20health%20care%20providers%20%28n%3D7%29%20and%20German%20health%20care%20experts%20%28n%3D15%29%20using%20an%20individual%20questionnaire-based%20evaluation%20and%20a%20moderated%20group%20discussion.%20Research%20questions%20included%20a%20general%20appraisal%20of%20the%20decision%20aid%20and%20the%20exploration%20of%20adaptation%20needs%20for%20use%20in%20Germany.%20Descriptive%20statistics%20were%20calculated%20and%20the%20qualitative%20data%20were%20analyzed%20applying%20an%20inductive%20approach%20to%20categorize%20the%20statements.%5CnRESULTS%3A%20The%20general%20appraisal%20of%20the%20decision%20aid%20revealed%20positive%20results%20in%20all%20groups%2C%20especially%20with%20regard%20to%20comprehensible%20presentation%20of%20information%20and%20integration%20of%20patients%27%20testimonials.%20However%2C%20cultural%20differences%20between%20the%20American%20decision%20aid%20and%20Germany%20were%20debated%20in%20all%20groups.%5CnCONCLUSION%3A%20Despite%20a%20high%20general%20interest%20and%20positive%20appraisal%20of%20the%20decision%20aid%2C%20the%20results%20of%20this%20study%20suggest%20that%20it%20cannot%20just%20be%20translated%20and%20used%20in%20another%20country.%5CnPRACTICE%20IMPLICATIONS%3A%20The%20decision%20aid%20needs%20further%20cultural%20adaptation%20and%20testing%20in%20an%20implementation%20study%20before%20it%20can%20be%20transferred%20to%20Germany.%22%2C%22date%22%3A%22Apr%202011%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.pec.2010.04.038%22%2C%22ISSN%22%3A%221873-5134%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22X7PUUBWP%22%5D%2C%22dateModified%22%3A%222020-01-24T14%3A52%3A10Z%22%7D%7D%2C%7B%22key%22%3A%22NRJRMPY9%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Altin%20and%20Stock%22%2C%22parsedDate%22%3A%222016%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EAltin%2C%20Sibel%20Vildan%2C%20and%20Stephanie%20Stock.%20%26%23x201C%3BThe%20Impact%20of%20Health%20Literacy%2C%20Patient-Centered%20Communication%20and%20Shared%20Decision-Making%20on%20Patients%26%23x2019%3B%20Satisfaction%20with%20Care%20Received%20in%20German%20Primary%20Care%20Practices.%26%23x201D%3B%20%3Ci%3EBMC%20Health%20Services%20Research%3C%5C%2Fi%3E%2016%20%2830%202016%29%3A%20450.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12913-016-1693-y%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12913-016-1693-y%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22The%20impact%20of%20health%20literacy%2C%20patient-centered%20communication%20and%20shared%20decision-making%20on%20patients%27%20satisfaction%20with%20care%20received%20in%20German%20primary%20care%20practices%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sibel%20Vildan%22%2C%22lastName%22%3A%22Altin%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stephanie%22%2C%22lastName%22%3A%22Stock%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Findings%20on%20the%20association%20between%20health%20literacy%20skills%20and%20patient-reported%20outcomes%20such%20as%20satisfaction%20with%20health%20care%20delivery%20are%20scarce.%20We%20explored%20the%20extent%20to%20which%20subjective%20health%20literacy%20skills%20and%20the%20perception%20of%20the%20application%20of%20patient-centered%20communication%20and%20shared%20decision-making%20are%20associated%20with%20patient%27s%20satisfaction%20with%20care%20received%20by%20their%20general%20practitioner%20%28GP%29.%5CnMETHODS%3A%20A%20nationwide%20cross%20sectional%20survey%20was%20administered%20in%20a%20random%20sample%20of%201125%20German%20adults.%20A%20binary%20logistic%20regression%20model%20controlling%20for%20demographics%20and%20health%20status%20was%20used%20to%20examine%20the%20independent%20contributions%20of%20predictor%20variables%20%28i.e.%20subjective%20health%20literacy%2C%20shared%20decision-making%2C%20patient-centered%20communication%29%20on%20satisfaction%20with%20care%20received%20by%20the%20GP.%5CnRESULTS%3A%20Respondents%20with%20sufficient%20health%20literacy%20skills%20were%202.06%20times%20as%20likely%20%2895%5Cu00a0%25%20%5BCI%5D%3A%201.002-4.264%29%20and%20those%20who%20were%20involved%20in%20shared%20decision-making%20by%20their%20GP%20were%204.02%20times%20as%20likely%20%2895%5Cu00a0%25%20%5BCI%5D%3A%201.849-8.744%29%20to%20be%20satisfied%20with%20care%20received%20by%20their%20GP.%20Respondents%20who%20experienced%20that%20their%20GP%20explained%20things%20in%20an%20easy%20to%20understand%20way%20%28OR%3A%204.44%3B%2095%5Cu00a0%25%20%5BCI%5D%3A%201.817-10.869%29%2C%20knew%20important%20things%20about%20their%20medical%20history%20%28OR%3A%203.46%3B%2095%5Cu00a0%25%20%5BCI%5D%3A%201.502-7.994%29%20and%20spent%20enough%20time%20with%20them%2C%20also%20reported%20to%20be%20more%20satisfied%20%28OR%3A%203.12%3B%2095%5Cu00a0%25%20%5BCI%5D%3A%201.410-6.905%29.%5CnCONCLUSION%3A%20German%20adults%20having%20sufficient%20subjective%20health%20literacy%20skills%20and%20experiencing%20a%20more%20patient-centered%20relationship%20with%20their%20GP%20are%20more%20likely%20to%20be%20satisfied%20with%20care.%20These%20findings%20are%20important%20for%20health%20care%20organizations%20aiming%20to%20respond%20to%20health%20literacy%20needs%20of%20patients.%22%2C%22date%22%3A%2208%2030%2C%202016%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1186%5C%2Fs12913-016-1693-y%22%2C%22ISSN%22%3A%221472-6963%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22S488ZYK4%22%2C%22NPCAGTXX%22%2C%22X7PUUBWP%22%5D%2C%22dateModified%22%3A%222021-03-23T17%3A36%3A34Z%22%7D%7D%2C%7B%22key%22%3A%22H5D57Q7V%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Anderson%20et%20al.%22%2C%22parsedDate%22%3A%222020-04-09%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EAnderson%2C%20Kathryn%20M.%2C%20Sarah%20Leister%2C%20and%20Ruth%20De%20Rego.%20%26%23x201C%3BThe%205Ts%20for%20Teach%20Back%3A%20An%20Operational%20Definition%20for%20Teach-Back%20Training.%26%23x201D%3B%20%3Ci%3EHealth%20Literacy%20Research%20and%20Practice%3C%5C%2Fi%3E%204%2C%20no.%202%20%28April%209%2C%202020%29%3A%20e94%26%23x2013%3B103.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.3928%5C%2F24748307-20200318-01%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.3928%5C%2F24748307-20200318-01%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22The%205Ts%20for%20Teach%20Back%3A%20An%20Operational%20Definition%20for%20Teach-Back%20Training%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kathryn%20M.%22%2C%22lastName%22%3A%22Anderson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sarah%22%2C%22lastName%22%3A%22Leister%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ruth%22%2C%22lastName%22%3A%22De%20Rego%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Teach%20Back%20is%20a%20health%20communication%20strategy%20used%20to%20confirm%20patient%20understanding%20in%20a%20non-shaming%20way.%20Although%20Teach%20Back%20is%20widely%20recommended%20as%20a%20best%20practice%20strategy%20for%20improving%20patient%20outcomes%20and%20organizational%20health%20literacy%2C%20there%20is%20lack%20of%20consensus%20in%20the%20literature%20on%20the%20definition%20of%20Teach%20Back%20and%20the%20best%20methods%20for%20training%20health%20care%20workers%20%28HCWs%29.%20Our%20experience%20suggests%20that%20if%20you%20teach%20specific%2C%20observable%20skills%2C%20these%20can%20be%20identified%20in%20practice%20and%20potentially%20measured%20in%20research.%5CnBRIEF%20DESCRIPTION%20OF%20ACTIVITY%3A%20We%20created%20a%20training%20program%2C%20the%205Ts%20for%20Teach%20Back%2C%20based%20on%20a%20standardized%20operational%20definition%20of%20Teach%20Back%20and%20five%20specific%2C%20observable%20components.%20Participants%20use%20a%20Teach-Back%20Observation%20Tool%20to%20identify%20the%205Ts%20in%20practice%20and%20during%20peer%20evaluation.%20The%20program%20incorporates%20lecture%2C%20observation%2C%20practice%2C%20and%20videos%20with%20good%20and%20bad%20examples%20of%20Teach%20Back.%5CnIMPLEMENTATION%3A%20The%20training%20was%20offered%20to%20HCWs%20in%20a%20large%20academic%20health%20care%20system.%20Flexible%20training%20options%20ranged%20from%20a%20single%204-hour%20training%20to%20a%20more%20comprehensive%20program%20that%20included%20clinic-specific%20scenarios%2C%20peer%20coaching%2C%20and%20refresher%20activities%20over%20a%206-month%20period.%5CnRESULTS%3A%20The%205Ts%20for%20Teach%20Back%20operationalizes%20the%20definition%20of%20Teach%20Back%20and%20provides%20a%20model%20for%20training%20HCWs%20in%20the%20use%20of%20Teach%20Back.%20The%205Ts%20for%20Teach%20Back%20can%20be%20used%20to%20train%20any%20HCW.%20A%20single%20training%20session%20does%20not%20guarantee%20proficiency%20in%20practice.%20Through%20coaching%20and%20refresher%20activities%2C%20competence%20in%20Teach%20Back%20increases.%5CnLESSONS%20LEARNED%3A%20Teaching%20entire%20clinical%20units%20may%20increase%20effectiveness%2C%20because%20Teach%20Back%20becomes%20embedded%20in%20the%20unit%20culture.%20The%20Observation%20Tool%20can%20be%20used%20for%20training%2C%20coaching%2C%20and%20evaluation.%20The%20standardized%20method%20and%20Observation%20Tool%20are%20potentially%20useful%20when%20evaluating%20Teach%20Back%20during%20outcomes%20and%20patient%20satisfaction%20research.%20%5BHLRP%3A%20Health%20Literacy%20Research%20and%20Practice.%202020%3B4%282%29%3A94-103.%5D%20PLAIN%20LANGUAGE%20SUMMARY%3A%20Health%20care%20workers%20may%20be%20clearer%20when%20giving%20information%20to%20patients%20if%20they%20use%20Teach%20Back.%20Studies%20do%20not%20show%20what%20methods%20are%20best%20for%20training%20health%20care%20workers%20how%20to%20do%20Teach%20Back.%20The%205Ts%20method%20breaks%20Teach%20Back%20into%20five%20skills%20that%20help%20health%20care%20workers%20do%20it%20well.%20The%205Ts%20can%20also%20confirm%20use%20and%20may%20be%20helpful%20for%20research.%22%2C%22date%22%3A%22Apr%2009%2C%202020%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.3928%5C%2F24748307-20200318-01%22%2C%22ISSN%22%3A%222474-8307%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22IE7JTZ2W%22%2C%226AFHATSB%22%2C%22X7PUUBWP%22%2C%22ZKMQLZWF%22%2C%22NEESRGYP%22%5D%2C%22dateModified%22%3A%222020-07-28T03%3A37%3A36Z%22%7D%7D%2C%7B%22key%22%3A%22WJLN5KBT%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Ansmann%20et%20al.%22%2C%22parsedDate%22%3A%222016-06%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EAnsmann%2C%20L.%2C%20F.%20Scheibler%2C%20C.%20Kowalski%2C%20and%20H.%20Pfaff.%20%5C%22%3Ca%20href%3D%27http%3A%5C%2F%5C%2Fwww.thieme-connect.de%5C%2FDOI%5C%2FDOI%3F10.1055%5C%2Fs-0036-1583324%27%3EShared%20Decision%20Making%20in%20der%20Brustkrebsversorgung%3A%20eine%20Trendanalyse%20%5Cu00fcber%2010%20Jahre%3C%5C%2Fa%3E.%5C%22%20%3Ci%3ESenologie%20-%20Zeitschrift%20f%5Cu00fcr%20Mammadiagnostik%20und%20-therapie%3C%5C%2Fi%3E%2013%2C%20no.%2002%20%28June%202016%29%3A%20A4.%20https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1055%5C%2Fs-0036-1583324.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Shared%20Decision%20Making%20in%20der%20Brustkrebsversorgung%3A%20eine%20Trendanalyse%20%5Cu00fcber%2010%20Jahre%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22L.%22%2C%22lastName%22%3A%22Ansmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22F.%22%2C%22lastName%22%3A%22Scheibler%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22C.%22%2C%22lastName%22%3A%22Kowalski%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22H.%22%2C%22lastName%22%3A%22Pfaff%22%7D%5D%2C%22abstractNote%22%3A%22Thieme%20E-Books%20%26%20E-Journals%22%2C%22date%22%3A%222016%5C%2F06%22%2C%22language%22%3A%22de%22%2C%22DOI%22%3A%2210.1055%5C%2Fs-0036-1583324%22%2C%22ISSN%22%3A%221611-6453%2C%201611-647X%22%2C%22url%22%3A%22http%3A%5C%2F%5C%2Fwww.thieme-connect.de%5C%2FDOI%5C%2FDOI%3F10.1055%5C%2Fs-0036-1583324%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%223L4EXKAR%22%2C%227C3HQD4E%22%5D%2C%22dateModified%22%3A%222024-03-11T11%3A56%3A03Z%22%7D%7D%2C%7B%22key%22%3A%225LLMPXGX%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Babac%20et%20al.%22%2C%22parsedDate%22%3A%222019%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBabac%2C%20Ana%2C%20Verena%20von%20Friedrichs%2C%20Svenja%20Litzkendorf%2C%20Jan%20Zeidler%2C%20Kathrin%20Damm%2C%20and%20J.-Matthias%20Graf%20von%20der%20Schulenburg.%20%26%23x201C%3BIntegrating%20Patient%20Perspectives%20in%20Medical%20Decision-Making%3A%20A%20Qualitative%20Interview%20Study%20Examining%20Potentials%20within%20the%20Rare%20Disease%20Information%20Exchange%20Process%20in%20Practice.%26%23x201D%3B%20%3Ci%3EBMC%20Medical%20Informatics%20and%20Decision%20Making%3C%5C%2Fi%3E%2019%2C%20no.%201%20%2818%202019%29%3A%20188.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12911-019-0911-z%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12911-019-0911-z%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Integrating%20patient%20perspectives%20in%20medical%20decision-making%3A%20a%20qualitative%20interview%20study%20examining%20potentials%20within%20the%20rare%20disease%20information%20exchange%20process%20in%20practice%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ana%22%2C%22lastName%22%3A%22Babac%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Verena%22%2C%22lastName%22%3A%22von%20Friedrichs%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Svenja%22%2C%22lastName%22%3A%22Litzkendorf%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jan%22%2C%22lastName%22%3A%22Zeidler%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kathrin%22%2C%22lastName%22%3A%22Damm%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22J.-Matthias%22%2C%22lastName%22%3A%22Graf%20von%20der%20Schulenburg%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Many%20European%20countries%20have%20recently%20implemented%20national%20rare%20disease%20plans.%20Although%20the%20network%20is%20strengthening%2C%20especially%20on%20the%20macro%20and%20meso%20levels%2C%20patients%20still%20go%20a%20long%20way%20through%20healthcare%20systems%2C%20with%20many%20health%20professionals%20involved%20and%20scarce%20evidence%20to%20gather.%20Specifically%2C%20patient%20involvement%20in%20the%20form%20of%20shared%20decision-making%20can%20offer%20further%20potential%20to%20increase%20healthcare%20systems%27%20efficiency%20on%20a%20micro%20level.%20Therefore%2C%20we%20examine%20the%20implementation%20of%20the%20shared%20decision-making%20concept%20thus%20far%2C%20and%20explore%20whether%20efficiency%20potentials%20exist-which%20are%20particularly%20relevant%20within%20the%20rare%20disease%20field-and%20how%20they%20can%20be%20triggered.%5CnMETHODS%3A%20Our%20empirical%20evidence%20comes%20from%20101%20interviews%20conducted%20from%20March%20to%20September%202014%20in%20Germany%3B%2055%20patients%2C%2013%20family%20members%2C%20and%2033%20health%20professionals%20participated%20in%20a%20qualitative%20interview%20study.%20Transcripts%20were%20analyzed%20using%20a%20directed%20qualitative%20content%20analysis.%5CnRESULTS%3A%20The%20interviews%20indicate%20that%20the%20decision-making%20process%20is%20increasingly%20relevant%20in%20practice.%20In%20comparison%2C%20however%2C%20the%20shared%20decision-making%20agreement%20itself%20was%20rarely%20reported.%20A%20majority%20of%20interactions%20are%20dominated%20by%20individual%2C%20informed%20decision-making%2C%20followed%20by%20paternalistic%20approaches.%20The%20patient-physician%20relationship%20was%20characterized%20by%20a%20distorted%20trust-building%20process%2C%20which%20is%20affected%20by%20not%20only%20dependencies%20due%20to%20the%20diseases%27%20severity%20and%20chronic%20course%2C%20but%20an%20often-reported%20stigmatization%20of%20patients%20as%20stimulants.%20Moreover%2C%20participation%20was%20high%20due%20to%20a%20pronounced%20engagement%20of%20those%20affected%2C%20diminishing%20as%20patients%27%20strength%20vanish%20during%20their%20odyssey%20through%20health%20care%20systems.%20The%20particular%20roles%20of%20%5C%22expert%20patients%5C%22%20or%20%5C%22lay%20experts%5C%22%20in%20the%20rare%20disease%20field%20were%20revealed%2C%20with%20further%20potential%20in%20integrating%20the%20gathered%20information.%5CnCONCLUSIONS%3A%20The%20study%20reveals%20the%20named%20efficiency%20potentials%2C%20which%20are%20unique%20for%20rare%20diseases%20and%20make%20the%20further%20integration%20of%20shared%20decision-making%20very%20attractive%2C%20facilitating%20diagnostics%20and%20disease%20management.%20It%20is%20noteworthy%20that%20integrating%20shared%20decision-making%20in%20the%20rare%20disease%20field%20does%20not%20only%20require%20strengthening%20the%20position%20of%20patients%20but%20also%20that%20of%20physicians.%20Efforts%20can%20be%20made%20to%20further%20integrate%20the%20concept%20within%20political%20frameworks%20to%20trigger%20the%20identified%20potential%20and%20assess%20the%20health-economic%20impact.%22%2C%22date%22%3A%2209%2018%2C%202019%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1186%5C%2Fs12911-019-0911-z%22%2C%22ISSN%22%3A%221472-6947%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22S488ZYK4%22%2C%22X7PUUBWP%22%2C%22ZKMQLZWF%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222020-01-28T18%3A32%3A22Z%22%7D%7D%2C%7B%22key%22%3A%22W8A94P9Q%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bartsch%20et%20al.%22%2C%22parsedDate%22%3A%222016%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBartsch%2C%20Anna-Lena%2C%20Martin%20H%26%23xE4%3Brter%2C%20Jasmin%20Niedrich%2C%20Anna%20Levke%20Br%26%23xFC%3Btt%2C%20and%20Angela%20Buchholz.%20%26%23x201C%3BA%20Systematic%20Literature%20Review%20of%20Self-Reported%20Smoking%20Cessation%20Counseling%20by%20Primary%20Care%20Physicians.%26%23x201D%3B%20%3Ci%3EPloS%20One%3C%5C%2Fi%3E%2011%2C%20no.%2012%20%282016%29%3A%20e0168482.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1371%5C%2Fjournal.pone.0168482%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1371%5C%2Fjournal.pone.0168482%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22A%20Systematic%20Literature%20Review%20of%20Self-Reported%20Smoking%20Cessation%20Counseling%20by%20Primary%20Care%20Physicians%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anna-Lena%22%2C%22lastName%22%3A%22Bartsch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Martin%22%2C%22lastName%22%3A%22H%5Cu00e4rter%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jasmin%22%2C%22lastName%22%3A%22Niedrich%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anna%20Levke%22%2C%22lastName%22%3A%22Br%5Cu00fctt%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Angela%22%2C%22lastName%22%3A%22Buchholz%22%7D%5D%2C%22abstractNote%22%3A%22Tobacco%20consumption%20is%20a%20risk%20factor%20for%20chronic%20diseases%20and%20worldwide%20around%20six%20million%20people%20die%20from%20long-term%20exposure%20to%20first-%20or%20second-hand%20smoke%20annually.%20One%20effective%20approach%20to%20tobacco%20control%20is%20smoking%20cessation%20counseling%20by%20primary%20care%20physicians.%20However%2C%20research%20suggests%20that%20smoking%20cessation%20counseling%20is%20not%20sufficiently%20implemented%20in%20primary%20care.%20In%20order%20to%20understand%20and%20address%20the%20discrepancy%20between%20evidence%20and%20practice%2C%20an%20overview%20of%20counseling%20practices%20is%20needed.%20Therefore%2C%20the%20aim%20of%20this%20systematic%20literature%20review%20is%20to%20assess%20the%20frequency%20of%20smoking%20cessation%20counseling%20in%20primary%20care.%20Self-reported%20counseling%20behavior%20by%20physicians%20is%20categorized%20according%20to%20the%205A%27s%20strategy%20%28ask%2C%20advise%2C%20assess%2C%20assist%2C%20arrange%29.%20An%20electronic%20database%20search%20was%20performed%20in%20Embase%2C%20Medline%2C%20PsycINFO%2C%20CINAHL%20and%20the%20Cochrane%20Library%20and%20overall%2C%203491%20records%20were%20identified.%20After%20duplicates%20were%20removed%2C%20the%20title%20and%20abstracts%20of%202468%20articles%20were%20screened%20for%20eligibility%20according%20to%20inclusion%5C%2Fexclusion%20criteria.%20The%20remaining%2097%20full-text%20articles%20reporting%20smoking%20cessation%20counseling%20by%20primary%20care%20physicians%20were%20assessed%20for%20eligibility.%20Eligible%20studies%20were%20those%20that%20measured%20physicians%27%20self-reported%20smoking%20cessation%20counseling%20activities%20via%20questionnaire.%20Thirty-five%20articles%20were%20included%20in%20the%20final%20review%20%281%20intervention%20and%2034%20cross-sectional%20studies%29.%20On%20average%2C%20behavior%20corresponding%20to%20the%205A%27s%20was%20reported%20by%2065%25%20of%20physicians%20for%20%5C%22Ask%5C%22%2C%2063%25%20for%20%5C%22Advise%5C%22%2C%2036%25%20for%20%5C%22Assess%5C%22%2C%2044%25%20for%20%5C%22Assist%5C%22%2C%20and%2022%25%20of%20physicians%20for%20%5C%22Arrange%5C%22%2C%20although%20the%20measurement%20and%20reporting%20of%20each%20of%20these%20counseling%20practices%20varied%20across%20studies.%20Overall%2C%20the%20results%20indicate%20that%20the%20first%20strategies%20%28ask%2C%20advise%29%20were%20more%20frequently%20reported%20than%20the%20subsequent%20strategies%20%28assess%2C%20assist%2C%20arrange%29.%20Moreover%2C%20there%20was%20considerable%20variation%20in%20the%20items%20used%20to%20assess%20counseling%20behaviour%20and%20developing%20a%20standardized%20instrument%20to%20assess%20the%20counseling%20strategies%20implemented%20in%20primary%20care%20would%20help%20to%20identify%20and%20address%20current%20gaps%20in%20practice.%22%2C%22date%22%3A%222016%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1371%5C%2Fjournal.pone.0168482%22%2C%22ISSN%22%3A%221932-6203%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22IE7JTZ2W%22%2C%2246NNKHWR%22%2C%22X7PUUBWP%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222020-01-24T14%3A21%3A18Z%22%7D%7D%2C%7B%22key%22%3A%22DGZ8TXKV%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Baunacke%20et%20al.%22%2C%22parsedDate%22%3A%222016-07%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBaunacke%2C%20M.%2C%20C.%20Groeben%2C%20H.%20Borgmann%2C%20A.%20Schneider%2C%20S.%20Kliesch%2C%20and%20J.%20Huber.%20%26%23x201C%3BEvaluation%20des%20Urologenportals.%26%23xA0%3B%20Das%20gemeinsame%20Informationsangebot%20der%20deutschen%20Urologen.%26%23x201D%3B%20%3Ci%3EDer%20Urologe.%20Ausg.%20A%3C%5C%2Fi%3E%2055%2C%20no.%207%20%28July%202016%29%3A%20923%26%23x2013%3B32.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs00120-016-0144-z%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs00120-016-0144-z%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Evaluation%20des%20Urologenportals.%20%20Das%20gemeinsame%20Informationsangebot%20der%20deutschen%20Urologen%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22M.%22%2C%22lastName%22%3A%22Baunacke%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22C.%22%2C%22lastName%22%3A%22Groeben%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22H.%22%2C%22lastName%22%3A%22Borgmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22A.%22%2C%22lastName%22%3A%22Schneider%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22S.%22%2C%22lastName%22%3A%22Kliesch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22J.%22%2C%22lastName%22%3A%22Huber%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20The%20Internet%20is%20an%20important%20source%20for%20health%20issues%20and%20especially%20professional%20associations%20should%20offer%20reliable%20information.%20Since%202001%20the%20professional%20German%20urological%20associations%20%28DGU%20and%20BDU%29%20have%20hosted%20a%5Cu00a0joint%20platform%20to%20inform%20patients.%20Because%20a%5Cu00a0complete%20relaunch%20is%20currently%20ongoing%2C%20we%20evaluated%20the%20users%27%20needs%20and%20wishes.%5CnMATERIALS%20AND%20METHODS%3A%20Using%20a%5Cu00a0pop-up%20on%20the%20website%20www.urologenportal.de%20%2C%20users%20were%20invited%20to%20complete%20a%5Cu00a026-item%20online%20survey.%20We%20used%20a%5Cu00a0validated%20questionnaire%20for%20evaluation%20of%20the%20website.%20Data%20acquisition%20was%20performed%20in%20an%20anonymised%20manner.%5CnRESULTS%3A%20We%20received%20n%5Cu00a0%3D%20200%20complete%20responses%20from%20February%20through%20September%202015.%20Respondents%27%20median%20age%20was%2057%5Cu00a0years%20%28range%2017-89%5Cu00a0years%29%3B%2079%5Cu2009%25%20were%20male.%20Users%20rated%20relevance%20and%20comprehensibility%20of%20information%20as%20very%20good%20and%20superior%20compared%20to%20layout%20and%20structure%20of%20the%20website.%20Of%20the%20users%2073%5Cu2009%25%20were%20affected%20themselves%2C%20but%20only%20half%20of%20them%20reported%20to%20have%20consulted%20a%5Cu00a0urologist.%20At%20the%20time%20of%20the%20survey%2C%2054%5Cu2009%25%20of%20the%20respondents%20had%20to%20make%20a%5Cu00a0health-related%20decision.%20The%20website%20helped%2054%5Cu2009%25%20of%20these%20respondents%20in%20their%20decision-making%20and%2020%5Cu2009%25%20reported%20to%20have%20changed%20their%20mind%20due%20to%20the%20information%20obtained.%20The%20three%20most%20frequently%20requested%20urological%20topics%20were%20circumcision%5C%2Fphimosis%20%2833%5Cu2009%25%29%2C%20prostatic%20enlargement%20%2819%5Cu2009%25%29%2C%20and%20erectile%20dysfunction%20%2818%5Cu2009%25%29.%5CnCONCLUSIONS%3A%20Currently%20the%20Urologenportal%20as%20the%20joint%20information%20platform%20hosted%20by%20German%20urologists%20is%20perceived%20as%20a%5Cu00a0comprehensible%20source%20of%20relevant%20information.%20The%20ongoing%20relaunch%20should%20focus%20particularly%20on%20the%20website%27s%20structure%20and%20layout.%22%2C%22date%22%3A%22Jul%202016%22%2C%22language%22%3A%22ger%22%2C%22DOI%22%3A%2210.1007%5C%2Fs00120-016-0144-z%22%2C%22ISSN%22%3A%221433-0563%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%227NLACL24%22%2C%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22S488ZYK4%22%2C%22X7PUUBWP%22%5D%2C%22dateModified%22%3A%222020-01-26T10%3A30%3A23Z%22%7D%7D%2C%7B%22key%22%3A%22SJ2C79PD%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Baur%20et%20al.%22%2C%22parsedDate%22%3A%222017%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBaur%2C%20Cynthia%2C%20Linda%20Harris%2C%20and%20Elizabeth%20Squire.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Febooks.iospress.nl%5C%2Fpublication%5C%2F47682%27%3EThe%20US%20National%20Action%20Plan%20to%20Improve%20Health%20Literacy%3A%20A%20Model%20for%20Positive%20Organizational%20Change%3C%5C%2Fa%3E.%5C%22%20%3Ci%3EStudies%20in%20Health%20Technology%20and%20Informatics%3C%5C%2Fi%3E%20240%20%282017%29%3A%20186%5Cu2013202.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22The%20US%20National%20Action%20Plan%20to%20Improve%20Health%20Literacy%3A%20A%20Model%20for%20Positive%20Organizational%20Change%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Cynthia%22%2C%22lastName%22%3A%22Baur%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Linda%22%2C%22lastName%22%3A%22Harris%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Elizabeth%22%2C%22lastName%22%3A%22Squire%22%7D%5D%2C%22abstractNote%22%3A%22This%20chapter%20presents%20the%20U.S.%20National%20Action%20Plan%20to%20Improve%20Health%20Literacy%20and%20its%20unique%20contribution%20to%20public%20health%20and%20health%20care%20in%20the%20U.S.%20The%20chapter%20details%20what%20the%20National%20Action%20Plan%20is%2C%20how%20it%20evolved%2C%20and%20how%20it%20has%20influenced%20priorities%20for%20health%20literacy%20improvement%20work.%20Examples%20of%20how%20the%20National%20Action%20Plan%20fills%20policy%20and%20research%20gaps%20in%20health%20care%20and%20public%20health%20are%20included.%20The%20first%20part%20of%20the%20chapter%20lays%20the%20foundation%20for%20the%20development%20of%20the%20National%20Action%20Plan%2C%20and%20the%20second%20part%20discusses%20how%20it%20can%20stimulate%20positive%20organizational%20change%20to%20help%20create%20health%20literate%20organizations%20and%20move%20the%20nation%20towards%20a%20health%20literate%20society.%22%2C%22date%22%3A%222017%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%221879-8365%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Febooks.iospress.nl%5C%2Fpublication%5C%2F47682%22%2C%22collections%22%3A%5B%227NLACL24%22%2C%22ZAW5JYVL%22%2C%22ZFT52UPQ%22%2C%22X7PUUBWP%22%5D%2C%22dateModified%22%3A%222023-02-01T06%3A57%3A51Z%22%7D%7D%2C%7B%22key%22%3A%224NDFIESP%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Berger-H%5Cu00f6ger%20et%20al.%22%2C%22parsedDate%22%3A%222022%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBerger-H%5Cu00f6ger%2C%20Birte%2C%20Anna%20Isselhard%2C%20Stephanie%20Stock%2C%20and%20Sibylle%20Kautz-Freimuth.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2F978-3-662-62800-3_145-1%27%3EUnterst%5Cu00fctzung%20informierter%20Entscheidungen%20in%20der%20Onkologie%3C%5C%2Fa%3E.%5C%22%20In%20%3Ci%3EGesundheitskompetenz%3C%5C%2Fi%3E%2C%20edited%20by%20Katharina%20Rathmann%2C%20Kevin%20Dadaczynski%2C%20Orkan%20Okan%2C%20and%20Melanie%20Messer%2C%201%5Cu201312.%20Springer%20Reference%20Pflege%20%5Cu2013%20Therapie%20%5Cu2013%20Gesundheit.%20Berlin%2C%20Heidelberg%3A%20Springer%2C%202022.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22bookSection%22%2C%22title%22%3A%22Unterst%5Cu00fctzung%20informierter%20Entscheidungen%20in%20der%20Onkologie%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Birte%22%2C%22lastName%22%3A%22Berger-H%5Cu00f6ger%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anna%22%2C%22lastName%22%3A%22Isselhard%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stephanie%22%2C%22lastName%22%3A%22Stock%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sibylle%22%2C%22lastName%22%3A%22Kautz-Freimuth%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Katharina%22%2C%22lastName%22%3A%22Rathmann%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Kevin%22%2C%22lastName%22%3A%22Dadaczynski%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Orkan%22%2C%22lastName%22%3A%22Okan%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Melanie%22%2C%22lastName%22%3A%22Messer%22%7D%5D%2C%22abstractNote%22%3A%22Die%20meisten%20Menschen%20m%5Cu00f6chten%20an%20medizinischen%20Entscheidungen%2C%20die%20sie%20betreffen%2C%20mitwirken.%20Entscheidungen%20in%20der%20Onkologie%20k%5Cu00f6nnen%20Aspekte%20wie%20Pr%5Cu00e4vention%2C%20Diagnostik%2C%20Therapie%2C%20Nachsorge%20oder%20Palliativversorgung%20betreffen.%20Das%20Recht%20auf%20eine%20informierte%20Entscheidungsfindung%2C%20die%20auf%20ad%5Cu00e4quatem%20Wissen%20%5Cu00fcber%20die%20Handlungsalternativen%20beruht%20und%20im%20Einklang%20mit%20den%20pers%5Cu00f6nlichen%20Werten%20steht%2C%20ist%20im%20Patientenrechtegesetz%20verbrieft.%20Zur%20Umsetzung%20m%5Cu00fcssen%20Ratsuchenden%20geeignete%20Instrumente%20angeboten%20werden%2C%20die%20ihnen%20helfen%2C%20allein%20oder%20gemeinsam%20mit%20dem%20Behandlungsteam%20auf%20Basis%20verst%5Cu00e4ndlicher%2C%20ausgewogener%20und%20evidenzbasierter%20Informationen%20entscheiden%20zu%20k%5Cu00f6nnen.%20Geeignete%20Instrumente%20sind%20u.%5Cu00a0a.%20evidenzbasierte%20Gesundheitsinformationen%2C%20Entscheidungshilfen%20und%20das%20Entscheidungscoaching.%20An%20deren%20Qualit%5Cu00e4t%20werden%20hohe%20Anforderungen%20gestellt%20und%20die%20Evidenz%20zeigt%2C%20dass%20sie%20informierte%20Entscheidungen%20f%5Cu00f6rdern.%20Ihre%20Implementierung%20stellt%20komplexe%20Anforderungen%20an%20das%20Gesundheitssystem.%22%2C%22bookTitle%22%3A%22Gesundheitskompetenz%22%2C%22date%22%3A%222022%22%2C%22language%22%3A%22de%22%2C%22ISBN%22%3A%22978-3-662-62800-3%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2F978-3-662-62800-3_145-1%22%2C%22collections%22%3A%5B%227NLACL24%22%2C%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22NPCAGTXX%22%2C%229DQ86GFT%22%2C%226DCTQ3Z4%22%5D%2C%22dateModified%22%3A%222024-02-27T16%3A57%3A54Z%22%7D%7D%2C%7B%22key%22%3A%22GQQIVGCP%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Berger-H%5Cu00f6ger%20et%20al.%22%2C%22parsedDate%22%3A%222017-12-06%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBerger-H%26%23xF6%3Bger%2C%20Birte%2C%20Katrin%20Liethmann%2C%20Ingrid%20M%26%23xFC%3Bhlhauser%2C%20and%20Anke%20Steckelberg.%20%26%23x201C%3BImplementation%20of%20Shared%20Decision-Making%20in%20Oncology%3A%20Development%20and%20Pilot%20Study%20of%20a%20Nurse-Led%20Decision-Coaching%20Programme%20for%20Women%20with%20Ductal%20Carcinoma%20in%20Situ.%26%23x201D%3B%20%3Ci%3EBMC%20Medical%20Informatics%20and%20Decision%20Making%3C%5C%2Fi%3E%2017%2C%20no.%201%20%28December%206%2C%202017%29%3A%20160.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12911-017-0548-8%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12911-017-0548-8%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Implementation%20of%20shared%20decision-making%20in%20oncology%3A%20development%20and%20pilot%20study%20of%20a%20nurse-led%20decision-coaching%20programme%20for%20women%20with%20ductal%20carcinoma%20in%20situ%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Birte%22%2C%22lastName%22%3A%22Berger-H%5Cu00f6ger%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Katrin%22%2C%22lastName%22%3A%22Liethmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ingrid%22%2C%22lastName%22%3A%22M%5Cu00fchlhauser%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anke%22%2C%22lastName%22%3A%22Steckelberg%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20To%20implement%20informed%20shared%20decision-making%20%28ISDM%29%20in%20breast%20care%20centres%2C%20we%20developed%20and%20piloted%20an%20inter-professional%20complex%20intervention.%5CnMETHODS%3A%20We%20developed%20an%20intervention%20consisting%20of%20three%20components%3A%20an%20evidence-based%20patient%20decision%20aid%20%28DA%29%20for%20women%20with%20ductal%20carcinoma%20in%20situ%2C%20a%20decision-coaching%20led%20by%20specialised%20nurses%20%28breast%20care%20nurses%20and%20oncology%20nurses%29%20and%20structured%20physician%20encounters.%20In%20order%20to%20enable%20professionals%20to%20gain%20ISDM%20competencies%2C%20we%20developed%20and%20tested%20a%20curriculum-based%20training%20programme%20for%20specialised%20nurses%20and%20a%20workshop%20for%20physicians.%20After%20successful%20testing%20of%20the%20components%2C%20we%20conducted%20a%20pilot%20study%20to%20test%20the%20feasibility%20of%20the%20entire%20revised%20intervention%20in%20two%20breast%20care%20centres.%20Here%20the%20acceptance%20of%20the%20intervention%20by%20women%20and%20professionals%2C%20the%20applicability%20to%20the%20breast%20care%20centres%27%20procedures%2C%20women%27s%20knowledge%2C%20patient%20involvement%20in%20treatment%20decision-making%20assessed%20with%20the%20MAPPIN%27SDM-observer%20instrument%20MAPPIN%27Odyad%2C%20and%20barriers%20to%20and%20facilitators%20of%20the%20implementation%20were%20taken%20into%20consideration.%20We%20used%20questionnaires%2C%20structured%20verbal%20and%20written%20feedback%20and%20video%20recordings.%20Qualitative%20data%20were%20analysed%20descriptively%2C%20and%20mean%20values%20and%20ranges%20of%20quantitative%20data%20were%20calculated.%5CnRESULTS%3A%20To%20test%20the%20DA%2C%20focus%20groups%20and%20individual%20interviews%20were%20conducted%20with%2027%20women.%20Six%20expert%20reviews%20were%20obtained.%20The%20components%20of%20the%20nurse%20training%20were%20tested%20with%2018%20specialised%20nurses%20and%2019%20health%20science%20students.%20The%20development%20and%20piloting%20of%20the%20components%20were%20successful.%20The%20pilot%20test%20of%20the%20entire%20intervention%20included%20seven%20patients.%20In%20general%2C%20the%20intervention%20is%20applicable.%20Patients%20attained%20adequate%20knowledge%20%28range%20of%20correct%20answers%3A%209-11%20of%2011%29.%20On%20average%2C%20a%20basic%20level%20of%20patient%20involvement%20in%20treatment%20decision-making%20was%20observed%20for%20nurses%20and%20patient-nurse%20dyads%20%28M%28MAPPIN-Odyad%29%3A%202.15%20and%20M%28MAPPIN-Onurse%29%3A%201.90%29.%20Relevant%20barriers%20were%20identified%3B%20physicians%20barely%20tolerated%20women%27s%20preferences%20that%20were%20not%20in%20line%20with%20the%20medical%20recommendation.%20Classifying%20women%20as%20inappropriate%20for%20ISDM%20due%20to%20age%20or%20education%20led%20physicians%20to%20neglect%20eligible%20women%20during%20the%20recruitment%20phase.%5CnCONCLUSION%3A%20Decision-coaching%20is%20feasible.%20Nevertheless%2C%20there%20are%20some%20indications%20that%20structural%20changes%20are%20needed%20for%20long-term%20implementation.%20We%20are%20currently%20evaluating%20the%20intervention%20in%20a%20cluster%20randomised%20controlled%20trial%20in%2016%20breast%20care%20centres.%22%2C%22date%22%3A%22Dec%2006%2C%202017%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1186%5C%2Fs12911-017-0548-8%22%2C%22ISSN%22%3A%221472-6947%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22IE7JTZ2W%22%2C%2246NNKHWR%22%2C%22SPWXRLZV%22%2C%226DCTQ3Z4%22%2C%22ZKMQLZWF%22%2C%22SG8SD8IJ%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222020-01-24T14%3A58%3A02Z%22%7D%7D%2C%7B%22key%22%3A%22DWN8NGHC%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Berger-H%5Cu00f6ger%20et%20al.%22%2C%22parsedDate%22%3A%222019-05%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBerger-H%26%23xF6%3Bger%2C%20Birte%2C%20Katrin%20Liethmann%2C%20Ingrid%20M%26%23xFC%3Bhlhauser%2C%20Burkhard%20Haastert%2C%20and%20Anke%20Steckelberg.%20%26%23x201C%3BNurse-Led%20Coaching%20of%20Shared%20Decision-Making%20for%20Women%20with%20Ductal%20Carcinoma%20in%20Situ%20in%20Breast%20Care%20Centers%3A%20A%20Cluster%20Randomized%20Controlled%20Trial.%26%23x201D%3B%20%3Ci%3EInternational%20Journal%20of%20Nursing%20Studies%3C%5C%2Fi%3E%2093%20%28May%202019%29%3A%20141%26%23x2013%3B52.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ijnurstu.2019.01.013%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ijnurstu.2019.01.013%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Nurse-led%20coaching%20of%20shared%20decision-making%20for%20women%20with%20ductal%20carcinoma%20in%20situ%20in%20breast%20care%20centers%3A%20A%20cluster%20randomized%20controlled%20trial%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Birte%22%2C%22lastName%22%3A%22Berger-H%5Cu00f6ger%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Katrin%22%2C%22lastName%22%3A%22Liethmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ingrid%22%2C%22lastName%22%3A%22M%5Cu00fchlhauser%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Burkhard%22%2C%22lastName%22%3A%22Haastert%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anke%22%2C%22lastName%22%3A%22Steckelberg%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Women%20with%20breast%20cancer%20demand%20informed%20shared%20decision-making.%20Guidelines%20support%20these%20claims.%5CnOBJECTIVES%3A%20To%20investigate%20whether%20an%20informed%20shared%20decision-making%20intervention%20for%20women%20with%20%27ductal%20carcinoma%20in%20situ%27%20comprising%20an%20evidence-based%20decision%20aid%20with%20nurse-led%20decision%20coaching%20enhances%20the%20extent%20of%20the%20mutual%20shared%20decision-making%20behavior%20of%20patients%20and%20professionals%20regarding%20treatment%20options%2C%20and%20to%20analyze%20implementation%20barriers.%5CnDESIGN%3A%20Cluster%20randomized%20controlled%20trial%20with%20accompanying%20process%20evaluation.%5CnSETTING%3A%20Certified%20breast%20care%20centers%20in%20Germany.%5CnPARTICIPANTS%3A%20Women%20with%20ductal%20carcinoma%20in%20situ%20and%20no%20previous%20history%20of%20breast%20cancer%20facing%20a%20primary%20treatment%20decision.%5CnMETHODS%3A%20Sixteen%20breast%20centers%20were%20randomized%20to%20intervention%20or%20standard%20care%20to%20recruit%20192%20patients%20%28partially-blinded%29.%20All%20coaching%20sessions%20and%20physician%20consultations%20were%20videotaped%20to%20assess%20the%20primary%20outcome%20%27extent%20of%20patient%20involvement%20in%20shared%20decision-making%27%20using%20the%20MAPPIN-Odyad%20observer%20instrument%20%28scores%200%20to%204%29.%20Secondary%20endpoints%20included%20the%20sub-measures%20of%20the%20MAPPIN-inventory%20%28MAPPIN-Onurse%2C%20MAPPIN-Ophysician%2C%20MAPPIN-Opatient%2C%20MAPPIN-Qnurse%2C%20MAPPIN-Qpatient%20and%20MAPPIN-Qphysician%29%2C%20%27informed%20choice%27%2C%20%27decisional%20conflict%27%20and%20%27duration%20of%20consultations%27.%20Primary%20intention-to-treat%20analyses%20were%20on%20cluster%20level%20comparing%20means%20of%20cluster%20values%20using%20t-tests.%20An%20accompanying%20process%20evaluation%20was%20conducted%20comprising%201%29%20analysis%20of%20all%20video%20recordings%20with%20focus%20on%20procedures%20and%20intervention%20fidelity%20and%202%29%20field%20notes%20of%20researchers%20and%20feedback%20from%20professionals%20and%20patients%20assessed%20by%20questionnaires%20and%20interviews%20with%20focus%20on%20barriers%20and%20facilitators%20for%20implementation%20at%20different%20time%20points.%5CnRESULTS%3A%20Due%20to%20protracted%20recruitment%2C%20the%20study%20was%20terminated%20after%2014%20centers%20had%20included%2064%20patients%20%28intervention%20group%2036%2C%20control%20group%2028%29.%20Patient%20participation%20in%20informed%20shared%20decision-making%20was%20significantly%20higher%20in%20the%20intervention%20group%20%28mean%20%28SD%29%20score%202.29%20%280.56%29%20vs.%200.42%20%280.51%29%20in%20the%20control%20group%3B%20difference%201.88%20%2895%25%20CI%201.26-2.50%2C%20p%5Cu2009%3C%5Cu20090.0001%29.%2047.7%25%20women%20in%20the%20intervention%20group%20made%20informed%20choices%2C%20but%20none%20in%20the%20control%20group%2C%20difference%2047.7%25%20%2895%25%20CI%2012.6-82.7%25%2C%20p%5Cu2009%3D%5Cu20090.016%29.%20In%20the%20intervention%20group%20physician%20consultations%20lasted%2012.8%20%286.6%29%20min.%20vs.%2024.3%20%286.3%29%20min.%20in%20the%20control%20group.%20Physicians%27%20attitudes%2C%20false%20incentives%20and%20structural%20barriers%20hindered%20implementation%20of%20informed%20shared%20decision-making.%20Nurses%20appreciated%20their%20new%20roles.%5CnCONCLUSIONS%3A%20Informed%20shared%20decision-making%20is%20not%20yet%20implemented%20in%20German%20breast%20care%20centers.%20Nurse-led%20decision%20coaching%20grounded%20on%20evidence-based%20patient%20information%20enhances%20informed%20shared%20decision-making.%20Trial%20registration%20No.%20ISRCTN46305518.%22%2C%22date%22%3A%22May%202019%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.ijnurstu.2019.01.013%22%2C%22ISSN%22%3A%221873-491X%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%227NLACL24%22%2C%22ZFT52UPQ%22%2C%22IE7JTZ2W%22%2C%2246NNKHWR%22%2C%22X7PUUBWP%22%2C%22SPWXRLZV%22%2C%226DCTQ3Z4%22%2C%22SG8SD8IJ%22%2C%22QXIGN3AI%22%2C%224KVK6YUS%22%5D%2C%22dateModified%22%3A%222021-12-15T09%3A30%3A50Z%22%7D%7D%2C%7B%22key%22%3A%22ISU69FDB%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Berger-H%5Cu00f6rger%22%2C%22parsedDate%22%3A%222019%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBerger-H%5Cu00f6rger%2C%20Birte.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fediss.sub.uni-hamburg.de%5C%2Fvolltexte%5C%2F2019%5C%2F9807%5C%2Fpdf%5C%2FDissertation.pdf%27%3EEntwicklung%20und%20Evaluation%20eines%20Programms%20zur%20F%5Cu00f6rderung%20von%20Informed%20Shared%20Decision%20Making%3A%20Decision%20Coaching%20durch%20spezialisierte%20Pflegefachkr%5Cu00e4fte%20in%20der%20Onkologie.%20Dissertation%3C%5C%2Fa%3E.%5C%22%20Hamburg%2C%202019.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22thesis%22%2C%22title%22%3A%22Entwicklung%20und%20Evaluation%20eines%20Programms%20zur%20F%5Cu00f6rderung%20von%20Informed%20Shared%20Decision%20Making%3A%20Decision%20Coaching%20durch%20spezialisierte%20Pflegefachkr%5Cu00e4fte%20in%20der%20Onkologie.%20Dissertation%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Birte%22%2C%22lastName%22%3A%22Berger-H%5Cu00f6rger%22%7D%5D%2C%22abstractNote%22%3A%22Frauen%20%20%20mit%20%20%20Mammakarzinom%20%20m%5Cu00f6chten%20%20%20an%20%20medizinischen%20%20%20Entscheidungen%20%20%20partizipieren.%20Medizinische%20%20und%20%20ethische%20%20Leitlinien%20%20verbriefen%20%20das%20%20Recht%20%20auf%20%20informierte%20%20Entscheidungen.%20Eine%20%20%20Implementierung%20%20%20der%20%20%20informierten%20%20%20gemeinsamen%20%20%20Entscheidungsfindung%20%20%20%28Informed%20Shared%20Decision%20Making%29%20hat%20in%20der%20Onkologie%20bislang%20nicht%20stattgefunden.Diese%20kumulative%20Dissertation%20umfasst%20drei%20Publikationen%20in%20Zeitschriftenmit%20Peer-Review%2C%20die%20die%20Entwicklung%2C%20Pilotierung%20und%20Evaluation%20einer%20komplexen%20Intervention%20zur%20Umsetzung%20der%20informierten%20%20%20gemeinsamen%20%20%20Entscheidungsfindung%20%20%20bestehend%20%20%20aus%20%20%20der%20%20%20Kombination%20%20%20von%20Decision%20%20%20Coaching%20%20%20durch%20%20%20spezialisierte%20%20%20Pflegefachkr%5Cu00e4fte%20%20%20und%20%20%20einer%20%20%20evidenzbasierten%20Entscheidungshilfe%20in%20zertifizierten%20Brustzentren%20beschreiben.%22%2C%22thesisType%22%3A%22%22%2C%22university%22%3A%22Hamburg%22%2C%22date%22%3A%222019%22%2C%22language%22%3A%22de%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fediss.sub.uni-hamburg.de%5C%2Fvolltexte%5C%2F2019%5C%2F9807%5C%2Fpdf%5C%2FDissertation.pdf%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%226DCTQ3Z4%22%2C%22SG8SD8IJ%22%2C%224KVK6YUS%22%5D%2C%22dateModified%22%3A%222020-01-25T07%3A37%3A00Z%22%7D%7D%2C%7B%22key%22%3A%22N5RMF9DP%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bertschi%20and%20Levin-Zamir%22%2C%22parsedDate%22%3A%222020%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBertschi%2C%20Isabella%2C%20and%20Diane%20Levin-Zamir.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2F978-3-658-29816-6_13%27%3EDer%20Umgang%20mit%20Gesundheitsbotschaften%20aus%20traditionellen%20und%20digitalen%20Medien%20%5Cu2013%20Media%20Health%20Literacy%20und%20digitale%20Gesundheitskompetenz%3C%5C%2Fa%3E.%5C%22%20In%20%3Ci%3EHealth%20Literacy%20im%20Kindes-%20und%20Jugendalter%3A%20Ein-%20und%20Ausblicke%3C%5C%2Fi%3E%2C%20edited%20by%20Torsten%20M.%20Bollweg%2C%20Janine%20Br%5Cu00f6der%2C%20and%20Paulo%20Pinheiro%2C%20225%5Cu201338.%20Gesundheit%20und%20Gesellschaft.%20Wiesbaden%3A%20Springer%20Fachmedien%2C%202020.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22bookSection%22%2C%22title%22%3A%22Der%20Umgang%20mit%20Gesundheitsbotschaften%20aus%20traditionellen%20und%20digitalen%20Medien%20%5Cu2013%20Media%20Health%20Literacy%20und%20digitale%20Gesundheitskompetenz%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Isabella%22%2C%22lastName%22%3A%22Bertschi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Diane%22%2C%22lastName%22%3A%22Levin-Zamir%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Torsten%20M.%22%2C%22lastName%22%3A%22Bollweg%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Janine%22%2C%22lastName%22%3A%22Br%5Cu00f6der%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Paulo%22%2C%22lastName%22%3A%22Pinheiro%22%7D%5D%2C%22abstractNote%22%3A%22Moderne%20Gesundheitssysteme%20propagieren%20eine%20zunehmend%20bedeutende%20Rolle%20der%20Endnutzer%2Ainnen%20im%20eigenen%20Gesundheitsmanagement.%20Die%20Medialisierung%20und%20Digitalisierung%20machen%20Gesundheitsinformationen%20zug%5Cu00e4nglicher%2C%20welche%20die%20gesundheitsbezogene%20Entscheidungsfindung%20unterst%5Cu00fctzen%20k%5Cu00f6nnen.%20Gleichzeitig%20erfordert%20das%20gezielte%20Navigieren%20und%20Nutzbarmachen%20medialer%20und%20digitaler%20Gesundheitsinformationen%20spezifische%20Kompetenzen%2C%20wozu%20die%20digitale%20Gesundheitskompetenz%20%28DGK%29%20und%20Media%20Health%20Literacy%20%28MHL%29%20gez%5Cu00e4hlt%20werden%20k%5Cu00f6nnen.%20DGK%20und%20MHL%20scheinen%20bei%20Jugendlichen%20assoziiert%20zu%20sein%20mit%20dem%20Gesundheitsverhalten%2C%20welches%20wiederum%20ein%20wichtiger%20Pr%5Cu00e4diktor%20der%20Gesundheit%20im%20Erwachsenenalter%20ist.%20Ebenso%20h%5Cu00e4ngen%20elterliche%20DGK%20und%20MHL%20zusammen%20mit%20der%20Gesundheit%20ihrer%20Kinder.%20Die%20F%5Cu00f6rderung%20von%20DGK%20und%20MHL%20scheint%20also%20kurz-%20und%20langfristige%20Gesundheitsvorteile%20zu%20versprechen.%20Erste%20Interventionen%20zeigen%2C%20dass%20diese%20Kompetenzen%20mit%20Kindern%20und%20Jugendlichen%20tats%5Cu00e4chlich%20einge%5Cu00fcbt%20werden%20k%5Cu00f6nnen%2C%20wobei%20insbesondere%20dem%20famili%5Cu00e4ren%20und%20erzieherischen%20Umfeld%20eine%20wichtige%20Bedeutung%20zukommt.%20Gleichzeitig%20ist%20es%20jedoch%20zentral%2C%20auf%20Angebotsseite%20stetig%20darauf%20hinzuarbeiten%2C%20Gesundheitsinformationen%20sowohl%20inhaltlich%20wie%20auch%20technisch%20m%5Cu00f6glichst%20vielen%20Menschen%20zug%5Cu00e4nglich%20zu%20machen.%20Digitale%20L%5Cu00f6sungen%20haben%20ein%20gro%5Cu00dfes%20Potenzial%2C%20diese%20Bestrebungen%20zu%20unterst%5Cu00fctzen%2C%20sowohl%20f%5Cu00fcr%20Kinder%20und%20Jugendliche%20wie%20auch%20f%5Cu00fcr%20andere%20Altersgruppen.%22%2C%22bookTitle%22%3A%22Health%20Literacy%20im%20Kindes-%20und%20Jugendalter%3A%20Ein-%20und%20Ausblicke%22%2C%22date%22%3A%222020%22%2C%22language%22%3A%22de%22%2C%22ISBN%22%3A%22978-3-658-29816-6%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2F978-3-658-29816-6_13%22%2C%22collections%22%3A%5B%227NLACL24%22%2C%22ZFT52UPQ%22%2C%222G8YLGV7%22%2C%22S488ZYK4%22%2C%227FBAMELL%22%5D%2C%22dateModified%22%3A%222021-04-23T08%3A05%3A14Z%22%7D%7D%2C%7B%22key%22%3A%222M9YI9I3%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bieber%20et%20al.%22%2C%22parsedDate%22%3A%222009-10-01%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBieber%2C%20Christiane%2C%20Jennifer%20Nicolai%2C%20Mechthild%20Hartmann%2C%20Klaus%20Blumenstiel%2C%20Nadja%20Ringel%2C%20Antonius%20Schneider%2C%20Martin%20H%5Cu00e4rter%2C%20Wolfgang%20Eich%2C%20and%20Andreas%20Loh.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fwww.sciencedirect.com%5C%2Fscience%5C%2Farticle%5C%2Fpii%5C%2FS0738399109001311%27%3ETraining%20physicians%20in%20shared%20decision-making%5Cu2014Who%20can%20be%20reached%20and%20what%20is%20achieved%3F%3C%5C%2Fa%3E%5C%22%20%3Ci%3EPatient%20Education%20and%20Counseling%3C%5C%2Fi%3E%2077%2C%20no.%201%20%28October%201%2C%202009%29%3A%2048%5Cu201354.%20https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.pec.2009.03.019.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Training%20physicians%20in%20shared%20decision-making%5Cu2014Who%20can%20be%20reached%20and%20what%20is%20achieved%3F%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Christiane%22%2C%22lastName%22%3A%22Bieber%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jennifer%22%2C%22lastName%22%3A%22Nicolai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mechthild%22%2C%22lastName%22%3A%22Hartmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Klaus%22%2C%22lastName%22%3A%22Blumenstiel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nadja%22%2C%22lastName%22%3A%22Ringel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Antonius%22%2C%22lastName%22%3A%22Schneider%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Martin%22%2C%22lastName%22%3A%22H%5Cu00e4rter%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Wolfgang%22%2C%22lastName%22%3A%22Eich%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Andreas%22%2C%22lastName%22%3A%22Loh%22%7D%5D%2C%22abstractNote%22%3A%22Objective%5CnTo%20report%20on%20experiences%20with%20a%20general%20shared%20decision-making%20%28SDM%29%20physician%20training%20program%20offered%20to%20physicians%20throughout%20Germany.%5CnMethods%5CnThis%20study%20enrolled%20150%20physicians%20in%20an%208-h%20SDM%20training%20program.%20Physicians%20were%20assessed%20with%20standardized%20instruments%20before%20and%20after%20training.%20Main%20variables%20of%20interest%20were%20physician%20professional%20attributes%2C%20personality%20characteristics%2C%20attitudes%2C%20measures%20of%20training%20success%20%28quality%20rating%2C%20knowledge%2C%20competency%20ratings%29%2C%20and%20variables%20associated%20with%20training%20success.%5CnResults%5CnThe%20SDM%20training%20obtained%20positive%20quality%20ratings%2C%20led%20to%20an%20amelioration%20in%20an%20objective%20SDM%20knowledge%20test%20%28p%3C.001%29%2C%20and%20highly%20improved%20physicians%5Cu2019%20confidence%20in%20their%20SDM%20competencies%20%28p%3C0.001%29.%20It%20attracted%20experienced%2C%20middle-aged%20%2845%20years%29%2C%20male%20and%20female%20%2846%25%29%20physicians%2C%20mostly%20office-based%20%282%5C%2F3%29%20general%20practitioners%20and%20internists%20%282%5C%2F3%29.%20Most%20physicians%20%2894%25%29%20reported%20positive%20attitudes%20towards%20SDM.%20They%20were%20securely%20attached%20%2863%25%29%20with%20predominant%20social%20career%20choice%20motives%20%2846%25%29.%20Physicians%20with%20personality%20characteristics%20clashing%20with%20the%20SDM%20concept%20benefited%20mostly%20from%20the%20training.%5CnConclusion%5CnA%20voluntary%20SDM%20training%20program%20is%20attractive%20to%20practicing%20physicians%20and%20effective%20in%20increasing%20SDM-related%20confidence%20and%20knowledge.%5CnPractice%20implications%5CnEven%20physicians%20who%20are%20highly%20motivated%20to%20use%20SDM%20can%20improve%20their%20skills%20and%20benefit%20from%20SDM%20training.%20The%20dissemination%20of%20SDM%20training%20programs%20should%20be%20encouraged.%22%2C%22date%22%3A%22October%201%2C%202009%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.pec.2009.03.019%22%2C%22ISSN%22%3A%220738-3991%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.sciencedirect.com%5C%2Fscience%5C%2Farticle%5C%2Fpii%5C%2FS0738399109001311%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22IE7JTZ2W%22%2C%22ZKMQLZWF%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222021-05-19T14%3A57%3A01Z%22%7D%7D%2C%7B%22key%22%3A%228PA5KG5Q%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bieber%20et%20al.%22%2C%22parsedDate%22%3A%222020-12%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBieber%2C%20Christiane%2C%20Kathrin%20Gschwendtner%2C%20Nicole%20M%5Cu00fcller%2C%20and%20Wolfgang%20Eich.%20%5C%22%3Ca%20href%3D%27http%3A%5C%2F%5C%2Fwww.thieme-connect.de%5C%2FDOI%5C%2FDOI%3F10.1055%5C%2Fa-1298-2866%27%3EPartizipative%20Entscheidungsfindung%20%28PEF%29%20%5Cu2013%20Patient%20und%20Arzt%20als%20Team%3C%5C%2Fa%3E.%5C%22%20%3Ci%3EBalint%20Journal%3C%5C%2Fi%3E%2021%2C%20no.%2004%20%28December%202020%29%3A%20111%5Cu201322.%20https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1055%5C%2Fa-1298-2866.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Partizipative%20Entscheidungsfindung%20%28PEF%29%20%5Cu2013%20Patient%20und%20Arzt%20als%20Team%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Christiane%22%2C%22lastName%22%3A%22Bieber%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kathrin%22%2C%22lastName%22%3A%22Gschwendtner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nicole%22%2C%22lastName%22%3A%22M%5Cu00fcller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Wolfgang%22%2C%22lastName%22%3A%22Eich%22%7D%5D%2C%22abstractNote%22%3A%22%3Cp%3EViele%20Akteure%20des%20Gesundheitssystems%20verstehen%20das%20Konzept%20der%20Partizipativen%20Entscheidungsfindung%20%28PEF%29%20als%20besonders%20g%5Cu00fcnstige%20Form%20der%20Arzt-Patient-Interaktion.%20Der%20Artikel%20grenzt%20die%20PEF%20ab%20gegen%20weitere%20Modelle%20der%20Arzt-Patient-Interaktion%2C%20bespricht%20Anwendungsbereiche%20und%20Strategien%20sowie%20Hilfsmaterialien%20zur%20Umsetzung%20im%20individuellen%20Arzt-Patient-Kontakt.%20Effekte%20der%20PEF%20f%5Cu00fcr%20Patienten%20und%20f%5Cu00fcr%20Behandler%20werden%20aufgezeigt.%3C%5C%2Fp%3E%22%2C%22date%22%3A%222020%5C%2F12%22%2C%22language%22%3A%22de%22%2C%22DOI%22%3A%2210.1055%5C%2Fa-1298-2866%22%2C%22ISSN%22%3A%221439-5142%2C%201439-9008%22%2C%22url%22%3A%22http%3A%5C%2F%5C%2Fwww.thieme-connect.de%5C%2FDOI%5C%2FDOI%3F10.1055%5C%2Fa-1298-2866%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222021-05-19T14%3A41%3A12Z%22%7D%7D%2C%7B%22key%22%3A%222M2ZNYK2%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bieber%20et%20al.%22%2C%22parsedDate%22%3A%222018%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBieber%2C%20Christiane%2C%20Jennifer%20Nicolai%2C%20Kathrin%20Gschwendtner%2C%20Nicole%20M%26%23xFC%3Bller%2C%20Katrin%20Reuter%2C%20Angela%20Buchholz%2C%20Birgit%20Kallinowski%2C%20Martin%20H%26%23xE4%3Brter%2C%20and%20Wolfgang%20Eich.%20%26%23x201C%3BHow%20Does%20a%20Shared%20Decision-Making%20%28SDM%29%20Intervention%20for%20Oncologists%20Affect%20Participation%20Style%20and%20Preference%20Matching%20in%20Patients%20with%20Breast%20and%20Colon%20Cancer%3F%26%23x201D%3B%20%3Ci%3EJournal%20of%20Cancer%20Education%3A%20The%20Official%20Journal%20of%20the%20American%20Association%20for%20Cancer%20Education%3C%5C%2Fi%3E%2033%2C%20no.%203%20%282018%29%3A%20708%26%23x2013%3B15.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs13187-016-1146-7%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs13187-016-1146-7%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22How%20Does%20a%20Shared%20Decision-Making%20%28SDM%29%20Intervention%20for%20Oncologists%20Affect%20Participation%20Style%20and%20Preference%20Matching%20in%20Patients%20with%20Breast%20and%20Colon%20Cancer%3F%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Christiane%22%2C%22lastName%22%3A%22Bieber%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jennifer%22%2C%22lastName%22%3A%22Nicolai%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kathrin%22%2C%22lastName%22%3A%22Gschwendtner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nicole%22%2C%22lastName%22%3A%22M%5Cu00fcller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Katrin%22%2C%22lastName%22%3A%22Reuter%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Angela%22%2C%22lastName%22%3A%22Buchholz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Birgit%22%2C%22lastName%22%3A%22Kallinowski%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Martin%22%2C%22lastName%22%3A%22H%5Cu00e4rter%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Wolfgang%22%2C%22lastName%22%3A%22Eich%22%7D%5D%2C%22abstractNote%22%3A%22The%20aims%20of%20this%20study%20are%20to%20assess%20patients%27%20preferred%20and%20perceived%20decision-making%20roles%20and%20preference%20matching%20in%20a%20sample%20of%20German%20breast%20and%20colon%20cancer%20patients%20and%20to%20investigate%20how%20a%20shared%20decision-making%20%28SDM%29%20intervention%20for%20oncologists%20influences%20patients%27%20preferred%20and%20perceived%20decision-making%20roles%20and%20the%20attainment%20of%20preference%20matches.%20This%20study%20is%20a%20post%20hoc%20analysis%20of%20a%20randomised%20controlled%20trial%20%28RCT%29%20on%20the%20effects%20of%20an%20SDM%20intervention.%20The%20SDM%20intervention%20was%20a%2012-h%20SDM%20training%20program%20for%20physicians%20in%20combination%20with%20decision%20board%20use.%20For%20this%20study%2C%20we%20analysed%20a%20subgroup%20of%20107%20breast%20and%20colon%20cancer%20patients%20faced%20with%20serious%20treatment%20decisions%20who%20provided%20data%20on%20specific%20questionnaires%20with%20regard%20to%20their%20preferred%20and%20perceived%20decision-making%20roles%20%28passive%2C%20SDM%20or%20active%29.%20Patients%20filled%20in%20questionnaires%20immediately%20following%20a%20decision-relevant%20consultation%20%28t1%29%20with%20their%20oncologist.%20Eleven%20of%20these%20patients%27%2027%20treating%20oncologists%20had%20received%20the%20SDM%20intervention%20within%20the%20RCT.%20A%20majority%20of%20cancer%20patients%20%2860%25%29%20preferred%20SDM.%20A%20match%20between%20preferred%20and%20perceived%20decision-making%20roles%20was%20reached%20for%2072%25%20of%20patients.%20The%20patients%20treated%20by%20SDM-trained%20physicians%20perceived%20greater%20autonomy%20in%20their%20decision%20making%20%28p%5Cu00a0%3C%5Cu00a00.05%29%20with%20more%20patients%20perceiving%20SDM%20or%20an%20active%20role%2C%20but%20their%20preference%20matching%20was%20not%20influenced.%20A%20SDM%20intervention%20for%20oncologists%20boosted%20patient%20autonomy%20but%20did%20not%20improve%20preference%20matching.%20This%20highlights%20the%20already%20well-known%20reluctance%20of%20physicians%20to%20engage%20in%20explicit%20role%20clarification.%5CnTRIAL%20REGISTRATION%3A%20German%20Clinical%20Trials%20Register%20DRKS00000539%3B%20Funding%20Source%3A%20German%20Cancer%20Aid.%22%2C%22date%22%3A%2206%202018%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1007%5C%2Fs13187-016-1146-7%22%2C%22ISSN%22%3A%221543-0154%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22ZKMQLZWF%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222020-01-24T14%3A21%3A35Z%22%7D%7D%2C%7B%22key%22%3A%22FC9L9PPG%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bittner%20and%20Schmidt-Kaehler%22%2C%22parsedDate%22%3A%222018%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBittner%2C%20Anja%2C%20and%20Schmidt-Kaehler.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fwww.bertelsmann-stiftung.de%5C%2Fde%5C%2Fpublikationen%5C%2Fpublikation%5C%2Fdid%5C%2Fgemeinsam-entscheiden-im-klinikalltag%27%3EGemeinsam%20entscheiden%20im%20Klinikalltag.%20Ergebnisse%20von%20Focusgruppengespr%5Cu00e4chen%20mit%20jungen%20%5Cu00c4rzten%3C%5C%2Fa%3E.%5C%22%20G%5Cu00fctersloh%3A%20Bertelsmann%20Stiftung%2C%20G%5Cu00fctersloh%2C%202018.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22report%22%2C%22title%22%3A%22Gemeinsam%20entscheiden%20im%20Klinikalltag.%20Ergebnisse%20von%20Focusgruppengespr%5Cu00e4chen%20mit%20jungen%20%5Cu00c4rzten%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anja%22%2C%22lastName%22%3A%22Bittner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22%22%2C%22lastName%22%3A%22Schmidt-Kaehler%22%7D%2C%7B%22creatorType%22%3A%22seriesEditor%22%2C%22firstName%22%3A%22%22%2C%22lastName%22%3A%22Bertelsmann%20Stiftung%22%7D%5D%2C%22abstractNote%22%3A%22Es%20ist%20belegt%2C%20dass%20sich%20eine%20gemeinsame%20Entscheidungsfindung%20im%20Behandlungsprozess%20positiv%20auswirkt%20auf%20den%20Gesundheitsstatus%2C%20die%20Zufriedenheit%20...%22%2C%22reportNumber%22%3A%22%22%2C%22reportType%22%3A%22%22%2C%22institution%22%3A%22Bertelsmann%20Stiftung%2C%20G%5Cu00fctersloh%22%2C%22date%22%3A%222018%22%2C%22language%22%3A%22de%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.bertelsmann-stiftung.de%5C%2Fde%5C%2Fpublikationen%5C%2Fpublikation%5C%2Fdid%5C%2Fgemeinsam-entscheiden-im-klinikalltag%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22LNM4KIQD%22%2C%22ZPWKVHBB%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222021-03-23T16%3A17%3A05Z%22%7D%7D%2C%7B%22key%22%3A%22JIZ7HWP8%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bitzer%2C%20EM%20et%20al.%22%2C%22parsedDate%22%3A%222019%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBitzer%2C%20EM%2C%20Ernstmann%2C%20N%2C%20DNGK-Vorstand%2C%20and%20DNVF-Vorstand.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fweb.archive.org%5C%2Fweb%5C%2F20200315212046%5C%2Fhttps%3A%5C%2F%5C%2Fdngk.de%5C%2Fgesundheitskompetenz%5C%2Fdefinition-health-literacy-august-2019%5C%2F%27%3EDefinition%20Health%20Literacy%20%5C%2F%20Gesundheitskompetenz-%20August%202019%20-%20Vorschlag%20f%5Cu00fcr%20eine%20erweiterte%20Definition%20von%20Health%20Literacy%3C%5C%2Fa%3E%2C%5C%22%208%202019.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22document%22%2C%22title%22%3A%22Definition%20Health%20Literacy%20%5C%2F%20Gesundheitskompetenz-%20August%202019%20-%20Vorschlag%20f%5Cu00fcr%20eine%20erweiterte%20Definition%20von%20Health%20Literacy%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22name%22%3A%22Bitzer%2C%20EM%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22name%22%3A%22Ernstmann%2C%20N%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22%22%2C%22lastName%22%3A%22DNGK-Vorstand%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22%22%2C%22lastName%22%3A%22DNVF-Vorstand%22%7D%5D%2C%22abstractNote%22%3A%22Der%20Vorstand%20des%20DNGK%20und%20der%20Vorstand%20des%20Deutschen%20Netzwerks%20Versorgungsforschung%20DNVF%20haben%20im%20August%20folgenden%20gemeinsamen%20Vorschlag%20f%5Cu00fcr%20die%20Weiterentwicklung%20der%20englischsprachigen%20Definition%20von%20Health%20Literacy%20formuliert.%5Cn%5CnHealth%20literacy%20is%20the%20degree%20to%20which%20individuals%20are%20enabled%20by%20their%20educational%2C%20social%2C%20and%5C%2For%20health%20system%20to%20obtain%2C%20process%2C%20and%20understand%20health%20information%20needed%20to%20make%20appropriate%20health%20decisions.%5Cn%5CnGesundheitskompetenz%20ist%20der%20Grad%2C%20zu%20dem%20Individuen%20durch%20das%20Bildungs-%2C%20Sozial%20und%5C%2Foder%20Gesundheitssystem%20in%20die%20Lage%20versetzt%20werden%2C%20die%20f%5Cu00fcr%20angemessene%20gesundheitsbezogene%20Entscheidungen%20relevanten%20Gesundheitsinformationen%20zu%20finden%2C%20zu%20verarbeiten%20und%20zu%20verstehen.%22%2C%22date%22%3A%224.%208.%202019%22%2C%22language%22%3A%22deutsch%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fweb.archive.org%5C%2Fweb%5C%2F20200315212046%5C%2Fhttps%3A%5C%2F%5C%2Fdngk.de%5C%2Fgesundheitskompetenz%5C%2Fdefinition-health-literacy-august-2019%5C%2F%22%2C%22collections%22%3A%5B%227NLACL24%22%2C%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22KD7BF7VV%22%2C%22X7PUUBWP%22%2C%22NEESRGYP%22%5D%2C%22dateModified%22%3A%222024-02-27T08%3A53%3A43Z%22%7D%7D%2C%7B%22key%22%3A%22IKXJ3NLS%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22B%5Cu00f6cken%20et%20al.%22%2C%22parsedDate%22%3A%222014%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EB%26%23xF6%3Bcken%2C%20Jan%2C%20Bernard%20Braun%2C%20and%20R%26%23xFC%3Bdiger%20Meierj%26%23xFC%3Brgen.%20%3Ci%3EGesundheitsmonitor%202014%20B%26%23xFC%3Brgerorientierung%20im%20Gesundheitswesen%20-%20Kooperationsprojekt%20der%20Bertelsmann%20Stiftung%20und%20der%20BARMER%20GEK%3C%5C%2Fi%3E.%20G%26%23xFC%3Btersloh%3A%20Bertelsmann%20Stiftung%2C%202014.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22book%22%2C%22title%22%3A%22Gesundheitsmonitor%202014%20B%5Cu00fcrgerorientierung%20im%20Gesundheitswesen%20-%20Kooperationsprojekt%20der%20Bertelsmann%20Stiftung%20und%20der%20BARMER%20GEK%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jan%22%2C%22lastName%22%3A%22B%5Cu00f6cken%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bernard%22%2C%22lastName%22%3A%22Braun%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22R%5Cu00fcdiger%22%2C%22lastName%22%3A%22Meierj%5Cu00fcrgen%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222014%22%2C%22language%22%3A%22German%22%2C%22ISBN%22%3A%22978-3-86793-593-7%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%5D%2C%22dateModified%22%3A%222021-04-15T11%3A16%3A26Z%22%7D%7D%2C%7B%22key%22%3A%22AA8PUEXT%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Boland%20et%20al.%22%2C%22parsedDate%22%3A%222019%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBoland%2C%20Laura%2C%20Ian%20D.%20Graham%2C%20France%20L%26%23xE9%3Bgar%26%23xE9%3B%2C%20Krystina%20Lewis%2C%20Janet%20Jull%2C%20Allyson%20Shephard%2C%20Margaret%20L.%20Lawson%2C%20Alexandra%20Davis%2C%20Audrey%20Yameogo%2C%20and%20Dawn%20Stacey.%20%26%23x201C%3BBarriers%20and%20Facilitators%20of%20Pediatric%20Shared%20Decision-Making%3A%20A%20Systematic%20Review.%26%23x201D%3B%20%3Ci%3EImplementation%20Science%3A%20IS%3C%5C%2Fi%3E%2014%2C%20no.%201%20%2818%202019%29%3A%207.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs13012-018-0851-5%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs13012-018-0851-5%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Barriers%20and%20facilitators%20of%20pediatric%20shared%20decision-making%3A%20a%20systematic%20review%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Laura%22%2C%22lastName%22%3A%22Boland%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ian%20D.%22%2C%22lastName%22%3A%22Graham%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22France%22%2C%22lastName%22%3A%22L%5Cu00e9gar%5Cu00e9%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Krystina%22%2C%22lastName%22%3A%22Lewis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Janet%22%2C%22lastName%22%3A%22Jull%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Allyson%22%2C%22lastName%22%3A%22Shephard%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Margaret%20L.%22%2C%22lastName%22%3A%22Lawson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alexandra%22%2C%22lastName%22%3A%22Davis%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Audrey%22%2C%22lastName%22%3A%22Yameogo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dawn%22%2C%22lastName%22%3A%22Stacey%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Shared%20decision-making%20%28SDM%29%20is%20rarely%20implemented%20in%20pediatric%20practice.%20Pediatric%20health%20decision-making%20differs%20from%20that%20of%20adult%20practice.%20Yet%2C%20little%20is%20known%20about%20the%20factors%20that%20influence%20the%20implementation%20of%20pediatric%20shared%20decision-making%20%28SDM%29.%20We%20synthesized%20pediatric%20SDM%20barriers%20and%20facilitators%20from%20the%20perspectives%20of%20healthcare%20providers%20%28HCP%29%2C%20parents%2C%20children%2C%20and%20observers%20%28i.e.%2C%20persons%20who%20evaluated%20the%20SDM%20process%2C%20but%20were%20not%20directly%20involved%29.%5CnMETHODS%3A%20We%20conducted%20a%20systematic%20review%20guided%20by%20the%20Ottawa%20Model%20of%20Research%20Use%20%28OMRU%29.%20We%20searched%20MEDLINE%2C%20EMBASE%2C%20Cochrane%20Library%2C%20CINAHL%2C%20PubMed%2C%20and%20PsycINFO%20%28inception%20to%20March%202017%29%20and%20included%20studies%20that%20reported%20clinical%20pediatric%20SDM%20barriers%20and%5C%2For%20facilitators%20from%20the%20perspective%20of%20HCPs%2C%20parents%2C%20children%2C%20and%5C%2For%20observers.%20We%20considered%20all%20or%20no%20comparison%20groups%20and%20included%20all%20study%20designs%20reporting%20original%20data.%20Content%20analysis%20was%20used%20to%20synthesize%20barriers%20and%20facilitators%20and%20categorized%20them%20according%20to%20the%20OMRU%20levels%20%28i.e.%2C%20decision%2C%20innovation%2C%20adopters%2C%20relational%2C%20and%20environment%29%20and%20participant%20types%20%28i.e.%2C%20HCP%2C%20parents%2C%20children%2C%20and%20observers%29.%20We%20used%20the%20Mixed%20Methods%20Appraisal%20Tool%20to%20appraise%20study%20quality.%5CnRESULTS%3A%20Of%2020%2C008%20identified%20citations%2C%2079%20were%20included.%20At%20each%20OMRU%20level%2C%20the%20most%20frequent%20barriers%20were%20features%20of%20the%20options%20%28decision%29%2C%20poor%20quality%20information%20%28innovation%29%2C%20parent%5C%2Fchild%20emotional%20state%20%28adopter%29%2C%20power%20relations%20%28relational%29%2C%20and%20insufficient%20time%20%28environment%29.%20The%20most%20frequent%20facilitators%20were%20low%20stake%20decisions%20%28decision%29%2C%20good%20quality%20information%20%28innovation%29%2C%20agreement%20with%20SDM%20%28adopter%29%2C%20trust%20and%20respect%20%28relational%29%2C%20and%20SDM%20tools%5C%2Fresources%20%28environment%29.%20Across%20participant%20types%2C%20the%20most%20frequent%20barriers%20were%20insufficient%20time%20%28HCPs%29%2C%20features%20of%20the%20options%20%28parents%29%2C%20power%20imbalances%20%28children%29%2C%20and%20HCP%20skill%20for%20SDM%20%28observers%29.%20The%20most%20frequent%20facilitators%20were%20good%20quality%20information%20%28HCP%29%20and%20agreement%20with%20SDM%20%28parents%20and%20children%29.%20There%20was%20no%20consistent%20facilitator%20category%20for%20observers.%20Overall%2C%20study%20quality%20was%20moderate%20with%20quantitative%20studies%20having%20the%20highest%20ratings%20and%20mixed-method%20studies%20having%20the%20lowest%20ratings.%5CnCONCLUSIONS%3A%20Numerous%20diverse%20and%20interrelated%20factors%20influence%20SDM%20use%20in%20pediatric%20clinical%20practice.%20Our%20findings%20can%20be%20used%20to%20identify%20potential%20pediatric%20SDM%20barriers%20and%20facilitators%2C%20guide%20context-specific%20barrier%20and%20facilitator%20assessments%2C%20and%20inform%20interventions%20for%20implementing%20SDM%20in%20pediatric%20practice.%5CnTRIAL%20REGISTRATION%3A%20PROSPERO%20CRD42015020527.%22%2C%22date%22%3A%2201%2018%2C%202019%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1186%5C%2Fs13012-018-0851-5%22%2C%22ISSN%22%3A%221748-5908%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22IE7JTZ2W%22%2C%2246NNKHWR%22%2C%22S488ZYK4%22%2C%22X7PUUBWP%22%2C%22GEEM6ZXB%22%5D%2C%22dateModified%22%3A%222020-01-30T16%3A53%3A28Z%22%7D%7D%2C%7B%22key%22%3A%22LKXY8J3R%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bomhof-Roordink%20et%20al.%22%2C%22parsedDate%22%3A%222019-12-17%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBomhof-Roordink%2C%20Hanna%2C%20Fania%20R.%20G%26%23xE4%3Brtner%2C%20Anne%20M.%20Stiggelbout%2C%20and%20Arwen%20H.%20Pieterse.%20%26%23x201C%3BKey%20Components%20of%20Shared%20Decision%20Making%20Models%3A%20A%20Systematic%20Review.%26%23x201D%3B%20%3Ci%3EBMJ%20Open%3C%5C%2Fi%3E%209%2C%20no.%2012%20%28December%2017%2C%202019%29%3A%20e031763.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1136%5C%2Fbmjopen-2019-031763%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1136%5C%2Fbmjopen-2019-031763%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Key%20components%20of%20shared%20decision%20making%20models%3A%20a%20systematic%20review%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Hanna%22%2C%22lastName%22%3A%22Bomhof-Roordink%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Fania%20R.%22%2C%22lastName%22%3A%22G%5Cu00e4rtner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anne%20M.%22%2C%22lastName%22%3A%22Stiggelbout%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Arwen%20H.%22%2C%22lastName%22%3A%22Pieterse%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVES%3A%20To%20%281%29%20provide%20an%20up-to-date%20overview%20of%20shared%20decision%20making%20%28SDM%29-models%2C%20%282%29%20give%20insight%20in%20the%20prominence%20of%20components%20present%20in%20SDM-models%2C%20%283%29%20describe%20who%20is%20identified%20as%20responsible%20within%20the%20components%20%28patient%2C%20healthcare%20professional%2C%20both%2C%20none%29%2C%20%284%29%20show%20the%20occurrence%20of%20SDM-components%20over%20time%2C%20and%20%285%29%20present%20an%20SDM-map%20to%20identify%20SDM-components%20seen%20as%20key%2C%20per%20healthcare%20setting.%5CnDESIGN%3A%20Systematic%20review.%5CnELIGIBILITY%20CRITERIA%3A%20Peer-reviewed%20articles%20in%20English%20presenting%20a%20new%20or%20adapted%20model%20of%20SDM.%5CnINFORMATION%20SOURCES%3A%20Academic%20Search%20Premier%2C%20Cochrane%2C%20Embase%2C%20Emcare%2C%20PsycINFO%2C%20PubMed%2C%20and%20Web%20of%20Science%20were%20systematically%20searched%20for%20articles%20published%20up%20to%20and%20including%20September%202%2C%202019.%5CnRESULTS%3A%20Forty%20articles%20were%20included%2C%20each%20describing%20a%20unique%20SDM-model.%20Twelve%20models%20were%20generic%2C%20the%20others%20were%20specific%20to%20a%20healthcare%20setting.%20Fourteen%20were%20based%20on%20empirical%20data%2C%2026%20primarily%20on%20analytical%20thinking.%20Fifty-three%20different%20elements%20were%20identified%20and%20clustered%20into%2024%20components.%20Overall%2C%20Describe%20treatment%20options%20was%20the%20most%20prominent%20component%20across%20models.%20Components%20present%20in%20%3E50%25%20of%20models%20were%3A%20Make%20the%20decision%20%2875%25%29%2C%20Patient%20preferences%20%2865%25%29%2C%20Tailor%20information%20%2865%25%29%2C%20Deliberate%20%2858%25%29%2C%20Create%20choice%20awareness%20%2855%25%29%2C%20and%20Learn%20about%20the%20patient%20%2853%25%29.%20In%20the%20majority%20of%20the%20models%20%2827%5C%2F40%29%2C%20both%20healthcare%20professional%20and%20patient%20were%20identified%20as%20actors.%20Over%20time%2C%20Describe%20treatment%20options%20and%20Make%20the%20decision%20are%20the%20two%20components%20which%20are%20present%20in%20most%20models%20in%20any%20time%20period.%20Create%20choice%20awareness%20stood%20out%20for%20being%20present%20in%20a%20markedly%20larger%20proportion%20of%20models%20over%20time.%5CnCONCLUSIONS%3A%20This%20review%20provides%20an%20up-to-date%20overview%20of%20SDM-models%2C%20showing%20that%20SDM-models%20quite%20consistently%20share%20some%20components%20but%20that%20a%20unified%20view%20on%20what%20SDM%20is%2C%20is%20still%20lacking.%20Clarity%20about%20what%20SDM%20constitutes%20is%20essential%20though%20for%20implementation%2C%20assessment%2C%20and%20research%20purposes.%20A%20map%20is%20offered%20to%20identify%20SDM-components%20seen%20as%20key.%5CnTRIAL%20REGISTRATION%3A%20PROSPERO%20registration%20CRD42015019740.%22%2C%22date%22%3A%22Dec%2017%2C%202019%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1136%5C%2Fbmjopen-2019-031763%22%2C%22ISSN%22%3A%222044-6055%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22X7PUUBWP%22%5D%2C%22dateModified%22%3A%222020-01-30T16%3A42%3A14Z%22%7D%7D%2C%7B%22key%22%3A%228JUKY8YB%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bonner%20et%20al.%22%2C%22parsedDate%22%3A%222019-03-01%22%2C%22numChildren%22%3A3%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBonner%2C%20Carissa%2C%20Pinika%20Patel%2C%20Michael%20Anthony%20Fajardo%2C%20Ruixuan%20Zhuang%2C%20and%20Lyndal%20Trevena.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fbmjopen.bmj.com%5C%2Fcontent%5C%2F9%5C%2F3%5C%2Fe025173%27%3EOnline%20decision%20aids%20for%20primary%20cardiovascular%20disease%20prevention%3A%20systematic%20search%2C%20evaluation%20of%20quality%20and%20suitability%20for%20low%20health%20literacy%20patients%3C%5C%2Fa%3E.%5C%22%20%3Ci%3EBMJ%20Open%3C%5C%2Fi%3E%209%2C%20no.%203%20%28March%201%2C%202019%29%3A%20e025173.%20https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1136%5C%2Fbmjopen-2018-025173.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Online%20decision%20aids%20for%20primary%20cardiovascular%20disease%20prevention%3A%20systematic%20search%2C%20evaluation%20of%20quality%20and%20suitability%20for%20low%20health%20literacy%20patients%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Carissa%22%2C%22lastName%22%3A%22Bonner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Pinika%22%2C%22lastName%22%3A%22Patel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Michael%20Anthony%22%2C%22lastName%22%3A%22Fajardo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ruixuan%22%2C%22lastName%22%3A%22Zhuang%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lyndal%22%2C%22lastName%22%3A%22Trevena%22%7D%5D%2C%22abstractNote%22%3A%22Objectives%20Recent%20guideline%20changes%20for%20cardiovascular%20disease%20%28CVD%29%20prevention%20medication%20have%20resulted%20in%20calls%20to%20implement%20shared%20decision-making%20rather%20than%20arbitrary%20treatment%20thresholds.%20Less%20attention%20has%20been%20paid%20to%20existing%20tools%20that%20could%20facilitate%20this.%20Decision%20aids%20are%20well-established%20tools%20that%20enable%20shared%20decision-making%20and%20have%20been%20shown%20to%20improve%20CVD%20prevention%20adherence.%20However%2C%20it%20is%20unknown%20how%20many%20CVD%20decision%20aids%20are%20publicly%20available%20for%20patients%20online%2C%20what%20their%20quality%20is%20like%20and%20whether%20they%20are%20suitable%20for%20patients%20with%20lower%20health%20literacy%2C%20for%20whom%20the%20burden%20of%20CVD%20is%20greatest.%20This%20study%20aimed%20to%20identify%20and%20evaluate%20all%20English%20language%2C%20publicly%20available%20online%20CVD%20prevention%20decision%20aids.%5CnDesign%20Systematic%20review%20of%20public%20websites%20in%20August%20to%20November%202016%20using%20an%20environmental%20scan%20methodology%2C%20with%20updated%20evaluation%20in%20April%202018.%20The%20decision%20aids%20were%20evaluated%20based%20on%3A%20%281%29%20suitability%20for%20low%20health%20literacy%20populations%20%28understandability%2C%20actionability%20and%20readability%29%3B%20and%20%282%29%20International%20Patient%20Decision%20Aids%20Standards%20%28IPDAS%29.%5CnPrimary%20outcome%20measures%20Understandability%20and%20actionability%20using%20the%20validated%20Patient%20Education%20Materials%20Assessment%20Tool%20for%20Printed%20Materials%20%28PEMAT-P%20scale%29%2C%20readability%20using%20Gunning%5Cu2013Fog%20and%20Flesch%5Cu2013Kincaid%20indices%20and%20quality%20using%20IPDAS%20V.3%20and%20V.4.%5CnResults%20A%20total%20of%2025%20unique%20decision%20aids%20were%20identified.%20On%20the%20PEMAT-P%20scale%2C%20the%20decision%20aids%20scored%20well%20on%20understandability%20%28mean%2087%25%29%20but%20not%20on%20actionability%20%28mean%2061%25%29.%20Readability%20was%20also%20higher%20than%20recommended%20levels%20%28mean%20Gunning%5Cu2013Fog%20index%3D10.1%3B%20suitable%20for%20grade%2010%20students%29.%20Four%20decision%20aids%20met%20criteria%20to%20be%20considered%20a%20decision%20aid%20%28ie%2C%20met%20IPDAS%20qualifying%20criteria%29%20and%20one%20sufficiently%20minimised%20major%20bias%20%28ie%2C%20met%20IPDAS%20certification%20criteria%29.%5CnConclusions%20Publicly%20available%20CVD%20prevention%20decision%20aids%20are%20not%20suitable%20for%20low%20literacy%20populations%20and%20only%20one%20met%20international%20standards%20for%20certification.%20Given%20that%20patients%20with%20lower%20health%20literacy%20are%20at%20increased%20risk%20of%20CVD%2C%20this%20urgently%20needs%20to%20be%20addressed.%22%2C%22date%22%3A%222019%5C%2F03%5C%2F01%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1136%5C%2Fbmjopen-2018-025173%22%2C%22ISSN%22%3A%222044-6055%2C%202044-6055%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fbmjopen.bmj.com%5C%2Fcontent%5C%2F9%5C%2F3%5C%2Fe025173%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22IE7JTZ2W%22%2C%222G8YLGV7%22%2C%224KVK6YUS%22%5D%2C%22dateModified%22%3A%222021-12-15T09%3A31%3A05Z%22%7D%7D%2C%7B%22key%22%3A%22TDVY2ZKT%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bonner%20et%20al.%22%2C%22parsedDate%22%3A%222021-10-01%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBonner%2C%20Carissa%2C%20Lyndal%20J.%20Trevena%2C%20Wolfgang%20Gaissmaier%2C%20Paul%20K.%20J.%20Han%2C%20Yasmina%20Okan%2C%20Elissa%20Ozanne%2C%20Ellen%20Peters%2C%20Dani%5Cu00eblle%20Timmermans%2C%20and%20Brian%20J.%20Zikmund-Fisher.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F0272989X21996328%27%3ECurrent%20Best%20Practice%20for%20Presenting%20Probabilities%20in%20Patient%20Decision%20Aids%3A%20Fundamental%20Principles%3C%5C%2Fa%3E.%5C%22%20%3Ci%3EMedical%20Decision%20Making%3C%5C%2Fi%3E%2041%2C%20no.%207%20%28October%201%2C%202021%29%3A%20821%5Cu201333.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Current%20Best%20Practice%20for%20Presenting%20Probabilities%20in%20Patient%20Decision%20Aids%3A%20Fundamental%20Principles%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Carissa%22%2C%22lastName%22%3A%22Bonner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lyndal%20J.%22%2C%22lastName%22%3A%22Trevena%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Wolfgang%22%2C%22lastName%22%3A%22Gaissmaier%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Paul%20K.%20J.%22%2C%22lastName%22%3A%22Han%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Yasmina%22%2C%22lastName%22%3A%22Okan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Elissa%22%2C%22lastName%22%3A%22Ozanne%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ellen%22%2C%22lastName%22%3A%22Peters%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Dani%5Cu00eblle%22%2C%22lastName%22%3A%22Timmermans%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Brian%20J.%22%2C%22lastName%22%3A%22Zikmund-Fisher%22%7D%5D%2C%22abstractNote%22%3A%22BackgroundShared%20decision%20making%20requires%20evidence%20to%20be%20conveyed%20to%20the%20patient%20in%20a%20way%20they%20can%20easily%20understand%20and%20compare.%20Patient%20decision%20aids%20facilitate%20this%20process.%20This%20article%20reviews%20the%20current%20evidence%20for%20how%20to%20present%20numerical%20probabilities%20within%20patient%20decision%20aids.MethodsFollowing%20the%202013%20review%20method%2C%20we%20assembled%20a%20group%20of%209%20international%20experts%20on%20risk%20communication%20across%20Australia%2C%20Germany%2C%20the%20Netherlands%2C%20the%20United%20Kingdom%2C%20and%20the%20United%20States.%20We%20expanded%20the%20topics%20covered%20in%20the%20first%20review%20to%20reflect%20emerging%20areas%20of%20research.%20Groups%20of%202%20to%203%20authors%20reviewed%20the%20relevant%20literature%20based%20on%20their%20expertise%20and%20wrote%20each%20section%20before%20review%20by%20the%20full%20authorship%20team.ResultsOf%2010%20topics%20identified%2C%20we%20present%205%20fundamental%20issues%20in%20this%20article.%20Although%20some%20topics%20resulted%20in%20clear%20guidance%20%28presenting%20the%20chance%20an%20event%20will%20occur%2C%20addressing%20numerical%20skills%29%2C%20other%20topics%20%28context%5C%2Fevaluative%20labels%2C%20conveying%20uncertainty%2C%20risk%20over%20time%29%20continue%20to%20have%20evolving%20knowledge%20bases.%20We%20recommend%20presenting%20numbers%20over%20a%20set%20time%20period%20with%20a%20clear%20denominator%2C%20using%20consistent%20formats%20between%20outcomes%20and%20interventions%20to%20enable%20unbiased%20comparisons%2C%20and%20interpreting%20the%20numbers%20for%20the%20reader%20to%20meet%20the%20needs%20of%20varying%20numeracy.DiscussionUnderstanding%20how%20different%20numerical%20formats%20can%20bias%20risk%20perception%20will%20help%20decision%20aid%20developers%20communicate%20risks%20in%20a%20balanced%2C%20comprehensible%20manner%20and%20avoid%20accidental%20%3Fnudging%3F%20toward%20a%20particular%20option.%20Decisions%20between%20probability%20formats%20need%20to%20consider%20the%20available%20evidence%20and%20user%20skills.%20The%20review%20may%20be%20useful%20for%20other%20areas%20of%20science%20communication%20in%20which%20unbiased%20presentation%20of%20probabilities%20is%20important.%22%2C%22date%22%3A%22October%201%2C%202021%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1177%5C%2F0272989X21996328%22%2C%22ISSN%22%3A%220272-989X%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F0272989X21996328%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22KLZYJFE2%22%2C%22X7PUUBWP%22%5D%2C%22dateModified%22%3A%222024-03-11T10%3A45%3A19Z%22%7D%7D%2C%7B%22key%22%3A%226WQZRFME%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bossen%20et%20al.%22%2C%22parsedDate%22%3A%222019-06%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBossen%2C%20Jeroen%20K.%20J.%2C%20Trudy%20van%20der%20Weijden%2C%20Erik%20W.%20Driessen%2C%20and%20Ide%20C.%20Heyligers.%20%26%23x201C%3BExperienced%20Barriers%20in%20Shared%20Decision-Making%20Behaviour%20of%20Orthopaedic%20Surgery%20Residents%20Compared%20with%20Orthopaedic%20Surgeons.%26%23x201D%3B%20%3Ci%3EMusculoskeletal%20Care%3C%5C%2Fi%3E%2017%2C%20no.%202%20%28June%202019%29%3A%20198%26%23x2013%3B205.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1002%5C%2Fmsc.1390%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1002%5C%2Fmsc.1390%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Experienced%20barriers%20in%20shared%20decision-making%20behaviour%20of%20orthopaedic%20surgery%20residents%20compared%20with%20orthopaedic%20surgeons%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jeroen%20K.%20J.%22%2C%22lastName%22%3A%22Bossen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Trudy%22%2C%22lastName%22%3A%22van%20der%20Weijden%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Erik%20W.%22%2C%22lastName%22%3A%22Driessen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ide%20C.%22%2C%22lastName%22%3A%22Heyligers%22%7D%5D%2C%22abstractNote%22%3A%22INTRODUCTION%3A%20In%20shared%20decision-making%20%28SDM%29%2C%20physicians%20encourage%20the%20patient%20to%20participate%20in%20the%20care%20process.%20The%20theory%20of%20planned%20behaviour%20describes%20that%20behaviour%20is%20dependent%20on%20intention.%20In%20its%20turn%2C%20intention%20is%20explained%20by%20attitude%2C%20subjective%20norm%20and%20perceived%20behavioural%20control.%20In%20orthopaedics%2C%20little%20is%20known%20about%20current%20SDM%20behaviour%20and%20how%20to%20promote%20it.The%20aim%20of%20the%20present%20study%20was%20to%20gain%20insight%20into%20the%20SDM%20behaviour%20of%20orthopaedic%20residents%20and%20supervisors%20by%20measuring%20levels%20of%20intention%2C%20attitudes%2C%20subjective%20norms%20and%20perceived%20behavioural%20control.%20Furthermore%2C%20we%20aimed%20to%20determine%20the%20predictors%20of%20intention%20for%20SDM.%5CnMETHODS%3A%20A%20questionnaire%20survey%20study%20was%20conducted%20among%20orthopaedic%20surgeons%20and%20residents%20working%20in%20the%20care%20of%20hip%20and%20knee%20osteoarthritis%2C%20to%20determine%20their%20intentions%2C%20attitudes%2C%20subjective%20norms%20and%20perceived%20behavioural%20control%20regarding%20SDM.%5CnRESULTS%3A%20Of%20the%20385%20physicians%20approached%2C%2071%20residents%20and%2064%20orthopaedic%20surgeons%20participated.%20Residents%20and%20the%20supervisors%20alike%20had%20positive%20intentions%20regarding%20SDM.%20Intention%20for%20SDM%20behaviour%20was%20explained%20by%20attitude%2C%20subjective%20norm%20and%20perceived%20behavioural%20control%2C%20with%20perceived%20behavioural%20control%20having%20the%20strongest%20association.%20In%20residents%2C%20the%20intention%20to%20engage%20in%20SDM%20was%20more%20hampered%20by%20a%20lower%20level%20of%20perceived%20behavioural%20control%20than%20in%20surgeons.%5CnCONCLUSIONS%3A%20Physicians%20are%20willing%20to%20perform%20SDM%20and%20consider%20SDM%20as%20favourable%20in%20the%20orthopaedic%20clinic.%20The%20implementation%20of%20SDM%20is%20mainly%20hampered%20by%20experienced%20barriers%20that%20they%20cannot%20control.%20These%20findings%20underline%20the%20importance%20of%20incorporating%20SDM%20in%20the%20curriculum%20of%20postgraduates.%20Possibilities%20for%20efficient%20SDM%20implementation%20should%20be%20explored%2C%20to%20overcome%20perceived%20barriers.%22%2C%22date%22%3A%22Jun%202019%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1002%5C%2Fmsc.1390%22%2C%22ISSN%22%3A%221557-0681%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222020-01-30T15%3A14%3A32Z%22%7D%7D%2C%7B%22key%22%3A%22FXVMARC5%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Brand%20et%20al.%22%2C%22parsedDate%22%3A%222019%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBrand%2C%20Anna%2C%20Linde%20Gao%2C%20Alexandra%20Hamann%2C%20Claudia%20Crayen%2C%20Hannah%20Brand%2C%20Susan%20M.%20Squier%2C%20Karl%20Stangl%2C%20Friederike%20Kendel%2C%20and%20Verena%20Stangl.%20%26%23x201C%3BMedical%20Graphic%20Narratives%20to%20Improve%20Patient%20Comprehension%20and%20Periprocedural%20Anxiety%20Before%20Coronary%20Angiography%20and%20Percutaneous%20Coronary%20Intervention%3A%20A%20Randomized%20Trial.%26%23x201D%3B%20%3Ci%3EAnnals%20of%20Internal%20Medicine%3C%5C%2Fi%3E%20170%2C%20no.%208%20%2816%202019%29%3A%20579%26%23x2013%3B81.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.7326%5C%2FM18-2976%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.7326%5C%2FM18-2976%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Medical%20Graphic%20Narratives%20to%20Improve%20Patient%20Comprehension%20and%20Periprocedural%20Anxiety%20Before%20Coronary%20Angiography%20and%20Percutaneous%20Coronary%20Intervention%3A%20A%20Randomized%20Trial%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anna%22%2C%22lastName%22%3A%22Brand%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Linde%22%2C%22lastName%22%3A%22Gao%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alexandra%22%2C%22lastName%22%3A%22Hamann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Claudia%22%2C%22lastName%22%3A%22Crayen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Hannah%22%2C%22lastName%22%3A%22Brand%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Susan%20M.%22%2C%22lastName%22%3A%22Squier%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Karl%22%2C%22lastName%22%3A%22Stangl%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Friederike%22%2C%22lastName%22%3A%22Kendel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Verena%22%2C%22lastName%22%3A%22Stangl%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%2204%2016%2C%202019%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.7326%5C%2FM18-2976%22%2C%22ISSN%22%3A%221539-3704%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22LSGM8V2E%22%5D%2C%22dateModified%22%3A%222020-01-24T15%3A34%3A03Z%22%7D%7D%2C%7B%22key%22%3A%22ZJVBQ8L7%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bravo%20et%20al.%22%2C%22parsedDate%22%3A%222022-06-01%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBravo%2C%20Paulina%2C%20Martin%20H%5Cu00e4rter%2C%20Kirsten%20McCaffery%2C%20Anik%20Gigu%5Cu00e8re%2C%20Pola%20Hahlweg%2C%20and%20Glyn%20Elwyn.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fwww.zefq-journal.com%5C%2Farticle%5C%2FS1865-9217%2822%2900102-7%5C%2Ffulltext%27%3EEditorial%3A%2020%20years%20after%20the%20start%20of%20international%20Shared%20Decision-Making%20activities%3A%20Is%20it%20time%20to%20celebrate%3F%20Probably%5Cu2026%3C%5C%2Fa%3E.%5C%22%20%3Ci%3EZeitschrift%20F%5Cu00fcr%20Evidenz%2C%20Fortbildung%20Und%20Qualit%5Cu00e4t%20Im%20Gesundheitswesen%3C%5C%2Fi%3E%20171%20%28June%201%2C%202022%29%3A%201%5Cu20134.%20https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.zefq.2022.05.009.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Editorial%3A%2020%20years%20after%20the%20start%20of%20international%20Shared%20Decision-Making%20activities%3A%20Is%20it%20time%20to%20celebrate%3F%20Probably%5Cu2026%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Paulina%22%2C%22lastName%22%3A%22Bravo%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Martin%22%2C%22lastName%22%3A%22H%5Cu00e4rter%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kirsten%22%2C%22lastName%22%3A%22McCaffery%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anik%22%2C%22lastName%22%3A%22Gigu%5Cu00e8re%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Pola%22%2C%22lastName%22%3A%22Hahlweg%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Glyn%22%2C%22lastName%22%3A%22Elwyn%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222022-06-01%22%2C%22language%22%3A%22English%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.zefq.2022.05.009%22%2C%22ISSN%22%3A%221865-9217%2C%201865-9217%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.zefq-journal.com%5C%2Farticle%5C%2FS1865-9217%2822%2900102-7%5C%2Ffulltext%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%5D%2C%22dateModified%22%3A%222022-06-17T08%3A32%3A25Z%22%7D%7D%2C%7B%22key%22%3A%22AR3AEREY%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Brinkmann%20et%20al.%22%2C%22parsedDate%22%3A%222023-01-01%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBrinkmann%2C%20Melanie%2C%20Leonie%20Diedrich%2C%20Melissa%20Hemmerling%2C%20Christian%20Krauth%2C%20Bernt-Peter%20Robra%2C%20Jona%20T.%20Stahmeyer%2C%20and%20Maren%20Dreier.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fwww.sciencedirect.com%5C%2Fscience%5C%2Farticle%5C%2Fpii%5C%2FS1098301522021088%27%3EHeterogeneous%20Preferences%20for%20Colorectal%20Cancer%20Screening%20in%20Germany%3A%20Results%20of%20a%20Discrete%20Choice%20Experiment%3C%5C%2Fa%3E.%5C%22%20%3Ci%3EValue%20in%20Health%3C%5C%2Fi%3E%2026%2C%20no.%201%20%28January%201%2C%202023%29%3A%20104%5Cu201314.%20https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.jval.2022.07.012.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Heterogeneous%20Preferences%20for%20Colorectal%20Cancer%20Screening%20in%20Germany%3A%20Results%20of%20a%20Discrete%20Choice%20Experiment%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Melanie%22%2C%22lastName%22%3A%22Brinkmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Leonie%22%2C%22lastName%22%3A%22Diedrich%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Melissa%22%2C%22lastName%22%3A%22Hemmerling%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Christian%22%2C%22lastName%22%3A%22Krauth%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bernt-Peter%22%2C%22lastName%22%3A%22Robra%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jona%20T.%22%2C%22lastName%22%3A%22Stahmeyer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maren%22%2C%22lastName%22%3A%22Dreier%22%7D%5D%2C%22abstractNote%22%3A%22Objectives%5CnColorectal%20cancer%20%28CRC%29%20screening%20tests%20differ%20in%20benefits%2C%20harms%2C%20and%20processes%2C%20making%20individual%20informed%20decisions%20preference%20based.%20The%20objective%20was%20to%20analyze%20the%20preferences%20of%20insurees%20in%20Germany%20for%20characteristics%20of%20CRC%20screening%20modalities.%5CnMethods%5CnA%20generic%20discrete%20choice%20experiment%20with%202-alternative%20choice%20sets%20and%206%20attributes%20%28CRC%20mortality%2C%20CRC%20incidence%2C%20complications%2C%20preparation%2C%20need%20for%20transportation%2C%20and%20follow-up%3B%203%20levels%20each%29%20depicting%20characteristics%20of%20fecal%20testing%2C%20sigmoidoscopy%2C%20and%20colonoscopy%20was%20generated.%20Participants%20completed%208%20choice%20tasks.%20Internal%20validity%20was%20tested%20using%20a%20within-set%20dominated%20pair.%20Between%20June%20and%20October%202020%2C%20written%20questionnaires%20were%20sent%20to%20a%20stratified%20random%20sample%20%28n%5Cu00a0%3D%205000%29%20of%2050-%2C%2055-%2C%20and%2060-year-old%20insurees%20of%20the%20AOK%20%28Allgemeine%20Ortskrankenkasse%29%20Lower%20Saxony%2C%20who%20had%20previously%20received%20an%20invitation%20to%20participate%20in%20the%20organized%20screening%20program%20including%20evidence-based%20information.%20Preferences%20were%20analyzed%20using%20conditional%20logit%2C%20mixed%20logit%2C%20and%20latent-class%20model.%5CnResults%5CnFrom%201282%20questionnaires%20received%20%2826%25%20%5B1282%20of%204945%5D%29%2C%201142%20were%20included%20in%20the%20analysis.%20Approximately%2042%25%20of%20the%20respondents%20chose%20the%20dominated%20alternative%20in%20the%20internal%20validity%20test.%20Three%20heterogeneous%20preference%20classes%20were%20identified.%20Most%20important%20attributes%20were%20preparation%20%28class%201%3B%20n%5Cu00a0%3D%20505%2C%2044%25%29%2C%20CRC%20mortality%20%28class%202%3B%20n%5Cu00a0%3D%20347%2C%2030%25%29%2C%20and%20CRC%20incidence%20%28class%203%3B%20n%5Cu00a0%3D%20290%2C%2025%25%29.%20Contrary%20to%20a%20priori%20expectations%2C%20a%20higher%20effort%20was%20preferred%20for%20bowel%20cleansing%20%28class%201%29%20and%20accompaniment%20home%20%28classes%201%20and%202%29.%5CnConclusion%5CnInternal%20validity%20issues%20of%20choice%20data%20need%20further%20research%20and%20warrant%20attention%20in%20future%20discrete%20choice%20experiment%20surveys.%20The%20observed%20preference%20heterogeneity%20suggests%20different%20informational%20needs%2C%20although%20the%20underlying%20reasons%20remained%20unclear.%22%2C%22date%22%3A%222023-01-01%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.jval.2022.07.012%22%2C%22ISSN%22%3A%221098-3015%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.sciencedirect.com%5C%2Fscience%5C%2Farticle%5C%2Fpii%5C%2FS1098301522021088%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22X7PUUBWP%22%5D%2C%22dateModified%22%3A%222023-02-06T06%3A37%3A00Z%22%7D%7D%2C%7B%22key%22%3A%225GJDECH3%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Bronner%20et%20al.%22%2C%22parsedDate%22%3A%222020-11-01%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBronner%2C%20Katharina%2C%20Lea%20Bodner%2C%20Ralf%20J.%20Jox%2C%20Georg%20Marckmann%2C%20Janine%20Diehl-Schmid%2C%20and%20Johannes%20Hamann.%20%5C%22Entwicklung%20einer%20Entscheidungshilfe%20f%5Cu00fcr%20partizipative%20Vorausplanungen%20f%5Cu00fcr%20Menschen%20mit%20Demenz%20und%20deren%20Angeh%5Cu00f6rige.%5C%22%20%3Ci%3EDer%20Nervenarzt%3C%5C%2Fi%3E%2091%2C%20no.%2011%20%28November%201%2C%202020%29%3A%201032%5Cu201339.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Entwicklung%20einer%20Entscheidungshilfe%20f%5Cu00fcr%20partizipative%20Vorausplanungen%20f%5Cu00fcr%20Menschen%20mit%5Cu00a0Demenz%20und%20deren%20Angeh%5Cu00f6rige%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Katharina%22%2C%22lastName%22%3A%22Bronner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lea%22%2C%22lastName%22%3A%22Bodner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ralf%20J.%22%2C%22lastName%22%3A%22Jox%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Georg%22%2C%22lastName%22%3A%22Marckmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Janine%22%2C%22lastName%22%3A%22Diehl-Schmid%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Johannes%22%2C%22lastName%22%3A%22Hamann%22%7D%5D%2C%22abstractNote%22%3A%22Eine%20Demenzdiagnose%20konfrontiert%20Betroffene%20mit%20vielen%20gesundheitlichen%20und%20sozialen%20Entscheidungen.%20Aufgrund%20der%20Progression%20der%20Demenz%20ist%20f%5Cu00fcr%20eine%20aktive%20Teilnahme%20am%20Entscheidungsprozess%20eine%20rechtzeitige%20Auseinandersetzung%20mit%20diesen%20Themen%20ratsam.%20Eine%20professionelle%20Unterst%5Cu00fctzung%20kann%20dabei%20helfen%2C%20fr%5Cu00fchzeitig%20gem%5Cu00e4%5Cu00df%20den%20eigenen%20W%5Cu00fcnschen%20und%20M%5Cu00f6glichkeiten%20vorauszuplanen.%22%2C%22date%22%3A%222020-11-01%22%2C%22language%22%3A%22de%22%2C%22DOI%22%3A%2210.1007%5C%2Fs00115-020-00911-2%22%2C%22ISSN%22%3A%221433-0407%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs00115-020-00911-2%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222021-05-22T09%3A13%3A47Z%22%7D%7D%2C%7B%22key%22%3A%2268JS4VES%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Br%5Cu00fcnn%20et%20al.%22%2C%22parsedDate%22%3A%222021-08-21%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBr%5Cu00fcnn%2C%20Robin%2C%20Beate%20S.%20M%5Cu00fcller%2C%20Benno%20Flaig%2C%20Petra%20Kellermann-M%5Cu00fchlhoff%2C%20Ute%20Karbach%2C%20Sara%20S%5Cu00f6ling%2C%20Christiane%20Muth%2C%20et%20al.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12875-021-01517-6%27%3EI%20must%2C%20and%20I%20can%20live%20with%20that.A%20thematic%20analysis%20of%20patients%20perspectives%20on%20polypharmacy%20and%20a%20digital%20decision%20support%20system%20for%20GPs%3C%5C%2Fa%3E.%5C%22%20%3Ci%3EBMC%20Family%20Practice%3C%5C%2Fi%3E%2022%2C%20no.%201%20%28August%2021%2C%202021%29%3A%20168.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22I%20must%2C%20and%20I%20can%20live%20with%20that.A%20thematic%20analysis%20of%20patients%20perspectives%20on%20polypharmacy%20and%20a%20digital%20decision%20support%20system%20for%20GPs%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Robin%22%2C%22lastName%22%3A%22Br%5Cu00fcnn%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Beate%20S.%22%2C%22lastName%22%3A%22M%5Cu00fcller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Benno%22%2C%22lastName%22%3A%22Flaig%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Petra%22%2C%22lastName%22%3A%22Kellermann-M%5Cu00fchlhoff%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ute%22%2C%22lastName%22%3A%22Karbach%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sara%22%2C%22lastName%22%3A%22S%5Cu00f6ling%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Christiane%22%2C%22lastName%22%3A%22Muth%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marjan%22%2C%22lastName%22%3A%22van%20den%20Akker%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lara%22%2C%22lastName%22%3A%22D%5Cu00fcvel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Till%22%2C%22lastName%22%3A%22Beckmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Reinhard%22%2C%22lastName%22%3A%22Hammerschmidt%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Julia%22%2C%22lastName%22%3A%22Jachmich%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Eva%22%2C%22lastName%22%3A%22Leicher%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Benjamin%22%2C%22lastName%22%3A%22Brandt%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Johanna%22%2C%22lastName%22%3A%22Richard%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Frank%22%2C%22lastName%22%3A%22Meyer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mathias%22%2C%22lastName%22%3A%22Flume%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Thomas%22%2C%22lastName%22%3A%22M%5Cu00fcller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ferdinand%20M.%22%2C%22lastName%22%3A%22Gerlach%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ana%20Isabel%22%2C%22lastName%22%3A%22Gonz%5Cu00e1lez-Gonz%5Cu00e1lez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Truc%20Sophia%22%2C%22lastName%22%3A%22Dinh%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kiran%22%2C%22lastName%22%3A%22Chapidi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Peter%22%2C%22lastName%22%3A%22Ihle%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ingo%22%2C%22lastName%22%3A%22Meyer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nina%22%2C%22lastName%22%3A%22Timmesfeld%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Hans%20Joachim%22%2C%22lastName%22%3A%22Trampisch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Renate%22%2C%22lastName%22%3A%22Klaa%5Cu00dfen-Mielke%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jale%22%2C%22lastName%22%3A%22Basten%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Wolfgang%22%2C%22lastName%22%3A%22Greiner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bastian%22%2C%22lastName%22%3A%22Surmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Holger%22%2C%22lastName%22%3A%22Pfaff%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Juliane%22%2C%22lastName%22%3A%22K%5Cu00f6berlein-Neu%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alexandra%22%2C%22lastName%22%3A%22Piotrowski%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Karolina%22%2C%22lastName%22%3A%22Beifu%5Cu00df%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sarah%22%2C%22lastName%22%3A%22Meyer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Daniel%22%2C%22lastName%22%3A%22Grandt%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Simone%22%2C%22lastName%22%3A%22Grandt%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22name%22%3A%22AdAM%20Study%20consortium%22%7D%5D%2C%22abstractNote%22%3A%22To%20investigate%20patients%5Cu2019%20perspectives%20on%20polypharmacy%20and%20the%20use%20of%20a%20digital%20decision%20support%20system%20to%20assist%20general%20practitioners%20%28GPs%29%20in%20performing%20medication%20reviews.%22%2C%22date%22%3A%222021-08-21%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1186%5C%2Fs12875-021-01517-6%22%2C%22ISSN%22%3A%221471-2296%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12875-021-01517-6%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22H4ES3HAF%22%5D%2C%22dateModified%22%3A%222024-03-13T08%3A52%3A50Z%22%7D%7D%2C%7B%22key%22%3A%22YSZWUZT7%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Buhse%20et%20al.%22%2C%22parsedDate%22%3A%222015-11-13%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBuhse%2C%20Susanne%2C%20Ingrid%20M%26%23xFC%3Bhlhauser%2C%20Tabitha%20Heller%2C%20Nadine%20Kuniss%2C%20Ulrich%20Alfons%20M%26%23xFC%3Bller%2C%20J%26%23xFC%3Brgen%20Kasper%2C%20Thomas%20Lehmann%2C%20and%20Matthias%20Lenz.%20%26%23x201C%3BInformed%20Shared%20Decision-Making%20Programme%20on%20the%20Prevention%20of%20Myocardial%20Infarction%20in%20Type%202%20Diabetes%3A%20A%20Randomised%20Controlled%20Trial.%26%23x201D%3B%20%3Ci%3EBMJ%20Open%3C%5C%2Fi%3E%205%2C%20no.%2011%20%28November%2013%2C%202015%29%3A%20e009116.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1136%5C%2Fbmjopen-2015-009116%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1136%5C%2Fbmjopen-2015-009116%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Informed%20shared%20decision-making%20programme%20on%20the%20prevention%20of%20myocardial%20infarction%20in%20type%202%20diabetes%3A%20a%20randomised%20controlled%20trial%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Susanne%22%2C%22lastName%22%3A%22Buhse%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ingrid%22%2C%22lastName%22%3A%22M%5Cu00fchlhauser%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tabitha%22%2C%22lastName%22%3A%22Heller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nadine%22%2C%22lastName%22%3A%22Kuniss%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ulrich%20Alfons%22%2C%22lastName%22%3A%22M%5Cu00fcller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22J%5Cu00fcrgen%22%2C%22lastName%22%3A%22Kasper%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Thomas%22%2C%22lastName%22%3A%22Lehmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Matthias%22%2C%22lastName%22%3A%22Lenz%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVE%3A%20To%20evaluate%20an%20informed%20shared%20decision-making%20programme%20%28ISDM-P%29%20for%20people%20with%20type%202%20diabetes%20under%20high%20fidelity%20conditions.%5CnDESIGN%3A%20Randomised%2C%20single-blinded%20trial%20with%20sham%20control%20intervention%20and%20follow-up%20of%206%5Cu2005months.%5CnSETTING%3A%20Single-centre%20diabetes%20clinic%20providing%20care%20according%20to%20the%20national%20disease%20management%20programme%20in%20Germany.%5CnPARTICIPANTS%3A%20154%20people%20with%20type%202%20diabetes%20without%20diagnosis%20of%20ischaemic%20heart%20disease%20or%20stroke.%5CnINTERVENTIONS%3A%20The%20ISDM-P%20is%20executed%20by%20diabetes%20educators.%20Core%20component%20is%20a%20patient%20decision%20aid%20on%20the%20prevention%20of%20myocardial%20infarction%20supplemented%20by%20a%2090%5Cu2005min%20group%20teaching%20session.%20The%20structurally%20equivalent%20control%20intervention%20addresses%20stress%20issues.%5CnMAIN%20OUTCOME%20MEASURES%3A%20Primary%20outcome%20was%20risk%20comprehension%2C%20including%20realistic%20expectations%20about%20benefits%20and%20harms%20of%20interventions.%20It%20was%20assessed%20by%20a%2012-item%20questionnaire%20after%20the%20teaching%20session%20when%20patients%20set%20and%20prioritise%20their%20treatment%20goals.%20Key%20secondary%20outcome%20was%20adherence%20to%20treatment%20goals%2C%20operationalised%20as%20achievement%20of%20individual%20goals%20and%20medication%20uptake.%20ISDM-P%20teaching%20sessions%20were%20video-taped%20to%20monitor%20intervention%20fidelity.%5CnRESULTS%3A%2072%20of%2077%20ISDM-P%20and%2071%20of%2077%20control%20patients%20completed%20the%20questionnaire%20%28score%200-12%29.%20ISDM-P%20patients%20achieved%20higher%20levels%20of%20risk%20comprehension%2C%20mean%20score%208.25%20vs%202.62%2C%20difference%205.63%20%2895%25%20CI%204.82%20to%206.44%29%2C%20and%20realistic%20expectations%20%28score%200-6%29%2C%204.51%20vs%200.85%2C%203.67%20%283.23%20to%204.11%29.%20More%20ISDM-P%20patients%20wished%20to%20take%20statins%2C%2059.2%25%20vs%2030.4%25%2C%2028.7%25%20%2812.9%25%20to%2044.5%25%29%3B%20more%20prioritised%20blood%20pressure%20control%2C%2051.4%25%20vs%2025.7%25%2C%20and%20fewer%20intensive%20glucose%20control%2C%2033.3%25%20vs%2060%25%2C%20p%3D0.002.%20More%20ISDM-P%20patients%20achieved%20their%20glycated%20haemoglobin%20goals%2C%2095.8%25%20vs%2085.7%25%2C%2010.1%25%20%280.6%25%20to%2019.5%25%29.%20Achievement%20of%20prioritised%20goals%20and%20medication%20uptake%20were%20comparable%20between%20groups.%5CnCONCLUSIONS%3A%20The%20ISDM-P%20on%20preventive%20measures%20in%20type%202%20diabetes%20was%20effective%20under%20high%20fidelity%20conditions.%20Involvement%20of%20diabetes%20educators%20may%20facilitate%20implementation%20of%20the%20informed%20shared%20decision-making.%5CnTRIAL%20REGISTRATION%20NUMBER%3A%20ISRCTN84636255.%22%2C%22date%22%3A%22Nov%2013%2C%202015%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1136%5C%2Fbmjopen-2015-009116%22%2C%22ISSN%22%3A%222044-6055%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22IE7JTZ2W%22%2C%2246NNKHWR%22%2C%22ZKMQLZWF%22%5D%2C%22dateModified%22%3A%222020-01-24T14%3A58%3A58Z%22%7D%7D%2C%7B%22key%22%3A%22FWAFDRGK%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Buhse%20et%20al.%22%2C%22parsedDate%22%3A%222018%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBuhse%2C%20Susanne%2C%20Nadine%20Kuniss%2C%20Kathrin%20Liethmann%2C%20Ulrich%20Alfons%20M%26%23xFC%3Bller%2C%20Thomas%20Lehmann%2C%20and%20Ingrid%20M%26%23xFC%3Bhlhauser.%20%26%23x201C%3BInformed%20Shared%20Decision-Making%20Programme%20for%20Patients%20with%20Type%202%20Diabetes%20in%20Primary%20Care%3A%20Cluster%20Randomised%20Controlled%20Trial.%26%23x201D%3B%20%3Ci%3EBMJ%20Open%3C%5C%2Fi%3E%208%2C%20no.%2012%20%2814%202018%29%3A%20e024004.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1136%5C%2Fbmjopen-2018-024004%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1136%5C%2Fbmjopen-2018-024004%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Informed%20shared%20decision-making%20programme%20for%20patients%20with%20type%202%20diabetes%20in%20primary%20care%3A%20cluster%20randomised%20controlled%20trial%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Susanne%22%2C%22lastName%22%3A%22Buhse%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nadine%22%2C%22lastName%22%3A%22Kuniss%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kathrin%22%2C%22lastName%22%3A%22Liethmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ulrich%20Alfons%22%2C%22lastName%22%3A%22M%5Cu00fcller%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Thomas%22%2C%22lastName%22%3A%22Lehmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ingrid%22%2C%22lastName%22%3A%22M%5Cu00fchlhauser%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVE%3A%20To%20translate%20an%20informed%20shared%20decision-making%20programme%20%28ISDM-P%29%20for%20patients%20with%20type%202%20diabetes%20from%20a%20specialised%20diabetes%20centre%20to%20the%20primary%20care%20setting.%5CnDESIGN%3A%20Patient-blinded%2C%20two-arm%20multicentre%2C%20cluster%20randomised%20controlled%20trial%20of%206%20months%20follow-up%3B%20concealed%20randomisation%20of%20practices%20after%20patient%20recruitment%20and%20acquisition%20of%20baseline%20data.%5CnSETTING%3A%2022%20general%20practices%20providing%20care%20according%20to%20the%20German%20Disease%20Management%20Programme%20%28DMP%29%20for%20type%202%20diabetes.%5CnPARTICIPANTS%3A%20279%20of%20363%20eligible%20patients%20without%20myocardial%20infarction%20or%20stroke.%5CnINTERVENTIONS%3A%20The%20ISDM-P%20comprises%20a%20patient%20decision%20aid%2C%20a%20corresponding%20group%20teaching%20session%20provided%20by%20medical%20assistants%20and%20a%20structured%20patient-physician%20encounter.Control%20group%20received%20standard%20DMP%20care.%5CnPRIMARY%20AND%20SECONDARY%20OUTCOME%20MEASURES%3A%20Primary%20endpoint%20was%20patient%20adherence%20to%20antihypertensive%20or%20statin%20drug%20therapy%20by%20comparing%20prescriptions%20and%20patient-reported%20uptake%20after%206%20months.%20Secondary%20endpoints%20included%20informed%20choice%2C%20risk%20knowledge%20%28score%200-11%20from%2011%20questions%29%20and%20prioritised%20treatment%20goals%20of%20patients%20and%20doctors.%5CnRESULTS%3A%20ISDM-P%3A%2011%20practices%20with%20151%20patients%3B%20standard%20care%3A%2011%20practices%20with%20128%20patients%3B%20attrition%20rate%3A%203.9%25.%20There%20was%20no%20difference%20between%20groups%20regarding%20the%20primary%20endpoint.%20Mean%20drug%20adherence%20rates%20were%20high%20for%20both%20groups%20%2880%25%20for%20antihypertensive%20and%2091%25%20for%20statin%20treatment%29.%20More%20ISDM-P%20patients%20made%20informed%20choices%20regarding%20statin%20intake%2C%2034%25%20vs%203%25%2C%20OR%2016.6%20%2895%25%20CI%204.4%20to%2063.0%29%2C%20blood%20pressure%20control%2C%2039%25%20vs%203%25%2C%20OR%2022.2%20%2895%25%20CI%205.3%20to%2093.3%29%20and%20glycated%5Cu2009haemoglobin%2C%2043%25%20vs%203%25%2C%20OR%2026.0%20%2895%25%20CI%206.5%20to%20104.8%29.%20ISDM-P%20patients%20achieved%20higher%20levels%20of%20risk%20knowledge%2C%20with%20a%20mean%20score%20of%206.96%20vs%202.86%2C%20difference%204.06%20%2895%25%20CI%202.96%20to%205.17%29.%20In%20the%20ISDM-P%20group%2C%20agreement%20on%20prioritised%20treatment%20goals%20between%20patients%20and%20doctors%20was%20higher%2C%20with%2088.5%25%20vs%2057%25.%5CnCONCLUSIONS%3A%20The%20ISDM-P%20was%20successfully%20implemented%20in%20general%20practices.%20Adherence%20to%20medication%20was%20very%20high%20making%20improvements%20hardly%20detectable.%5CnTRIAL%20REGISTRATION%20NUMBER%3A%20ISRCTN77300204%3B%20Results.%22%2C%22date%22%3A%2212%2014%2C%202018%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1136%5C%2Fbmjopen-2018-024004%22%2C%22ISSN%22%3A%222044-6055%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22IE7JTZ2W%22%2C%2246NNKHWR%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222020-01-24T14%3A56%3A21Z%22%7D%7D%2C%7B%22key%22%3A%22U4D6AQRW%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Burkhardt%20and%20Bundeszentrale%20politische%20Bildung%22%2C%22parsedDate%22%3A%222012%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EBurkhardt%2C%20Thomas%20Gerlinger%2C%20Wolfram%2C%20and%20Bundeszentrale%20politische%20Bildung.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fwww.bpb.de%5C%2Fpolitik%5C%2Finnenpolitik%5C%2Fgesundheitspolitik%5C%2F72575%5C%2Fverbaende-und-koerperschaften%27%3EVerb%5Cu00e4nde%20und%20K%5Cu00f6rperschaften%3C%5C%2Fa%3E.%5C%22%20bpb.de%2C%202012.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22webpage%22%2C%22title%22%3A%22Verb%5Cu00e4nde%20und%20K%5Cu00f6rperschaften%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Thomas%20Gerlinger%2C%20Wolfram%22%2C%22lastName%22%3A%22Burkhardt%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22%22%2C%22lastName%22%3A%22Bundeszentrale%20politische%20Bildung%22%7D%5D%2C%22abstractNote%22%3A%22Im%20Zentrum%20der%20operativen%20Steuerung%20und%20Weiterentwicklung%20des%20deutschen%20Gesundheitswesens%20stehen%20die%20Akteure%20der%20gemeinsamen%20Selbstverwaltung%3A%20Die%20Verb%5Cu00e4nde%20der%20Krankenkassen%2C%20die%20Kassen%5Cu00e4rztlichen%20Vereinigungen%20und%20die%20Krankenhausgesellschaften%20beziehungsweise%20deren%20bundesweite%20Spitzenorganisationen.%22%2C%22date%22%3A%222012%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.bpb.de%5C%2Fpolitik%5C%2Finnenpolitik%5C%2Fgesundheitspolitik%5C%2F72575%5C%2Fverbaende-und-koerperschaften%22%2C%22language%22%3A%22de%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222020-03-13T09%3A02%3A12Z%22%7D%7D%2C%7B%22key%22%3A%22FBCHRK3S%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Carvalho%20et%20al.%22%2C%22parsedDate%22%3A%222019%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3ECarvalho%2C%20Fl%26%23xE1%3Bvia%20A.%2C%20Mark%20R.%20Elkins%2C%20M%26%23xE1%3Brcia%20R.%20Franco%2C%20and%20Rafael%20Z.%20Pinto.%20%26%23x201C%3BAre%20Plain-Language%20Summaries%20Included%20in%20Published%20Reports%20of%20Evidence%20about%20Physiotherapy%20Interventions%3F%20Analysis%20of%204421%20Randomised%20Trials%2C%20Systematic%20Reviews%20and%20Guidelines%20on%20the%20Physiotherapy%20Evidence%20Database%20%28PEDro%29.%26%23x201D%3B%20%3Ci%3EPhysiotherapy%3C%5C%2Fi%3E%20105%2C%20no.%203%20%282019%29%3A%20354%26%23x2013%3B61.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.physio.2018.11.003%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.physio.2018.11.003%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Are%20plain-language%20summaries%20included%20in%20published%20reports%20of%20evidence%20about%20physiotherapy%20interventions%3F%20Analysis%20of%204421%20randomised%20trials%2C%20systematic%20reviews%20and%20guidelines%20on%20the%20Physiotherapy%20Evidence%20Database%20%28PEDro%29%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Fl%5Cu00e1via%20A.%22%2C%22lastName%22%3A%22Carvalho%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mark%20R.%22%2C%22lastName%22%3A%22Elkins%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22M%5Cu00e1rcia%20R.%22%2C%22lastName%22%3A%22Franco%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Rafael%20Z.%22%2C%22lastName%22%3A%22Pinto%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20A%20plain-language%20summary%20is%20a%20short%20and%20clearly%20stated%20version%20of%20a%20study%27s%20results%20using%20non-scientific%20vocabulary%20that%20provide%20many%20advantages%20for%20patients%20and%20clinicians%20in%20the%20process%20of%20shared%20decision-making.%5CnOBJECTIVES%3A%20The%20primary%20objective%20was%20to%20investigate%20the%20extent%20to%20which%20published%20reports%20of%20physiotherapy%20interventions%20provide%20plain-language%20summaries.%20We%20investigate%20as%20the%20secondary%20objectives%20if%20the%20available%20plain-language%20summaries%20are%20at%20a%20suitable%20reading%20level%20for%20a%20lay%20person%20and%20if%20inclusion%20of%20plain-language%20summaries%20in%20these%20reports%20is%20increasing%20over%20time%20and%20is%20associated%20with%20trial%20quality%20%28i.e.%20PEDro%20score%29.%5CnDATA%20SOURCES%3A%20All%204421%20randomised%20controlled%20trials%20%28RCT%29%2C%20systematic%20reviews%20and%20clinical%20practice%20guidelines%20that%20included%20plain-language%20summaries%20indexed%20on%20Physiotherapy%20Evidence%20Database%20%28PEDro%29%20were%20included.%5CnMAIN%20OUTCOME%20MEASURES%3A%20Proportion%20of%20published%20reports%20with%20plain-language%20summaries%2C%20Flesch%20Reading%20Ease%20Score%20%28FRES%29%20and%20the%20Flesch-Kincaid%20Grade%20Level%20%28FKGL%29.%5CnRESULTS%3A%20The%20number%20of%20published%20reports%20with%20a%20plain-language%20summary%20doubled%20in%20the%20last%206%20years.%20From%20a%20total%20of%2034%2C444%20reports%20indexed%20on%20PEDro%2C%20only%204421%20reports%20had%20English%20plain-language%20summaries.%20RCTs%20with%20plain-language%20summaries%20had%20higher%20PEDro%20scores%20than%20RCTs%20without%20plain-language%20summaries%20%28mean%20difference%3D0.8%20points%2C%2095%25CI%200.7%20to%200.8%29.%20Only%202%25%20of%20reports%20were%20considered%20at%20a%20suitable%20reading%20level%20by%20the%20FKGL%20formula%20and%200.1%25%20by%20the%20FRES%20formula.%5CnCONCLUSIONS%3A%20Although%20the%20publication%20of%20plain-language%20summaries%20is%20increasing%20over%20time%2C%20the%20current%20number%20corresponds%20to%20only%2013%25%20of%20all%20published%20reports.%20In%20addition%20the%20majority%20of%20plain-language%20summaries%20are%20written%20at%20an%20advanced%20reading%20level.%22%2C%22date%22%3A%2209%202019%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.physio.2018.11.003%22%2C%22ISSN%22%3A%221873-1465%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%227NLACL24%22%2C%22ZFT52UPQ%22%2C%22IE7JTZ2W%22%2C%226AFHATSB%22%2C%22SPWXRLZV%22%2C%22GNNVI6S7%22%2C%224FVKAB4K%22%2C%224KVK6YUS%22%5D%2C%22dateModified%22%3A%222020-07-27T04%3A20%3A14Z%22%7D%7D%2C%7B%22key%22%3A%226CU7A894%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Caspari%20et%20al.%22%2C%22parsedDate%22%3A%222003-03%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3ECaspari%2C%20C.%2C%20M.%20Untch%2C%20and%20A.%20Vodermaier.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fpubmed.ncbi.nlm.nih.gov%5C%2F12698390%5C%2F%27%3EShared%20Decision%20Making%20bei%20Brustkrebspatientinnen%3C%5C%2Fa%3E.%5C%22%20%3Ci%3EGesundheitswesen%20%28Bundesverband%20Der%20Arzte%20Des%20Offentlichen%20Gesundheitsdienstes%20%28Germany%29%29%3C%5C%2Fi%3E%2065%2C%20no.%203%20%28March%202003%29%3A%20190%5Cu201399.%20https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1055%5C%2Fs-2003-38511.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Shared%20Decision%20Making%20bei%20Brustkrebspatientinnen%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22C.%22%2C%22lastName%22%3A%22Caspari%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22M.%22%2C%22lastName%22%3A%22Untch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22A.%22%2C%22lastName%22%3A%22Vodermaier%22%7D%5D%2C%22abstractNote%22%3A%22This%20qualitative%20study%20examines%20doctor-patient%20interactions%20and%20interviews%20with%20breast%20cancer%20patients%20referring%20to%20shared%20decision%20making.%20The%20interviews%20have%20been%20evaluated%20according%20to%20the%20method%20of%20grounded%20theory.%20Videos%20of%20doctor-patient%20interactions%20show%20information%20and%20discussions%20on%20therapy%20planning.%20Breast%20cancer%20is%20a%20serious%2C%20in%20many%20cases%20life-threatening%20disease.%20The%20primary%20therapy%20is%20characterised%20by%20confrontation%20with%20the%20diagnosis%2C%20fear%20and%20hope%20of%20the%20patients%20and%20the%20subsequent%20treatment.%20Central%20themes%20of%20the%20article%20are%20the%20context%20and%20implicit%20assumptions%20of%20doctors%20influencing%20the%20shared%20decision%20making%20approach.%22%2C%22date%22%3A%222003-03%22%2C%22language%22%3A%22ger%22%2C%22DOI%22%3A%2210.1055%5C%2Fs-2003-38511%22%2C%22ISSN%22%3A%220941-3790%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fpubmed.ncbi.nlm.nih.gov%5C%2F12698390%5C%2F%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222021-05-28T08%3A16%3A53Z%22%7D%7D%2C%7B%22key%22%3A%22AN6VA8I5%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Charles%20et%20al.%22%2C%22parsedDate%22%3A%221997-03%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3ECharles%2C%20C.%2C%20A.%20Gafni%2C%20and%20T.%20Whelan.%20%26%23x201C%3BShared%20Decision-Making%20in%20the%20Medical%20Encounter%3A%20What%20Does%20It%20Mean%3F%20%28Or%20It%20Takes%20at%20Least%20Two%20to%20Tango%29.%26%23x201D%3B%20%3Ci%3ESocial%20Science%20%26amp%3B%20Medicine%20%281982%29%3C%5C%2Fi%3E%2044%2C%20no.%205%20%28March%201997%29%3A%20681%26%23x2013%3B92.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fs0277-9536%2896%2900221-3%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fs0277-9536%2896%2900221-3%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Shared%20decision-making%20in%20the%20medical%20encounter%3A%20what%20does%20it%20mean%3F%20%28or%20it%20takes%20at%20least%20two%20to%20tango%29%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22C.%22%2C%22lastName%22%3A%22Charles%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22A.%22%2C%22lastName%22%3A%22Gafni%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22T.%22%2C%22lastName%22%3A%22Whelan%22%7D%5D%2C%22abstractNote%22%3A%22Shared%20decision-making%20is%20increasingly%20advocated%20as%20an%20ideal%20model%20of%20treatment%20decision-making%20in%20the%20medical%20encounter.%20To%20date%2C%20the%20concept%20has%20been%20rather%20poorly%20and%20loosely%20defined.%20This%20paper%20attempts%20to%20provide%20greater%20conceptual%20clarity%20about%20shared%20treatment%20decision-making%2C%20identify%20some%20key%20characteristics%20of%20this%20model%2C%20and%20discuss%20measurement%20issues.%20The%20particular%20decision-making%20context%20that%20we%20focus%20on%20is%20potentially%20life%20threatening%20illnesses%2C%20where%20there%20are%20important%20decisions%20to%20be%20made%20at%20key%20points%20in%20the%20disease%20process%2C%20and%20several%20treatment%20options%20exist%20with%20different%20possible%20outcomes%20and%20substantial%20uncertainty.%20We%20suggest%20as%20key%20characteristics%20of%20shared%20decision-making%20%281%29%20that%20at%20least%20two%20participants-physician%20and%20patient%20be%20involved%3B%20%282%29%20that%20both%20parties%20share%20information%3B%20%283%29%20that%20both%20parties%20take%20steps%20to%20build%20a%20consensus%20about%20the%20preferred%20treatment%3B%20and%20%284%29%20that%20an%20agreement%20is%20reached%20on%20the%20treatment%20to%20implement.%20Some%20challenges%20to%20measuring%20shared%20decision-making%20are%20discussed%20as%20well%20as%20potential%20benefits%20of%20a%20shared%20decision-making%20model%20for%20both%20physicians%20and%20patients.%22%2C%22date%22%3A%221997-03%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1016%5C%2Fs0277-9536%2896%2900221-3%22%2C%22ISSN%22%3A%220277-9536%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222021-05-20T10%3A33%3A25Z%22%7D%7D%2C%7B%22key%22%3A%22RDWC2PL7%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Corina%20et%20al.%22%2C%22parsedDate%22%3A%222016%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3ECorina%2C%20G%26%23xFC%3Bthlin%2C%20Holmberg%20Christine%2C%20and%20Gudrun%20Klein.%20%26%23x201C%3BOncologists%26%23x2019%3B%20Experiences%20of%20Discussing%20Complementary%20and%20Alternative%20Treatment%20Options%20with%20Their%20Cancer%20Patients.%20A%20Qualitative%20Analysis.%26%23x201D%3B%20%3Ci%3ESupportive%20Care%20in%20Cancer%3A%20Official%20Journal%20of%20the%20Multinational%20Association%20of%20Supportive%20Care%20in%20Cancer%3C%5C%2Fi%3E%2024%2C%20no.%209%20%282016%29%3A%203857%26%23x2013%3B62.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs00520-016-3205-3%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs00520-016-3205-3%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Oncologists%27%20experiences%20of%20discussing%20complementary%20and%20alternative%20treatment%20options%20with%20their%20cancer%20patients.%20A%20qualitative%20analysis%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22G%5Cu00fcthlin%22%2C%22lastName%22%3A%22Corina%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Holmberg%22%2C%22lastName%22%3A%22Christine%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gudrun%22%2C%22lastName%22%3A%22Klein%22%7D%5D%2C%22abstractNote%22%3A%22PURPOSE%3A%20The%20rising%20use%20of%20complementary%20and%20alternative%20medicine%20%28CAM%29%20means%20oncologists%20are%20increasingly%20asked%20by%20patients%20to%20discuss%20CAM%20treatment%20options.%20However%2C%20no%20formal%20training%20or%20established%20standards%20are%20available%20on%20the%20subject.%20The%20aim%20of%20this%20paper%20was%20to%20investigate%20real-world%20discussions%20of%20CAM%20treatments.%20In%20particular%2C%20we%20wanted%20to%20learn%20about%20the%20values%2C%20norms%20and%20defining%20features%20that%20characterise%20oncologist-patient%20discussions%20on%20CAM.%5CnMETHODS%3A%20Semi-standardised%20interviews%20with%2017%20oncologists%20were%20analysed%20using%20interpretation%20pattern%20analysis%20combined%20with%20thematic%20analysis.%5CnRESULTS%3A%20Advice%20on%20CAM%20is%20seen%20by%20oncologists%20as%20an%20important%20service%20they%20provide%20to%20their%20patients%2C%20even%20though%20their%20knowledge%20of%20the%20subject%20is%20often%20limited.%20Many%20interviewees%20mentioned%20an%20apparent%20lack%20of%20scientific%20proof%2C%20especially%20when%20their%20aim%20was%20to%20warn%20patients%20against%20the%20use%20of%20CAM.%20Discussions%20on%20CAM%20tend%20to%20reflect%20the%20idea%20that%20CAM%20belongs%20%27to%20another%20world%27%2C%20and%20judging%20by%20the%20interviews%20with%20oncologists%2C%20this%20notion%20appears%20to%20be%20shared%20by%20patients%20and%20oncologists%20alike.%5CnCONCLUSIONS%3A%20Oncologists%20require%20reliable%20information%20on%20CAM%20and%20would%20profit%20from%20training%20in%20the%20communication%20of%20CAM%20treatment%20options%20to%20patients.%20Knowing%20scientific%20data%20on%20CAM%20would%20also%20lower%20barriers%20stemming%20from%20the%20view%20that%20CAM%20belongs%20%27to%20another%20world%27.%20Under-%20and%20postgraduate%20education%20programmes%20should%20include%20training%20on%20how%20to%20respond%20to%20requests%20addressing%20possible%20CAM%20options.%22%2C%22date%22%3A%2209%202016%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1007%5C%2Fs00520-016-3205-3%22%2C%22ISSN%22%3A%221433-7339%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22S2UTZ2YZ%22%2C%22X7PUUBWP%22%5D%2C%22dateModified%22%3A%222021-03-23T17%3A05%3A22Z%22%7D%7D%2C%7B%22key%22%3A%22ECT42IL6%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Coulter%22%2C%22parsedDate%22%3A%222019%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3ECoulter%2C%20Angela.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fwww.bertelsmann-stiftung.de%5C%2Fde%5C%2Fpublikationen%5C%2Fpublikation%5C%2Fdid%5C%2Fgemeinsame-entscheidungsfindung%5C%2F%3F%27%3EGemeinsame%20Entscheidungsfindung%20Ein%20%5Cu00dcberblick%20zum%20Stand%20der%20Umsetzung%20in%20neun%20L%5Cu00e4ndern%3C%5C%2Fa%3E.%5C%22%20Schriftenreihe%20der%20Bertelsmann%20Stiftung.%20G%5Cu00fctersloh%3A%20Bertelsmann%20Stiftung%2C%20G%5Cu00fctersloh%2C%202019.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22report%22%2C%22title%22%3A%22Gemeinsame%20Entscheidungsfindung%20Ein%20%5Cu00dcberblick%20zum%20Stand%20der%20Umsetzung%20in%20neun%20L%5Cu00e4ndern%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Angela%22%2C%22lastName%22%3A%22Coulter%22%7D%5D%2C%22abstractNote%22%3A%22Die%20gemeinsame%20Entscheidungsfindung%20%28Shared%20Decision%20Making%2C%20kurz%3A%20SDM%29%20gilt%20als%20besonders%20g%5Cu00fcnstige%20Form%20der%20Arzt-Patienten-Interaktion.%20Dr.%20Angela%20Coulter%2C%20Expertin%20auf%20diesem%20Gebiet%2C%20hat%20im%20Auftrag%20der%20Bertelsmann%20Stiftung%20in%20diesem%20%5Cu00dcberblick%20den%20Stand%20der%20SDM-Implementierung%20in%20neun%20L%5Cu00e4ndern%20zusammengetragen.%20Sie%20beschreibt%20die%20Aktivit%5Cu00e4ten%20auf%20Basis%20von%20Literatur%2C%20eigenen%20Recherchen%20und%20Experteninterviews.%22%2C%22reportNumber%22%3A%22%22%2C%22reportType%22%3A%22%22%2C%22institution%22%3A%22Bertelsmann%20Stiftung%2C%20G%5Cu00fctersloh%22%2C%22date%22%3A%222019%22%2C%22language%22%3A%22de%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.bertelsmann-stiftung.de%5C%2Fde%5C%2Fpublikationen%5C%2Fpublikation%5C%2Fdid%5C%2Fgemeinsame-entscheidungsfindung%5C%2F%3F%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222023-02-01T02%3A01%3A58Z%22%7D%7D%2C%7B%22key%22%3A%224VK9X46R%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Coulter%20et%20al.%22%2C%22parsedDate%22%3A%222011%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3ECoulter%2C%20Angela%2C%20Alf%20Collins%2C%20and%20England%29%20King%27s%20Fund%20Centre%20%28London.%20%3Ci%3E%3Ca%20href%3D%27http%3A%5C%2F%5C%2Fwww.healthliteracyplace.org.uk%5C%2Fmedia%5C%2F1042%5C%2Fmaking-shared-decision-making-a-reality-paper-angela-coulter-alf-collins-july-2011_0.pdf%27%3EMaking%20shared%20decision-making%20a%20reality%3A%20no%20decision%20about%20me%2C%20without%20me%3C%5C%2Fa%3E%3C%5C%2Fi%3E.%20London%3A%20King%27s%20Fund%2C%202011.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22book%22%2C%22title%22%3A%22Making%20shared%20decision-making%20a%20reality%3A%20no%20decision%20about%20me%2C%20without%20me%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Angela%22%2C%22lastName%22%3A%22Coulter%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alf%22%2C%22lastName%22%3A%22Collins%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22England%29%22%2C%22lastName%22%3A%22King%27s%20Fund%20Centre%20%28London%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222011%22%2C%22language%22%3A%22English%22%2C%22ISBN%22%3A%22978-1-85717-624-7%22%2C%22url%22%3A%22http%3A%5C%2F%5C%2Fwww.healthliteracyplace.org.uk%5C%2Fmedia%5C%2F1042%5C%2Fmaking-shared-decision-making-a-reality-paper-angela-coulter-alf-collins-july-2011_0.pdf%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%5D%2C%22dateModified%22%3A%222021-05-17T11%3A41%3A12Z%22%7D%7D%2C%7B%22key%22%3A%22QJ6IQT9G%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Coulter%20et%20al.%22%2C%22parsedDate%22%3A%222013%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3ECoulter%2C%20Angela%2C%20Diana%20Stilwell%2C%20Jennifer%20Kryworuchko%2C%20Patricia%20Dolan%20Mullen%2C%20Chirk%20Jenn%20Ng%2C%20and%20Trudy%20van%20der%20Weijden.%20%26%23x201C%3BA%20Systematic%20Development%20Process%20for%20Patient%20Decision%20Aids.%26%23x201D%3B%20%3Ci%3EBMC%20Medical%20Informatics%20and%20Decision%20Making%3C%5C%2Fi%3E%2013%20Suppl%202%20%282013%29%3A%20S2.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2F1472-6947-13-S2-S2%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2F1472-6947-13-S2-S2%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22A%20systematic%20development%20process%20for%20patient%20decision%20aids%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Angela%22%2C%22lastName%22%3A%22Coulter%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Diana%22%2C%22lastName%22%3A%22Stilwell%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jennifer%22%2C%22lastName%22%3A%22Kryworuchko%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Patricia%20Dolan%22%2C%22lastName%22%3A%22Mullen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Chirk%20Jenn%22%2C%22lastName%22%3A%22Ng%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Trudy%22%2C%22lastName%22%3A%22van%20der%20Weijden%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20The%20original%20version%20of%20the%20International%20Patient%20Decision%20Aid%20Standards%20%28IPDAS%29%20recommended%20that%20patient%20decision%20aids%20%28PtDAs%29%20should%20be%20carefully%20developed%2C%20user-tested%20and%20open%20to%20scrutiny%2C%20with%20a%20well-documented%20and%20systematically%20applied%20development%20process.%20We%20carried%20out%20a%20review%20to%20check%20the%20relevance%20and%20scope%20of%20this%20quality%20dimension%20and%2C%20if%20necessary%2C%20to%20update%20it.%5CnMETHODS%3A%20Our%20review%20drew%20on%20three%20sources%3A%20a%29%20published%20papers%20describing%20PtDAs%20evaluated%20in%20randomised%20controlled%20trials%20and%20included%20in%20the%20most%20recent%20Cochrane%20Collaboration%20review%3B%20b%29%20linked%20papers%20cited%20in%20the%20trial%20reports%20that%20described%20how%20the%20PtDAs%20had%20been%20developed%3B%20and%20c%29%20papers%20and%20web%20reports%20outlining%20the%20development%20process%20used%20by%20organisations%20experienced%20in%20developing%20multiple%20PtDAs.%20We%20then%20developed%20an%20extended%20model%20of%20the%20development%20process%20indicating%20the%20various%20steps%20on%20which%20documentation%20is%20required%2C%20as%20well%20as%20a%20checklist%20to%20assess%20the%20frequency%20with%20which%20each%20of%20the%20elements%20was%20publicly%20reported.%5CnRESULTS%3A%20Key%20features%20common%20to%20all%20patient%20decision%20aid%20%28PtDA%29%20development%20processes%20include%3A%20scoping%20and%20design%3B%20development%20of%20a%20prototype%3B%20%27alpha%27%20testing%20with%20patients%20and%20clinicians%20in%20an%20iterative%20process%3B%20%27beta%27%20testing%20in%20%27real%20life%27%20conditions%20%28field%20tests%29%3B%20and%20production%20of%20a%20final%20version%20for%20use%20and%5C%2For%20further%20evaluation.%20Only%20about%20half%20of%20the%20published%20reports%20on%20the%20development%20of%20PtDAs%20that%20we%20reviewed%20appear%20to%20have%20been%20field%20tested%20with%20patients%2C%20and%20even%20fewer%20had%20been%20reviewed%20or%20tested%20by%20clinicians%20not%20involved%20in%20the%20development%20process.%20Very%20few%20described%20a%20distribution%20strategy%2C%20and%20surprisingly%20few%20%2817%25%29%20described%20a%20method%20for%20reviewing%20and%20synthesizing%20the%20clinical%20evidence.%20We%20describe%20a%20model%20development%20process%20that%20includes%20all%20the%20original%20elements%20of%20the%20original%20IPDAS%20criterion%2C%20expanded%20to%20include%20consideration%20of%20format%20and%20distribution%20plans%20as%20well%20as%20prototype%20development.%5CnCONCLUSIONS%3A%20The%20case%20for%20including%20each%20of%20the%20elements%20outlined%20in%20our%20model%20development%20process%20is%20pragmatic%20rather%20than%20evidence-based.%20Optimal%20methods%20for%20ensuring%20that%20each%20stage%20of%20the%20process%20is%20carried%20out%20effectively%20require%20further%20development%20and%20testing.%22%2C%22date%22%3A%222013%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1186%5C%2F1472-6947-13-S2-S2%22%2C%22ISSN%22%3A%221472-6947%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%5D%2C%22dateModified%22%3A%222021-05-26T14%3A46%3A09Z%22%7D%7D%2C%7B%22key%22%3A%22TXQF9XPH%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Coulter%20et%20al.%22%2C%22parsedDate%22%3A%222022-05-21%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3ECoulter%2C%20Angela%2C%20Alf%20Collins%2C%20Adrian%20Edwards%2C%20Vikki%20Entwistle%2C%20Sam%20Finnikin%2C%20Natalie%20Joseph-Williams%2C%20Victoria%20Thomas%2C%20and%20Richard%20Thomson.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fwww.zefq-journal.com%5C%2Farticle%5C%2FS1865-9217%2822%2900074-5%5C%2Ffulltext%3Fdgcid%3Draven_jbs_aip_email%27%3EImplementing%20shared%20decision%20making%20in%20UK%3A%20Progress%202017%5Cu20132022%3C%5C%2Fa%3E.%5C%22%20%3Ci%3EZeitschrift%20F%5Cu00fcr%20Evidenz%2C%20Fortbildung%20Und%20Qualit%5Cu00e4t%20Im%20Gesundheitswesen%3C%5C%2Fi%3E%200%2C%20no.%200%20%28May%2021%2C%202022%29.%20https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.zefq.2022.04.024.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Implementing%20shared%20decision%20making%20in%20UK%3A%20Progress%202017%5Cu20132022%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Angela%22%2C%22lastName%22%3A%22Coulter%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alf%22%2C%22lastName%22%3A%22Collins%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adrian%22%2C%22lastName%22%3A%22Edwards%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Vikki%22%2C%22lastName%22%3A%22Entwistle%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sam%22%2C%22lastName%22%3A%22Finnikin%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Natalie%22%2C%22lastName%22%3A%22Joseph-Williams%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Victoria%22%2C%22lastName%22%3A%22Thomas%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Richard%22%2C%22lastName%22%3A%22Thomson%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222022-05-21%22%2C%22language%22%3A%22English%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.zefq.2022.04.024%22%2C%22ISSN%22%3A%221865-9217%2C%201865-9217%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.zefq-journal.com%5C%2Farticle%5C%2FS1865-9217%2822%2900074-5%5C%2Ffulltext%3Fdgcid%3Draven_jbs_aip_email%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%22IE7JTZ2W%22%2C%2246NNKHWR%22%5D%2C%22dateModified%22%3A%222022-05-23T17%3A26%3A57Z%22%7D%7D%2C%7B%22key%22%3A%2229935MWJ%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Danner%20et%20al.%22%2C%22parsedDate%22%3A%222022-02-17%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EDanner%2C%20Marion%2C%20Marie%20Debrouwere%2C%20Anne%20Rummer%2C%20Kai%20Wehkamp%2C%20Jens%20Ulrich%20R%5Cu00fcffer%2C%20Friedemann%20Geiger%2C%20Robert%20Wolff%2C%20Karoline%20Weik%2C%20and%20Fueloep%20Scheibler.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12911-022-01777-x%27%3EA%20scattered%20landscape%3A%20assessment%20of%20the%20evidence%20base%20for%2071%20patient%20decision%20aids%20developed%20in%20a%20hospital%20setting%3C%5C%2Fa%3E.%5C%22%20%3Ci%3EBMC%20Medical%20Informatics%20and%20Decision%20Making%3C%5C%2Fi%3E%2022%2C%20no.%201%20%28February%2017%2C%202022%29%3A%2044.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22A%20scattered%20landscape%3A%20assessment%20of%20the%20evidence%20base%20for%2071%20patient%20decision%20aids%20developed%20in%20a%20hospital%20setting%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marion%22%2C%22lastName%22%3A%22Danner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marie%22%2C%22lastName%22%3A%22Debrouwere%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anne%22%2C%22lastName%22%3A%22Rummer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kai%22%2C%22lastName%22%3A%22Wehkamp%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jens%20Ulrich%22%2C%22lastName%22%3A%22R%5Cu00fcffer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Friedemann%22%2C%22lastName%22%3A%22Geiger%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Robert%22%2C%22lastName%22%3A%22Wolff%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Karoline%22%2C%22lastName%22%3A%22Weik%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Fueloep%22%2C%22lastName%22%3A%22Scheibler%22%7D%5D%2C%22abstractNote%22%3A%22Recent%20publications%20reveal%20shortcomings%20in%20evidence%20review%20and%20summarization%20methods%20for%20patient%20decision%20aids.%20In%20the%20large-scale%20%5Cu201cShare%20to%20Care%20%28S2C%29%5Cu201d%20Shared%20Decision%20Making%20%28SDM%29%20project%20at%20the%20University%20Hospital%20Kiel%2C%20Germany%2C%20one%20of%204%20SDM%20interventions%20was%20to%20develop%20up%20to%2080%20decision%20aids%20for%20patients.%20Best%20available%20evidence%20on%20the%20treatments%5Cu2019%20impact%20on%20patient-relevant%20outcomes%20was%20systematically%20appraised%20to%20feed%20this%20information%20into%20the%20decision%20aids.%20Aims%20of%20this%20paper%20were%20to%20%281%29%20describe%20how%20PtDAs%20are%20developed%20and%20how%20S2C%20evidence%20reviews%20for%20each%20PtDA%20are%20conducted%2C%20%282%29%20appraise%20the%20quality%20of%20the%20best%20available%20evidence%20identified%20and%20%283%29%20identify%20challenges%20associated%20with%20identified%20evidence.%22%2C%22date%22%3A%222022-02-17%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1186%5C%2Fs12911-022-01777-x%22%2C%22ISSN%22%3A%221472-6947%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1186%5C%2Fs12911-022-01777-x%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%223L4EXKAR%22%2C%22J987ELTY%22%2C%22DCC2W2YR%22%2C%227ZDA33V6%22%5D%2C%22dateModified%22%3A%222024-03-13T09%3A04%3A55Z%22%7D%7D%2C%7B%22key%22%3A%22MLMQ3F4X%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Danner%20et%20al.%22%2C%22parsedDate%22%3A%222020-10-01%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EDanner%2C%20Marion%2C%20Friedemann%20Geiger%2C%20Kai%20Wehkamp%2C%20Jens%20Ulrich%20Rueffer%2C%20Christine%20Kuch%2C%20Leonie%20Sundmacher%2C%20Tove%20Skjelbakken%2C%20et%20al.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fbmjopen.bmj.com%5C%2Fcontent%5C%2F10%5C%2F10%5C%2Fe037575%27%3EMaking%20shared%20decision-making%20%28SDM%29%20a%20reality%3A%20protocol%20of%20a%20large-scale%20long-term%20SDM%20implementation%20programme%20at%20a%20Northern%20German%20University%20Hospital%3C%5C%2Fa%3E.%5C%22%20%3Ci%3EBMJ%20Open%3C%5C%2Fi%3E%2010%2C%20no.%2010%20%28October%201%2C%202020%29%3A%20e037575.%20https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1136%5C%2Fbmjopen-2020-037575.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Making%20shared%20decision-making%20%28SDM%29%20a%20reality%3A%20protocol%20of%20a%20large-scale%20long-term%20SDM%20implementation%20programme%20at%20a%20Northern%20German%20University%20Hospital%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marion%22%2C%22lastName%22%3A%22Danner%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Friedemann%22%2C%22lastName%22%3A%22Geiger%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kai%22%2C%22lastName%22%3A%22Wehkamp%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jens%20Ulrich%22%2C%22lastName%22%3A%22Rueffer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Christine%22%2C%22lastName%22%3A%22Kuch%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Leonie%22%2C%22lastName%22%3A%22Sundmacher%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Tove%22%2C%22lastName%22%3A%22Skjelbakken%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anne%22%2C%22lastName%22%3A%22Rummer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Anna%22%2C%22lastName%22%3A%22Novelli%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marie%22%2C%22lastName%22%3A%22Debrouwere%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Fueloep%22%2C%22lastName%22%3A%22Scheibler%22%7D%5D%2C%22abstractNote%22%3A%22Introduction%20Shared%20decision-making%20%28SDM%29%20is%20not%20yet%20widely%20used%20when%20making%20decisions%20in%20German%20hospitals.%20Making%20SDM%20a%20reality%20is%20a%20complex%20task.%20It%20involves%20training%20healthcare%20professionals%20in%20SDM%20communication%20and%20enabling%20patients%20to%20actively%20participate%20in%20communication%2C%20in%20addition%20to%20providing%20sound%2C%20easy%20to%20understand%20information%20on%20treatment%20alternatives%20in%20the%20form%20of%20evidence-based%20patient%20decision%20aids%20%28EbPDAs%29.%20This%20project%20funded%20by%20the%20German%20Innovation%20Fund%20aims%20at%20designing%2C%20implementing%20and%20evaluating%20a%20multicomponent%2C%20large-scale%20and%20integrative%20SDM%20programme%5Cu2014called%20SHARE%20TO%20CARE%20%28S2C%29%5Cu2014at%20all%20clinical%20departments%20of%20a%20University%20Hospital%20Campus%20in%20Northern%20Germany%20within%20a%204-year%20time%20period.%5CnMethods%20and%20analysis%20S2C%20tackles%20the%20aforementioned%20components%20of%20SDM%3A%20%281%29%20training%20physicians%20in%20SDM%20communication%2C%20%282%29%20activating%20and%20empowering%20patients%2C%20%283%29%20developing%20EbPDAs%20in%20the%20most%20common%5C%2Frelevant%20diseases%20and%20%284%29%20training%20other%20healthcare%20professionals%20in%20SDM%20coaching.%20S2C%20is%20designed%20together%20with%20patients%20and%20providers.%20The%20physicians%5Cu2019%20training%20programme%20entails%20an%20online%20and%20an%20in%20situ%20training%20module.%20The%20decision%20coach%20training%20is%20based%20on%20a%20similar%20but%20less%20comprehensive%20approach.%20The%20development%20of%20online%20EbPDAs%20follows%20the%20International%20Patient%20Decision%20Aid%20Standards%20and%20includes%20written%2C%20graphical%20and%20video-based%20information.%20Validated%20outcomes%20of%20SDM%20implementation%20are%20measured%20in%20a%20preintervention%20and%20postintervention%20evaluation%20design.%20Process%20evaluation%20accompanies%20programme%20implementation.%20Health%20economic%20impact%20of%20the%20intervention%20is%20investigated%20using%20a%20propensity-score-matched%20approach%20based%20on%20potentially%20preference-sensitive%20hospital%20decisions.%5CnEthics%20and%20dissemination%20Ethics%20committee%20review%20approval%20has%20been%20obtained%20from%20Medical%20Ethics%20Committee%20of%20the%20Medical%20Faculty%20of%20the%20Christian-Albrechts-University%20Kiel.%20Project%20information%20and%20results%20will%20be%20disseminated%20at%20conferences%2C%20on%20project-hosted%20websites%20at%20University%20Hospital%20Medical%20Center%20Schleswig%20Holstein%20and%20by%20S2C%20as%20well%20as%20in%20peer-reviewed%20and%20professional%20journals.%22%2C%22date%22%3A%222020%5C%2F10%5C%2F01%22%2C%22language%22%3A%22en%22%2C%22DOI%22%3A%2210.1136%5C%2Fbmjopen-2020-037575%22%2C%22ISSN%22%3A%222044-6055%2C%202044-6055%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fbmjopen.bmj.com%5C%2Fcontent%5C%2F10%5C%2F10%5C%2Fe037575%22%2C%22collections%22%3A%5B%22ZAW5JYVL%22%2C%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%223L4EXKAR%22%2C%22J987ELTY%22%2C%227C3HQD4E%22%2C%22ZKMQLZWF%22%2C%22DCC2W2YR%22%2C%227ZDA33V6%22%2C%22QXIGN3AI%22%5D%2C%22dateModified%22%3A%222024-03-11T11%3A35%3A45Z%22%7D%7D%2C%7B%22key%22%3A%226VY5MXFP%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Deutsche%20Gesellschaft%20f%5Cu00fcr%20Publizistik-%20und%20Kommunikationswissenschaft%22%2C%22parsedDate%22%3A%222018%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EDeutsche%20Gesellschaft%20f%5Cu00fcr%20Publizistik-%20und%20Kommunikationswissenschaft.%20%3Ci%3E%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fwww.nomos-elibrary.de%5C%2F10.5771%5C%2F9783845291963%5C%2Fevidenzbasierte-evidenzinformierte-gesundheitskommunikation%27%3EEvidenzbasierte%20-%20evidenzinformierte%20Gesundheitskommunikation%3C%5C%2Fa%3E%3C%5C%2Fi%3E.%20Edited%20by%20Paula%20Stehr%2C%20Dorothee%20Heinemeier%2C%20and%20Constanze%20Rossmann.%201.%20Auflage.%20Gesundheitskommunikation%2019.%20Baden-Baden%3A%20Nomos%2C%202018.%20%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22book%22%2C%22title%22%3A%22Evidenzbasierte%20-%20evidenzinformierte%20Gesundheitskommunikation%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22%22%2C%22lastName%22%3A%22Deutsche%20Gesellschaft%20f%5Cu00fcr%20Publizistik-%20und%20Kommunikationswissenschaft%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Paula%22%2C%22lastName%22%3A%22Stehr%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Dorothee%22%2C%22lastName%22%3A%22Heinemeier%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Constanze%22%2C%22lastName%22%3A%22Rossmann%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%222018%22%2C%22language%22%3A%22ger%22%2C%22ISBN%22%3A%22978-3-8487-5024-5%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.nomos-elibrary.de%5C%2F10.5771%5C%2F9783845291963%5C%2Fevidenzbasierte-evidenzinformierte-gesundheitskommunikation%22%2C%22collections%22%3A%5B%227NLACL24%22%2C%22ZFT52UPQ%22%2C%2246NNKHWR%22%5D%2C%22dateModified%22%3A%222020-03-13T10%3A17%3A07Z%22%7D%7D%2C%7B%22key%22%3A%22ADMR8QQS%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Diekmann%20et%20al.%22%2C%22parsedDate%22%3A%222019-04%22%2C%22numChildren%22%3A3%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EDiekmann%2C%20Annika%2C%20Christian%20Heuser%2C%20Nicole%20Ernstmann%2C%20Franziska%20Geiser%2C%20Sophie%20Elisabeth%20Gro%26%23xDF%3B%2C%20Evamarie%20Midding%2C%20Holger%20Pfaff%2C%20and%20Lena%20Ansmann.%20%26%23x201C%3BHow%20Do%20Breast%20Cancer%20Patients%20Experience%20Multidisciplinary%20Tumor%20Conferences%3F%20-%20A%20Description%20from%20the%20Patient%20Perspective.%26%23x201D%3B%20%3Ci%3EBreast%20%28Edinburgh%2C%20Scotland%29%3C%5C%2Fi%3E%2044%20%28April%202019%29%3A%2066%26%23x2013%3B72.%20%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.breast.2018.12.012%27%3Ehttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.breast.2018.12.012%3C%5C%2Fa%3E.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22How%20do%20breast%20cancer%20patients%20experience%20multidisciplinary%20tumor%20conferences%3F%20-%20A%20description%20from%20the%20patient%20perspective%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Annika%22%2C%22lastName%22%3A%22Diekmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Christian%22%2C%22lastName%22%3A%22Heuser%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nicole%22%2C%22lastName%22%3A%22Ernstmann%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Franziska%22%2C%22lastName%22%3A%22Geiser%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sophie%20Elisabeth%22%2C%22lastName%22%3A%22Gro%5Cu00df%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Evamarie%22%2C%22lastName%22%3A%22Midding%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Holger%22%2C%22lastName%22%3A%22Pfaff%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lena%22%2C%22lastName%22%3A%22Ansmann%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVES%3A%20Aim%20of%20this%20study%20was%20to%20investigate%20the%20experiences%20of%20breast%20cancer%20patients%20who%20participated%20in%20multidisciplinary%20tumor%20conferences%20%28MTCs%29.%5CnSTUDY%20DESIGN%3A%20Data%20from%20two%20consecutive%20years%20of%20an%20annual%20postal%20survey%20of%20patients%20with%20primary%20breast%20cancer%20were%20combined.%20Data%20was%20collected%20between%20February%20and%20July%202015%20%28response%20rate%2072%25%29%20and%202016%20%28response%20rate%2073%25%29%20from%20N%5Cu202f%3D%5Cu202f8893%20patients%20%28ICD-10%20C50%29%20after%20hospital%20discharge%20from%2086%20breast%20cancer%20center%20hospitals%20in%20North%20Rhine-Westphalia%2C%20Germany.%20The%20study%20used%20a%20mixed-methods%20design.%20Standardized%20quantitative%20survey%20questions%20were%20analyzed%20descriptively%20and%20an%20open-ended%20question%20was%20analyzed%20using%20qualitative%20content%20analysis.%5CnRESULTS%3A%20Around%209%25%20of%20the%20patients%20were%20invited%20to%20participate%20in%20a%20multidisciplinary%20tumor%20conference%20%28MTC%29%20and%2049%25%20of%20the%20invited%20patients%20reported%20actual%20participation%20in%20a%20MTC.%20Approximately%2087%25%20of%20those%20patients%20did%20not%20regret%20their%20participation%20in%20the%20MTC.%20The%20qualitative%20analysis%20from%20the%20open-ended%20question%20indicated%20that%20MTC%20participation%20was%20perceived%20by%20patients%20as%20being%20both%20supportive%20and%20informative%20%28n%5Cu202f%3D%5Cu202f109%20expressions%29.%20However%2C%20some%20patients%20reported%20difficult%20experiences%20and%20emotional%20reactions%20during%20and%20after%20participation%20%28n%5Cu202f%3D%5Cu202f37%20expressions%29.%20Altogether%2C%20the%20patients%27%20perception%20was%20divided%20into%20positive%20and%20negative%2C%20cognitive%20and%20emotional%20experiences%20following%20participation%20in%20a%20MTC.%5CnCONCLUSION%3A%20The%20perception%20of%20the%20MTCs%20varies%20between%20the%20participating%20patients.%20Further%20research%20on%20advantages%20and%20disadvantages%20for%20patients%20and%20particularly%20on%20the%20feasibility%20from%20the%20provider%27s%20perspective%20is%20necessary.%22%2C%22date%22%3A%22Apr%202019%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.breast.2018.12.012%22%2C%22ISSN%22%3A%221532-3080%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22X7PUUBWP%22%2C%2298J4DESJ%22%5D%2C%22dateModified%22%3A%222024-02-27T18%3A45%3A44Z%22%7D%7D%2C%7B%22key%22%3A%22KIQFCG2Y%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Dierks%20and%20Scheibler%22%2C%22parsedDate%22%3A%222019-03-06%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%3Cdiv%20class%3D%5C%22csl-bib-body%5C%22%20style%3D%5C%22line-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%5C%22%3E%5Cn%20%3Cdiv%20class%3D%5C%22csl-entry%5C%22%3EDierks%2C%20Marie-Luise%2C%20and%20F%5Cu00fcl%5Cu00f6p%20Scheibler.%20%5C%22%3Ca%20href%3D%27https%3A%5C%2F%5C%2Fwww.mwv-open.de%5C%2Fsite%5C%2Fchapters%5C%2F10.32745%5C%2F9783954664023-5%5C%2F%27%3EEntscheidungshilfen%20%28%5C%22Decision%20Aids%5C%22%29%3A%20F%5Cu00f6rderung%20einer%20evidenzbasierten%20Entscheidung%20zur%20Teilnahme%20an%20Fr%5Cu00fcherkennungsuntersuchungen%3C%5C%2Fa%3E.%5C%22%20In%20%3Ci%3EVersorgungs-Report%20Fr%5Cu00fcherkennung%3C%5C%2Fi%3E%2C%20edited%20by%20Christian%20G%5Cu00fcnster%2C%20J%5Cu00fcrgen%20Klauber%2C%20Bernt-Peter%20Robra%2C%20Norbert%20Schmacke%2C%20and%20Caroline%20Schmuker%2C%2083%5Cu201394.%20Medizinisch%20Wissenschaftliche%20Verlagsgesellschaft%2C%202019.%20https%3A%5C%2F%5C%2Fdoi.org%5C%2F10.32745%5C%2F9783954664023-5.%3C%5C%2Fdiv%3E%5Cn%3C%5C%2Fdiv%3E%22%2C%22data%22%3A%7B%22itemType%22%3A%22bookSection%22%2C%22title%22%3A%22Entscheidungshilfen%20%28%5C%22Decision%20Aids%5C%22%29%3A%20F%5Cu00f6rderung%20einer%20evidenzbasierten%20Entscheidung%20zur%20Teilnahme%20an%20Fr%5Cu00fcherkennungsuntersuchungen%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Christian%22%2C%22lastName%22%3A%22G%5Cu00fcnster%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22J%5Cu00fcrgen%22%2C%22lastName%22%3A%22Klauber%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Bernt-Peter%22%2C%22lastName%22%3A%22Robra%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Norbert%22%2C%22lastName%22%3A%22Schmacke%22%7D%2C%7B%22creatorType%22%3A%22editor%22%2C%22firstName%22%3A%22Caroline%22%2C%22lastName%22%3A%22Schmuker%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marie-Luise%22%2C%22lastName%22%3A%22Dierks%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22F%5Cu00fcl%5Cu00f6p%22%2C%22lastName%22%3A%22Scheibler%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22bookTitle%22%3A%22Versorgungs-Report%20Fr%5Cu00fcherkennung%22%2C%22date%22%3A%222019-03-06%22%2C%22language%22%3A%22de%22%2C%22ISBN%22%3A%22978-3-95466-454-2%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.mwv-open.de%5C%2Fsite%5C%2Fchapters%5C%2F10.32745%5C%2F9783954664023-5%5C%2F%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%22DCJX59XL%22%2C%223L4EXKAR%22%5D%2C%22dateModified%22%3A%222024-03-11T11%3A57%3A57Z%22%7D%7D%5D%7D
Adam, Yvonne, and Sarah Carol. "
Gesundheitskompetenz von Menschen mit Migrationshintergrund: Perspektive und Erfahrungen von türkisch- und russischsprachigen Frauen." Univ. Bielefeld, Interdisziplinäres Zentrum für Gesundheitskompetenzforschung (IZKG), 2020. https://doi.org/10.4119/UNIBI/2949096.
Adarkwah, Charles Christian, Nikita Jegan, Monika Heinzel-Gutenbrunner, Felicitas Kühne, Uwe Siebert, Uwe Popert, Norbert Donner-Banzhoff, and Sarah Kürwitz. “Time-to-Event versus Ten-Year-Absolute-Risk in Cardiovascular Risk Prevention - Does It Make a Difference? Results from the Optimizing-Risk-Communication (OptRisk) Randomized-Controlled Trial.”
BMC Medical Informatics and Decision Making 16, no. 1 (November 29, 2016): 152.
https://doi.org/10.1186/s12911-016-0393-1.
Adarkwah, Charles Christian, Nikita Jegan, Monika Heinzel-Gutenbrunner, Felicitas Kühne, Uwe Siebert, Uwe Popert, Norbert Donner-Banzhoff, and Sarah Kürwitz. “The Optimizing-Risk-Communication (OptRisk) Randomized Trial - Impact of Decision-Aid-Based Consultation on Adherence and Perception of Cardiovascular Risk.”
Patient Preference and Adherence 13 (2019): 441–52.
https://doi.org/10.2147/PPA.S197545.
AHRQ Agency for Healthcare Research and Quality. "
The SHARE Approach for shared decision making.," October 2020.
Albrecht, Karoline, Daniela Simon, Angela Buchholz, Katrin Reuter, Dominick Frosch, Laura Seebauer, and Martin Härter. “How Does a German Audience Appraise an American Decision Aid on Early Stage Breast Cancer?”
Patient Education and Counseling 83, no. 1 (April 2011): 58–63.
https://doi.org/10.1016/j.pec.2010.04.038.
Altin, Sibel Vildan, and Stephanie Stock. “The Impact of Health Literacy, Patient-Centered Communication and Shared Decision-Making on Patients’ Satisfaction with Care Received in German Primary Care Practices.”
BMC Health Services Research 16 (30 2016): 450.
https://doi.org/10.1186/s12913-016-1693-y.
Anderson, Kathryn M., Sarah Leister, and Ruth De Rego. “The 5Ts for Teach Back: An Operational Definition for Teach-Back Training.”
Health Literacy Research and Practice 4, no. 2 (April 9, 2020): e94–103.
https://doi.org/10.3928/24748307-20200318-01.
Ansmann, L., F. Scheibler, C. Kowalski, and H. Pfaff. "
Shared Decision Making in der Brustkrebsversorgung: eine Trendanalyse über 10 Jahre."
Senologie - Zeitschrift für Mammadiagnostik und -therapie 13, no. 02 (June 2016): A4. https://doi.org/10.1055/s-0036-1583324.
Babac, Ana, Verena von Friedrichs, Svenja Litzkendorf, Jan Zeidler, Kathrin Damm, and J.-Matthias Graf von der Schulenburg. “Integrating Patient Perspectives in Medical Decision-Making: A Qualitative Interview Study Examining Potentials within the Rare Disease Information Exchange Process in Practice.”
BMC Medical Informatics and Decision Making 19, no. 1 (18 2019): 188.
https://doi.org/10.1186/s12911-019-0911-z.
Bartsch, Anna-Lena, Martin Härter, Jasmin Niedrich, Anna Levke Brütt, and Angela Buchholz. “A Systematic Literature Review of Self-Reported Smoking Cessation Counseling by Primary Care Physicians.”
PloS One 11, no. 12 (2016): e0168482.
https://doi.org/10.1371/journal.pone.0168482.
Baunacke, M., C. Groeben, H. Borgmann, A. Schneider, S. Kliesch, and J. Huber. “Evaluation des Urologenportals. Das gemeinsame Informationsangebot der deutschen Urologen.”
Der Urologe. Ausg. A 55, no. 7 (July 2016): 923–32.
https://doi.org/10.1007/s00120-016-0144-z.
Baur, Cynthia, Linda Harris, and Elizabeth Squire. "
The US National Action Plan to Improve Health Literacy: A Model for Positive Organizational Change."
Studies in Health Technology and Informatics 240 (2017): 186–202.
Berger-Höger, Birte, Anna Isselhard, Stephanie Stock, and Sibylle Kautz-Freimuth. "
Unterstützung informierter Entscheidungen in der Onkologie." In
Gesundheitskompetenz, edited by Katharina Rathmann, Kevin Dadaczynski, Orkan Okan, and Melanie Messer, 1–12. Springer Reference Pflege – Therapie – Gesundheit. Berlin, Heidelberg: Springer, 2022.
Berger-Höger, Birte, Katrin Liethmann, Ingrid Mühlhauser, and Anke Steckelberg. “Implementation of Shared Decision-Making in Oncology: Development and Pilot Study of a Nurse-Led Decision-Coaching Programme for Women with Ductal Carcinoma in Situ.”
BMC Medical Informatics and Decision Making 17, no. 1 (December 6, 2017): 160.
https://doi.org/10.1186/s12911-017-0548-8.
Berger-Höger, Birte, Katrin Liethmann, Ingrid Mühlhauser, Burkhard Haastert, and Anke Steckelberg. “Nurse-Led Coaching of Shared Decision-Making for Women with Ductal Carcinoma in Situ in Breast Care Centers: A Cluster Randomized Controlled Trial.”
International Journal of Nursing Studies 93 (May 2019): 141–52.
https://doi.org/10.1016/j.ijnurstu.2019.01.013.
Bertschi, Isabella, and Diane Levin-Zamir. "
Der Umgang mit Gesundheitsbotschaften aus traditionellen und digitalen Medien – Media Health Literacy und digitale Gesundheitskompetenz." In
Health Literacy im Kindes- und Jugendalter: Ein- und Ausblicke, edited by Torsten M. Bollweg, Janine Bröder, and Paulo Pinheiro, 225–38. Gesundheit und Gesellschaft. Wiesbaden: Springer Fachmedien, 2020.
Bieber, Christiane, Jennifer Nicolai, Mechthild Hartmann, Klaus Blumenstiel, Nadja Ringel, Antonius Schneider, Martin Härter, Wolfgang Eich, and Andreas Loh. "
Training physicians in shared decision-making—Who can be reached and what is achieved?"
Patient Education and Counseling 77, no. 1 (October 1, 2009): 48–54. https://doi.org/10.1016/j.pec.2009.03.019.
Bieber, Christiane, Kathrin Gschwendtner, Nicole Müller, and Wolfgang Eich. "
Partizipative Entscheidungsfindung (PEF) – Patient und Arzt als Team."
Balint Journal 21, no. 04 (December 2020): 111–22. https://doi.org/10.1055/a-1298-2866.
Bieber, Christiane, Jennifer Nicolai, Kathrin Gschwendtner, Nicole Müller, Katrin Reuter, Angela Buchholz, Birgit Kallinowski, Martin Härter, and Wolfgang Eich. “How Does a Shared Decision-Making (SDM) Intervention for Oncologists Affect Participation Style and Preference Matching in Patients with Breast and Colon Cancer?”
Journal of Cancer Education: The Official Journal of the American Association for Cancer Education 33, no. 3 (2018): 708–15.
https://doi.org/10.1007/s13187-016-1146-7.
Böcken, Jan, Bernard Braun, and Rüdiger Meierjürgen. Gesundheitsmonitor 2014 Bürgerorientierung im Gesundheitswesen - Kooperationsprojekt der Bertelsmann Stiftung und der BARMER GEK. Gütersloh: Bertelsmann Stiftung, 2014.
Boland, Laura, Ian D. Graham, France Légaré, Krystina Lewis, Janet Jull, Allyson Shephard, Margaret L. Lawson, Alexandra Davis, Audrey Yameogo, and Dawn Stacey. “Barriers and Facilitators of Pediatric Shared Decision-Making: A Systematic Review.”
Implementation Science: IS 14, no. 1 (18 2019): 7.
https://doi.org/10.1186/s13012-018-0851-5.
Bomhof-Roordink, Hanna, Fania R. Gärtner, Anne M. Stiggelbout, and Arwen H. Pieterse. “Key Components of Shared Decision Making Models: A Systematic Review.”
BMJ Open 9, no. 12 (December 17, 2019): e031763.
https://doi.org/10.1136/bmjopen-2019-031763.
Bonner, Carissa, Pinika Patel, Michael Anthony Fajardo, Ruixuan Zhuang, and Lyndal Trevena. "
Online decision aids for primary cardiovascular disease prevention: systematic search, evaluation of quality and suitability for low health literacy patients."
BMJ Open 9, no. 3 (March 1, 2019): e025173. https://doi.org/10.1136/bmjopen-2018-025173.
Bonner, Carissa, Lyndal J. Trevena, Wolfgang Gaissmaier, Paul K. J. Han, Yasmina Okan, Elissa Ozanne, Ellen Peters, Daniëlle Timmermans, and Brian J. Zikmund-Fisher. "
Current Best Practice for Presenting Probabilities in Patient Decision Aids: Fundamental Principles."
Medical Decision Making 41, no. 7 (October 1, 2021): 821–33.
Bossen, Jeroen K. J., Trudy van der Weijden, Erik W. Driessen, and Ide C. Heyligers. “Experienced Barriers in Shared Decision-Making Behaviour of Orthopaedic Surgery Residents Compared with Orthopaedic Surgeons.”
Musculoskeletal Care 17, no. 2 (June 2019): 198–205.
https://doi.org/10.1002/msc.1390.
Brand, Anna, Linde Gao, Alexandra Hamann, Claudia Crayen, Hannah Brand, Susan M. Squier, Karl Stangl, Friederike Kendel, and Verena Stangl. “Medical Graphic Narratives to Improve Patient Comprehension and Periprocedural Anxiety Before Coronary Angiography and Percutaneous Coronary Intervention: A Randomized Trial.”
Annals of Internal Medicine 170, no. 8 (16 2019): 579–81.
https://doi.org/10.7326/M18-2976.
Bravo, Paulina, Martin Härter, Kirsten McCaffery, Anik Giguère, Pola Hahlweg, and Glyn Elwyn. "
Editorial: 20 years after the start of international Shared Decision-Making activities: Is it time to celebrate? Probably…."
Zeitschrift Für Evidenz, Fortbildung Und Qualität Im Gesundheitswesen 171 (June 1, 2022): 1–4. https://doi.org/10.1016/j.zefq.2022.05.009.
Brinkmann, Melanie, Leonie Diedrich, Melissa Hemmerling, Christian Krauth, Bernt-Peter Robra, Jona T. Stahmeyer, and Maren Dreier. "
Heterogeneous Preferences for Colorectal Cancer Screening in Germany: Results of a Discrete Choice Experiment."
Value in Health 26, no. 1 (January 1, 2023): 104–14. https://doi.org/10.1016/j.jval.2022.07.012.
Bronner, Katharina, Lea Bodner, Ralf J. Jox, Georg Marckmann, Janine Diehl-Schmid, and Johannes Hamann. "Entwicklung einer Entscheidungshilfe für partizipative Vorausplanungen für Menschen mit Demenz und deren Angehörige." Der Nervenarzt 91, no. 11 (November 1, 2020): 1032–39.
Brünn, Robin, Beate S. Müller, Benno Flaig, Petra Kellermann-Mühlhoff, Ute Karbach, Sara Söling, Christiane Muth, et al. "
I must, and I can live with that.A thematic analysis of patients perspectives on polypharmacy and a digital decision support system for GPs."
BMC Family Practice 22, no. 1 (August 21, 2021): 168.
Buhse, Susanne, Ingrid Mühlhauser, Tabitha Heller, Nadine Kuniss, Ulrich Alfons Müller, Jürgen Kasper, Thomas Lehmann, and Matthias Lenz. “Informed Shared Decision-Making Programme on the Prevention of Myocardial Infarction in Type 2 Diabetes: A Randomised Controlled Trial.”
BMJ Open 5, no. 11 (November 13, 2015): e009116.
https://doi.org/10.1136/bmjopen-2015-009116.
Buhse, Susanne, Nadine Kuniss, Kathrin Liethmann, Ulrich Alfons Müller, Thomas Lehmann, and Ingrid Mühlhauser. “Informed Shared Decision-Making Programme for Patients with Type 2 Diabetes in Primary Care: Cluster Randomised Controlled Trial.”
BMJ Open 8, no. 12 (14 2018): e024004.
https://doi.org/10.1136/bmjopen-2018-024004.
Burkhardt, Thomas Gerlinger, Wolfram, and Bundeszentrale politische Bildung. "
Verbände und Körperschaften." bpb.de, 2012.
Carvalho, Flávia A., Mark R. Elkins, Márcia R. Franco, and Rafael Z. Pinto. “Are Plain-Language Summaries Included in Published Reports of Evidence about Physiotherapy Interventions? Analysis of 4421 Randomised Trials, Systematic Reviews and Guidelines on the Physiotherapy Evidence Database (PEDro).”
Physiotherapy 105, no. 3 (2019): 354–61.
https://doi.org/10.1016/j.physio.2018.11.003.
Caspari, C., M. Untch, and A. Vodermaier. "
Shared Decision Making bei Brustkrebspatientinnen."
Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany)) 65, no. 3 (March 2003): 190–99. https://doi.org/10.1055/s-2003-38511.
Charles, C., A. Gafni, and T. Whelan. “Shared Decision-Making in the Medical Encounter: What Does It Mean? (Or It Takes at Least Two to Tango).”
Social Science & Medicine (1982) 44, no. 5 (March 1997): 681–92.
https://doi.org/10.1016/s0277-9536(96)00221-3.
Corina, Güthlin, Holmberg Christine, and Gudrun Klein. “Oncologists’ Experiences of Discussing Complementary and Alternative Treatment Options with Their Cancer Patients. A Qualitative Analysis.”
Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer 24, no. 9 (2016): 3857–62.
https://doi.org/10.1007/s00520-016-3205-3.
Coulter, Angela. "
Gemeinsame Entscheidungsfindung Ein Überblick zum Stand der Umsetzung in neun Ländern." Schriftenreihe der Bertelsmann Stiftung. Gütersloh: Bertelsmann Stiftung, Gütersloh, 2019.
Coulter, Angela, Alf Collins, and England) King's Fund Centre (London.
Making shared decision-making a reality: no decision about me, without me. London: King's Fund, 2011.
Coulter, Angela, Diana Stilwell, Jennifer Kryworuchko, Patricia Dolan Mullen, Chirk Jenn Ng, and Trudy van der Weijden. “A Systematic Development Process for Patient Decision Aids.”
BMC Medical Informatics and Decision Making 13 Suppl 2 (2013): S2.
https://doi.org/10.1186/1472-6947-13-S2-S2.
Coulter, Angela, Alf Collins, Adrian Edwards, Vikki Entwistle, Sam Finnikin, Natalie Joseph-Williams, Victoria Thomas, and Richard Thomson. "
Implementing shared decision making in UK: Progress 2017–2022."
Zeitschrift Für Evidenz, Fortbildung Und Qualität Im Gesundheitswesen 0, no. 0 (May 21, 2022). https://doi.org/10.1016/j.zefq.2022.04.024.
Danner, Marion, Marie Debrouwere, Anne Rummer, Kai Wehkamp, Jens Ulrich Rüffer, Friedemann Geiger, Robert Wolff, Karoline Weik, and Fueloep Scheibler. "
A scattered landscape: assessment of the evidence base for 71 patient decision aids developed in a hospital setting."
BMC Medical Informatics and Decision Making 22, no. 1 (February 17, 2022): 44.
Danner, Marion, Friedemann Geiger, Kai Wehkamp, Jens Ulrich Rueffer, Christine Kuch, Leonie Sundmacher, Tove Skjelbakken, et al. "
Making shared decision-making (SDM) a reality: protocol of a large-scale long-term SDM implementation programme at a Northern German University Hospital."
BMJ Open 10, no. 10 (October 1, 2020): e037575. https://doi.org/10.1136/bmjopen-2020-037575.
Deutsche Gesellschaft für Publizistik- und Kommunikationswissenschaft.
Evidenzbasierte - evidenzinformierte Gesundheitskommunikation. Edited by Paula Stehr, Dorothee Heinemeier, and Constanze Rossmann. 1. Auflage. Gesundheitskommunikation 19. Baden-Baden: Nomos, 2018.
Diekmann, Annika, Christian Heuser, Nicole Ernstmann, Franziska Geiser, Sophie Elisabeth Groß, Evamarie Midding, Holger Pfaff, and Lena Ansmann. “How Do Breast Cancer Patients Experience Multidisciplinary Tumor Conferences? - A Description from the Patient Perspective.”
Breast (Edinburgh, Scotland) 44 (April 2019): 66–72.
https://doi.org/10.1016/j.breast.2018.12.012.
Dierks, Marie-Luise, and Fülöp Scheibler. "
Entscheidungshilfen ("Decision Aids"): Förderung einer evidenzbasierten Entscheidung zur Teilnahme an Früherkennungsuntersuchungen." In
Versorgungs-Report Früherkennung, edited by Christian Günster, Jürgen Klauber, Bernt-Peter Robra, Norbert Schmacke, and Caroline Schmuker, 83–94. Medizinisch Wissenschaftliche Verlagsgesellschaft, 2019. https://doi.org/10.32745/9783954664023-5.
Zurück zur Übersicht E-Bibliothek