--- title: "Provider reactions to decision aids and shared dec making. | Sutter Health" description: "Implementing decision aids in clinical practice to promote shared dec making requires addressing individual provider attitudes, beliefs, and knowledge of SDM." url: "https://www.sutterhealth.org/research/publications/md-reactions-dec-aids-shared-decision-making-1055312504" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Provider reactions to decision aids and shared dec making. # Exploring provider reactions to decision aid distribution and shared decision making: lessons from two specialties. Hsu C, Liss DT, Frosch DL, Westbrook EO, & Arterburn D. _Med Decis Making. 37(1):113-126. Epub 2016 Oct 6._ 2017-01-01 ## Abstract BACKGROUND: A critical component of shared decision making (SDM) is the role played by health care providers in distributing decision aids (DAs) and initiating SDM conversations. Existing literature indicates that decisions about designing and implementing DAs must take provider perspectives into account. However, little is known about how differences in provider attitudes across specialties may impact DA implementation and how provider attitudes may shift after DA implementation. Group Health's Decision Aid Implementation project was carried out in six specialties using 12 video-based DAs for preference-sensitive conditions; this study focused on two of the six specialties. DESIGN: In-depth, qualitative interviews with specialty care providers in two specialties-orthopedics and cardiology-at two time points during DA implementation. Data were analyzed using a thematic analysis approach. RESULTS: We interviewed 19 care providers in orthopedics and cardiology. All respondents believed that providing patients with accurate information on their health conditions and treatment options was important and that most patients wanted an active role in decision making. However, respondents diverged in decision-making styles and views on the practicality and appropriateness of using the DAs and SDM. For example, cardiology specialists were ambivalent about DAs for coronary artery disease because many viewed DAs and SDM as unnecessary or inappropriate for this clinical condition. Provider attitudes towards DAs and SDM were generally stable over two years. LIMITATIONS: Limitations include a lack of patient perspectives, social desirability bias, and possible selection bias. CONCLUSIONS: Successfully implementing DAs in clinical practice to promote SDM requires addressing individual provider attitudes, beliefs, and knowledge of SDM by specialty. During DA development and implementation, providers should be asked for input about the specific conditions and care processes that are most appropriate for SDM. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/27899745) ## Research topics - [Cardiovascular Diseases](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Cardiovascular+Diseases%5C%22%22) - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22) - [Musculoskeletal Disorders](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Musculoskeletal+Disorders%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Compliance after switching from branded to generic statins.](https://www.sutterhealth.org/research/publications/compliance-switch-from-branded-to-generic-statins-1055312703) Romanelli RJ, Jukes T, Segal JB. Pharmacoepidemiol Drug Saf. doi: 10.1002/pds.3630. 2014 May 09 - Publication ### [Financial incentives and cholesterol levels.](https://www.sutterhealth.org/research/publications/financial-incentives-and-cholesterol-levels-1055312411) Lesser LI, McCormack JP. JAMA. 315(15):1657-8. doi: 10.1001/jama.2016.0309. 2016 Apr 19 - Publication ### [Treatment and management of postmenopausal osteoporosis within an ambulatory care network.](https://www.sutterhealth.org/research/publications/tx-and-mgmt-of-postmenopausal-osteoporosis-1055312615) Romanelli RJ, Leahy A, Jukes T, Ishisaka DY. J Pharm Technol. 29(2):55-60. doi: 10.1177/875512251302900202 2013 Mar 01 - Publication ### [Predictors of statin compliance after switching from branded to generic agents among managed-care beneficiaries.](https://www.sutterhealth.org/research/publications/statin-compliance-predictors-branded-to-generic-1055312734) Romanelli RJ, Segal JB. 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Am J Health Syst Pharm. 68(22):2184-9. doi: 10.2146/ajhp110102. 2011 Nov 15 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/md-reactions-dec-aids-shared-decision-making-1055312504#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Provider reactions to decision aids and shared dec making."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/md-reactions-dec-aids-shared-decision-making-1055312504#medicalscholarlyarticle","name":"Exploring provider reactions to decision aid distribution and shared decision making: lessons from two specialties.","headline":"Provider reactions to decision aids and shared dec making.","abstract":"BACKGROUND: A critical component of shared decision making (SDM) is the role played by health care providers in distributing decision aids (DAs) and initiating SDM conversations. Existing literature indicates that decisions about designing and implementing DAs must take provider perspectives into account. However, little is known about how differences in provider attitudes across specialties may impact DA implementation and how provider attitudes may shift after DA implementation. Group Health's Decision Aid Implementation project was carried out in six specialties using 12 video-based DAs for preference-sensitive conditions; this study focused on two of the six specialties. DESIGN: In-depth, qualitative interviews with specialty care providers in two specialties-orthopedics and cardiology-at two time points during DA implementation. Data were analyzed using a thematic analysis approach. RESULTS: We interviewed 19 care providers in orthopedics and cardiology. All respondents believed that providing patients with accurate information on their health conditions and treatment options was important and that most patients wanted an active role in decision making. However, respondents diverged in decision-making styles and views on the practicality and appropriateness of using the DAs and SDM. For example, cardiology specialists were ambivalent about DAs for coronary artery disease because many viewed DAs and SDM as unnecessary or inappropriate for this clinical condition. Provider attitudes towards DAs and SDM were generally stable over two years. LIMITATIONS: Limitations include a lack of patient perspectives, social desirability bias, and possible selection bias. CONCLUSIONS: Successfully implementing DAs in clinical practice to promote SDM requires addressing individual provider attitudes, beliefs, and knowledge of SDM by specialty. During DA development and implementation, providers should be asked for input about the specific conditions and care processes that are most appropriate for SDM.","description":"Implementing decision aids in clinical practice to promote shared dec making requires addressing individual provider attitudes, beliefs, and knowledge of SDM.","keywords":["Cardiovascular Diseases","Disease Management","Health Services","Musculoskeletal Disorders"],"datePublished":"2017-01-01","url":"https://www.sutterhealth.org/research/publications/md-reactions-dec-aids-shared-decision-making-1055312504","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"27899745"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/27899745/"],"isPartOf":{"@type":"Periodical","name":"Med Decis Making"},"author":[{"@type":"Person","name":"Hsu C"},{"@type":"Person","name":"Liss DT"},{"@type":"Person","name":"Frosch DL"},{"@type":"Person","name":"Westbrook EO"},{"@type":"Person","name":"Arterburn D"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Cardiovascular Diseases","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Cardiovascular+Diseases%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Disease Management","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Disease+Management%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Health Services","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Health+Services%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Musculoskeletal Disorders","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Musculoskeletal+Disorders%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/md-reactions-dec-aids-shared-decision-making-1055312504","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/md-reactions-dec-aids-shared-decision-making-1055312504#breadcrumblist"}}} ```