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Patient Educ Couns. 2013 Jun;91(3):310-7. doi: 10.1016/j.pec.2013.01.015. Epub 2013 Feb 15.

Shared decision-making about colorectal cancer screening: a conceptual framework to guide research.

Author information

1
Purdue School of Science, Indiana University-Purdue University Indianapolis, Indianapolis, USA. shanchri@iupui.edu

Abstract

OBJECTIVE:

To develop a conceptual framework to guide research on shared decision-making about colorectal cancer (CRC) screening among persons at average risk and their providers.

METHODS:

Based upon a comprehensive review of empirical literature and relevant theories, a conceptual framework was developed that incorporated patient characteristics, cultural beliefs, provider/health care system variables, health belief/knowledge/stage of adoption variables, and shared decision-making between patients and providers that may predict behavior. Relationships among concepts in the framework, shared decision-making process and outcomes, and CRC screening behavior were proposed. Directions for future research were presented.

RESULTS:

Many of the concepts in the proposed framework have been examined in prior research. However, these elements have not been combined previously to explain shared decision-making about CRC screening.

CONCLUSION:

Research is needed to test the proposed relationships and hypotheses and to refine the framework.

PRACTICE IMPLICATIONS:

Findings from future research guided by the proposed framework may inform clinical practice to facilitate shared decision-making about CRC screening.

PMID:
23419327
PMCID:
PMC3756595
DOI:
10.1016/j.pec.2013.01.015
[Indexed for MEDLINE]
Free PMC Article

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