Evidence mapPaperPMID 34853008Full record

ArticleBJGP open2022

Refining a primary care shared decision-making aid for lifestyle change: a mixed-methods study.

Neil Heron, Seán R O'Connor, Frank Kee, David R Thompson, Margaret Cupples, Michael Donnelly

Abstract read
In one paragraph

Article in BJGP open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Neil HeronCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland neilheron@yahoo.co.uk.ORCID https://orcid.org/0000-0002-4123-9806
Seán R O'ConnorCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland.
Frank KeeCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland.
David R ThompsonSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland.
Margaret CupplesCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland.
Michael DonnellyCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe important role of primary care in promoting healthy lifestyle behaviours needs informed support.

aimTo elicit views on a 39-item shared decision-making (SDM) aid (SHARE-D) for lifestyle change and refine it to improve implementation. DESIGN &

settingMixed-methods study.

methodHealth professionals, patients, and support workers, with experience of managing or a history of cardio- or cerebrovascular disease, were purposively recruited based on age, sex, and urban/rural location (

resultsSubstantial agreement was observed on rating item inclusion. Based on survey and interview data, 9/39 items were removed; 13 were amended. Qualitative themes were: 1) core content of the decision-aid; 2) barriers to use; 3) motivation for lifestyle change; and 4) primary care implementation. 'Self-reflective' questions and goal setting were viewed as essential components. The paper-based format, length, clarity, and time required were barriers to its use. Optional support considered within the aid was seen as important to motivate change. A digital version, integrated into patient record systems was regarded as critical to implementation. A revised 30-item aid was considered suitable for facilitating brief conversations and promoting patient autonomy.

conclusionThe SHARE-D decision aid for healthy lifestyle change appears to have good content validity and acceptability. Survey and interview data provided in-depth information to support implementation of a refined version. Further studies should examine its effectiveness.

Indexed as

decision making, sharedgeneral practicelifestyleprimary care

Identifiers

PMID34853008
PMCPMC8958746

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.