Evidence mapPaperPMID 40820546Full record

ArticleMusculoskeletal care2025

Impact of a Decision Aid on Perceptions of Shared Decision-Making in the Primary Care Management of Patients With Subacromial Pain Syndrome: A Two-Phased Multi-Methods Study.

Samantha C Bengtsen, Michael S Rathleff, Joshua R Zadro, Jens L Olesen, Nadine E Foster, Janus L Thomsen, Glyn Elwyn, Jens Søndergaard, Kristian D Lyng

Abstract read
In one paragraph

Article in Musculoskeletal care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Samantha C BengtsenCenter for General Practice, Aalborg University, Aalborg, Denmark.
Michael S RathleffCenter for General Practice, Aalborg University, Aalborg, Denmark.
Joshua R ZadroSydney Musculoskeletal Health, The University of Sydney, Sydney, New Souths Wales, Australia.
Jens L OlesenCenter for General Practice, Aalborg University, Aalborg, Denmark.
Nadine E FosterSTARS Education and Research Alliance, Surgical Treatment and Rehabilitation Service (STARS), The University of Queensland and Metro North Health, Brisbane, Queensland, Australia.
Janus L ThomsenCenter for General Practice, Aalborg University, Aalborg, Denmark.
Glyn ElwynThe Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Lebanon, New Hampshire, USA.
Jens SøndergaardResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Kristian D LyngCenter for General Practice, Aalborg University, Aalborg, Denmark.ORCID 0000-0001-8668-691X

Funding

Aalborg UniversitetDanske FysioterapeuterNational Health and Medical Research Council 2018182National Health and Medical Research Council APP1194105Novo Nordisk FoundationTrygFonden
6 · The paper itself

Abstract

backgroundSubacromial pain syndrome (SAPS) is the most common shoulder pain condition in primary care. Despite the importance of shared decision-making (SDM) being increasingly recognised, its application in SAPS care remains poorly understood. The primary aim of this study was to explore the influence of a decision aid on patient and observer perceptions of SDM, and secondarily to explore correlations between these ratings in the primary care management of patients with SAPS.

methodsWe conducted a multi-methods study including observations of consenting patients with SAPS in their clinical consultations with clinicians from four Danish primary care practices using OPTION-12. We gathered patients' perceptions of SDM 2 weeks after the consultation using the CollaboRATE questionnaire and Shared Decision-Making Questionnaire (SDM-Q-9). We observed consultations with and without the introduction of a decision aid tailored to support the management of patients.

resultsThirty-four consultations were observed (16 with and 18 without the decision aid). Without the aid, the mean (SD) OPTION-12 score was 10.5 (3.3), while the median (IQR) CollaboRATE and mean (SD) SDM-Q-9 scores were 5 (1.3) and 22.2 (7.5), respectively. With the aid, scores significantly increased: OPTION-12 to 22.7 (6.87, range 5-32), CollaboRATE to 6.5 (1.4), and SDM-Q-9 to 30.6 (8.4). Patients' and observers' OPTION-12 and SDM-Q-9 scores correlated significantly across both phases, but no significant correlation was found between CollaboRATE, OPTION-12, and SDM-Q-9 scores in either phase.

conclusionA decision aid significantly improved observer- and patient-rated SDM in primary care consultations for patients with SAPS. Observer-rated SDM scores more than doubled with the decision aid, and patients reported higher levels of SDM.

Indexed as

Decision Making, SharedDecision Support TechniquesPatient ParticipationShoulder Impingement SyndromeShoulder PainAdultAgedDenmarkFemaleHumansMaleMiddle AgedPrimary Health CareSurveys and Questionnaires

Identifiers

PMID40820546
PMCPMC12358763

What Socratic holds

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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.