Understanding behavioral intent to participate in shared decision-making in medically uncertain situations

Roxana M. Maffei, K. Dunn, J. Zhang, C. E. Hsu, J. H. Holmes

Research output: Contribution to journalReview articlepeer-review

9 Citations (Scopus)


Objective: This article describes the process undertaken to identify and validate behavi - oral and normative beliefs and behavioral intent based on the Theory of Reasoned Action (TRA) and applied to men between the ages of 45 and 70 in the context of their participation in shared decision-making (SDM) in medically uncertain situations. This article also discusses the preliminary results of the aforementioned processes and explores potential future uses of this information that may facilitate greater understanding, efficiency and effectiveness of clinician-patient consultations. Materials and Methods: Twenty-five male subjects from the Philadelphia community participated in this study. Individual semistructure patient interviews were conducted until data saturation was reached. Based on their review of the patient interview transcripts, researchers conducted a qualitative content analysis to identify prevalent themes and, subsequently, create a category framework. Qualitative indicators were used to evaluate respondents' experiences, beliefs, and behavioral intent relative to participation in shared decision-making during medical uncertainty. Results: Based on the themes uncovered through the content analysis, a category framework was developed to facilitate understanding and increase the accuracy of predictions related to an individual's behavioral intent to participate in shared decision-making in medical uncertainty. The emerged themes included past experience with medical uncertainty, individual personality, and the relationship between the patient and his physician. The resulting three main framework categories include 1) an individual's Foundation for the concept of medical uncertainty, 2) how the individual Copes with medical uncertainty, Methods Inf Med 4/2012

Original languageEnglish
Pages (from-to)301-308
Number of pages8
JournalMethods of Information in Medicine
Issue number4
Publication statusPublished - 2012

All Science Journal Classification (ASJC) codes

  • Health Informatics
  • Advanced and Specialised Nursing
  • Health Information Management


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