Samuel G. Smith|Anjali U. Pandit|Steven R. Rush|Michael S. Wolf|Carol Simon
The Role of Patient Activation in Preferences for Shared Decision Making: Results From a National Survey of U.S. Adults
Queen Mary University of London|Northwestern University|Northwestern University|United Hospital|Northwestern University|Optum (United States)
studies investigating preferences shared decision making sdm focused associations sociodemographic variables investigations exploring patient factors aimed investigate relationship patient activation preferences sdm 6 common medical decisions among nationally representative crosssectional survey american adults adults older 18 recruited online n 2700 telephone n 700 respondents completed sociodemographic assessments patient activation measure also asked whether perceived benefit yesno sdm 6 common medical decisions nearly half sample 459 reached highest level activation level 4 activation associated age p 001 higher income p 001 higher education p 010 better selfrated health p 001 fewer chronic conditions p 050 proportion people agreed sdm beneficial varied 531 deciding necessity diagnostic test 718 decisions associated making lifestyle changes controlled participant characteristics higher activation associated greater perceived benefit sdm across 4 6 decisions preferences sdm varied among 6 common medical scenarios low patient activation important barrier sdm could ameliorated development behavioral interventions