Aklile Tsega Chekol, Yared Reta, Fikadu Ayinewa, Lielina Hailu, Mulualem Tesema, Mastewal Aschale Wale
Determinants of premenstrual dysphoric disorder and associated factors among regular undergraduate students at Hawassa University Southern, Ethiopia, 2023: institution-based cross-sectional study
BMC public health
incorporation shared decision making sdm central part empowerment processes facilitates greater activation part patients increasing likelihood gaining control healthcare developing skills solve health problems despite benefits still difficulties implementation sdm among healthcare professionals due internal external factors related context health systems explore primary care professionals pcps perceptions sdm model based preconceptions experience clinical practice framework analysis conducted qualitative data derived virtual community practice forum within clusterrandomized clinical trial developed empodera project important points opinions pcps exploring patients values preferences expectations providing checking understanding uptodate evidencebased health information analysis revealed three themes determinants implementation process sdm lack consistency dilemmas benefits pcp active listening motivation positive expectations sdm initial analysis examined connections categories tdc model application primary care context categories related model reflect theoretical understanding professionals related perceptions application use show certain discrepancies discrepancies could indicate lack understanding model realworld implications insufficient commitment part professionals organization ensure effective implementation specific targeted training addresses knowledge attitudes practice may resolve aforementioned findings