title: Advancing theories, models and measurement for an interprofessional approach to shared decision making in primary care: a study protocol.
abstract: BACKGROUND
  Shared decision-making (SDM) is defined as a process by which a healthcare choice is made by practitioners together with the patient. Although many diagnostic and therapeutic processes in primary care integrate more than one type of health professional, most SDM conceptual models and theories appear to be limited to the patient-physician dyad. The objectives of this study are to develop a conceptual model and propose a set of measurement tools for enhancing an interprofessional approach to SDM in primary healthcare.
  
  
  METHODS
  An inventory of SDM conceptual models, theories and measurement tools will be created. Models will be critically assessed and compared according to their strengths, limitations, acknowledgement of interprofessional roles in the process of SDM and relevance to primary care. Based on the theory analysis, a conceptual model and a set of measurements tools that could be used to enhance an interprofessional approach to SDM in primary healthcare will be proposed and pilot-tested with key stakeholders and primary healthcare teams.
  
  
  CONCLUSIONS
  This study protocol is informative for researchers and clinicians interested in designing and/or conducting future studies and educating health professionals to improve how primary healthcare teams foster active participation of patients in making health decisions using a more coordinated approach.
authors.affiliation: Research Center of the Centre Hospitalier Universitaire de Québec, Québec, Canada. france.legare@mfa.ulaval.ca
authors.forename: France
authors.initials: F
authors.lastname: Légaré
authors.forename: Dawn
authors.initials: D
authors.lastname: Stacey
authors.forename: Ian D
authors.initials: ID
authors.lastname: Graham
authors.forename: Glyn
authors.initials: G
authors.lastname: Elwyn
authors.forename: Pierre
authors.initials: P
authors.lastname: Pluye
authors.forename: Marie-Pierre
authors.initials: MP
authors.lastname: Gagnon
authors.forename: Dominick
authors.initials: D
authors.lastname: Frosch
authors.forename: Margaret B
authors.initials: MB
authors.lastname: Harrison
authors.forename: Jennifer
authors.initials: J
authors.lastname: Kryworuchko
authors.forename: Sophie
authors.initials: S
authors.lastname: Pouliot
authors.forename: Sophie
authors.initials: S
authors.lastname: Desroches
mesh_terms: D003657:Decision Making; D006801:Humans; D008962:Models, Theoretical; D009726:Nurses / Q000523:psychology; D010358:Patient Participation; D010820:Physicians / Q000523:psychology; D011320:Primary Health Care / Q000379:methods*; D011369:Professional-Patient Relations; D015203:Reproducibility of Results