title: Translating shared decision-making into health care clinical practices: proof of concepts.
abstract: BACKGROUND
  There is considerable interest today in shared decision-making (SDM), defined as a decision-making process jointly shared by patients and their health care provider. However, the data show that SDM has not been broadly adopted yet. Consequently, the main goal of this proposal is to bring together the resources and the expertise needed to develop an interdisciplinary and international research team on the implementation of SDM in clinical practice using a theory-based dyadic perspective.
  
  
  METHODS
  Participants include researchers from Canada, US, UK, and Netherlands, representing medicine, nursing, psychology, community health and epidemiology. In order to develop a collaborative research network that takes advantage of the expertise of the team members, the following research activities are planned: 1) establish networking and on-going communication through internet-based forum, conference calls, and a bi-weekly e-bulletin; 2) hold a two-day workshop with two key experts (one in theoretical underpinnings of behavioral change, and a second in dyadic data analysis), and invite all investigators to present their views on the challenges related to the implementation of SDM in clinical practices; 3) conduct a secondary analyses of existing dyadic datasets to ensure that discussion among team members is grounded in empirical data; 4) build capacity with involvement of graduate students in the workshop and online forum; and 5) elaborate a position paper and an international multi-site study protocol.
  
  
  CONCLUSIONS
  This study protocol aims to inform researchers, educators, and clinicians interested in improving their understanding of effective strategies to implement shared decision-making in clinical practice using a theory-based dyadic perspective.
authors.affiliation: Centre hospitalier universitaire de Québec, Hôpital St-François D'Assise, Unité de recherche évaluative, 10 rue de l'Espinay, Québec, Québec, G1L 3L5, Canada. france.legare@mfa.ulaval.ca
authors.forename: France
authors.initials: F
authors.lastname: Légaré
authors.forename: Glyn
authors.initials: G
authors.lastname: Elwyn
authors.forename: Martin
authors.initials: M
authors.lastname: Fishbein
authors.forename: Pierre
authors.initials: P
authors.lastname: Frémont
authors.forename: Dominick
authors.initials: D
authors.lastname: Frosch
authors.forename: Marie-Pierre
authors.initials: MP
authors.lastname: Gagnon
authors.forename: David A
authors.initials: DA
authors.lastname: Kenny
authors.forename: Michel
authors.initials: M
authors.lastname: Labrecque
authors.forename: Dawn
authors.initials: D
authors.lastname: Stacey
authors.forename: Sylvie
authors.initials: S
authors.lastname: St-Jacques
authors.forename: Trudy
authors.initials: T
authors.lastname: van der Weijden