title: Shared decision-making about colorectal cancer screening: a conceptual framework to guide research.
abstract: OBJECTIVE
  To develop a conceptual framework to guide research on shared decision-making about colorectal cancer (CRC) screening among persons at average risk and their providers.
  
  
  METHODS
  Based upon a comprehensive review of empirical literature and relevant theories, a conceptual framework was developed that incorporated patient characteristics, cultural beliefs, provider/health care system variables, health belief/knowledge/stage of adoption variables, and shared decision-making between patients and providers that may predict behavior. Relationships among concepts in the framework, shared decision-making process and outcomes, and CRC screening behavior were proposed. Directions for future research were presented.
  
  
  RESULTS
  Many of the concepts in the proposed framework have been examined in prior research. However, these elements have not been combined previously to explain shared decision-making about CRC screening.
  
  
  CONCLUSIONS
  Research is needed to test the proposed relationships and hypotheses and to refine the framework.
  
  
  CONCLUSIONS
  Findings from future research guided by the proposed framework may inform clinical practice to facilitate shared decision-making about CRC screening.
authors: Purdue School of Science, Indiana University-Purdue University Indianapolis, Indianapolis, USA. shanchri@iupui.edu
authors: Shannon M
authors: SM
authors: Christy
authors: Susan M
authors: SM
authors: Rawl
mesh_terms: D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000628:therapy; D003657:Decision Making; D004059:Diffusion of Innovation; D055088:Early Detection of Cancer / Q000523:psychology*; D005260:Female; D017408:Guidelines as Topic; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000523:psychology; D010043:Outcome and Process Assessment, Health Care; D010358:Patient Participation / Q000523:psychology*; D010817:Physician-Patient Relations; D012959:Socioeconomic Factors