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Table 6 Participant perceptions of the pros and cons of adopting shared decision-making (SDM) as assessed using open-ended questions after participants’ exposure to the e-learning activity

From: User-centered and theory-based design of a professional training program on shared decision-making with older adults living with neurocognitive disorders: a mixed-methods study

Themes and Subthemes
Pros of SDM
SDM allows patient-centered care by adapting practice to each patient
SDM may increase patient adherence to treatment
SDM increases patient’s perceived control over their health and satisfaction with care
SDM leads to clinician and patient satisfaction about the decision
SDM respects ethics
SDM may be challenging but pays in the long run
SDM decreases clinician’s perceived decisional burden
SDM structures the discussion with the patient
SDM improves patient’s perception of being understood
SDM allows clinician to provide patient support with a human approach
SDM helps establish trust
SDM enhances patient comfort with the decision; limits regret
SDM allows for improved risk perception by patients
SDM does not increase duration of the clinical consultation
SDM is useful in uncertain situations
Cons of SDM
SDM takes time and is therefore not appropriate in emergency situations
SDM may depend on patient’s personality or health condition
Applying SDM is challenging without training or tools that provide access to probabilities
Patient’s preference could contradict the clinician’s recommendations
SDM is not appropriate when risk is low
SDM is incompatible with phone follow-ups
SDM cannot be applied to every question the patients have, since they are too numerous
Patients might ask clinicians to make the decision even if SDM principles are applied
Patient preferences could contradict public health recommendations
Applying SDM can be difficult for decisions on goals of care
Applying SDM may be challenging when there are several equivalent options
SDM could lead to multiple medical consultations
SDM is not applicable in cases of immediate treatment