TABLE 1.
Perceiving of the treatment management by patient and HCP in the context of SDM approach.
| Stance | Perspective | Example | Interventions | [Source] |
| Obstacles | HCP | Vague definition of SDM without clear objectives. | SDM trainings | (106) |
| Lack of time | Compromise approach “everyday SDM” - with brief therapeutic recommendations from HCPs and supporting patient’s final decision | (107) | ||
| Busy and noisy ward environments | Create a private place | (108) | ||
| Low health literacy in patients | Less textual information, development of health literacy skills - functional, communicative and critical skills | (109) | ||
| Patient | Stigma about asthma as a disease/taboo | Patient’s education and disease awareness | (110) | |
| Doubts about the accuracy of asthma diagnosis | Realization about episodic nature of asthma; tailored communication between HCP and patient | (111) | ||
| Lack of knowledge of therapeutic options | Ensuring about all medical solutions | (108) | ||
| Perceived lack of efficacy and fear of side effects | Fight with irrational or erroneous beliefs by proper explanation of treatment scheme | (111) | ||
| Preferences | HCP | Provide feedback | Assessment of the conversation between HCP and patient | (99) |
| Provide private space | Ensuring no additional outside people during shared decisions | (108) | ||
| Patient | Convenient treatment adjusted to patients’ preferences | The treatment in a form of inhalers should contain more doses, last longer and contain dose counter | (11) | |
| Positive relation with HCP | Patients want to be taken seriously, they want to be empowered by health professionals to manage their asthma. | (11) | ||
| Development of strategies to feel control of asthma | Recognize specific asthma triggers, immediate access to inhalers | (11) | ||
| Preference for written asthma action plan | Patients want to have MART approach in written form to better remember it | (75) |