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. 2025 Aug 12;12:1639805. doi: 10.3389/fmed.2025.1639805

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)