Results
Related to Bandura’s categories, we identified six subcategories:
information provided by healthcare professionals, the patient’s
participation role, emotions due to the diagnosis, the relationship
between the healthcare professional and the patient, patient
characteristics and social support. The important determinants that
influenced patients’ treatment decisions were a poor recall of
information due to the emotions associated with diagnosis (e.g.,
completely shaken, fear) and the patient’s participation role preference
(mostly collaborative). Most patients preferred to discuss their
treatment options and the potential consequences for their daily life
with healthcare professionals. In addition, the determinants ‘a
well-informed patient’, ‘a trusting relationship between the healthcare
professional and the patient’ and ‘time out’ were preconditions for
enabling patients to take part in shared decision-making. Patient
characteristics and social support had less of an influence on patient’s
treatment decisions.