What are the best ways to improve shared decision-making for all patients booked for surgery?

Development, pilot, and evaluation of a decision support intervention that uses real-time feedback of patients’ experience of shared decision-making to change patient and professional decision-making processes before adult elective surgery and to improve patient and health service outcomes

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ISRCTN

Registry ID

ISRCTN17951423

Enrollment

130

Registered

2023-07-11

Start date

2023-10-01

Completion date

Unknown

Last updated

2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Any patients requiring surgical treatment Surgery

Interventions

The overall aim of this project is to develop, pilot, and evaluate a decision-support intervention that uses real-time feedback of patients’ experience of SDM to change patient and professional decisi

Eligibility

Sex/Gender

All

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: All patients over the age of 18 years who have been booked for planned vascular, gastrointestinal, urological, neurosurgical, gynaecological, breast, cardiac and orthopaedic surgical procedures at participating hospitals will be eligible to participate. Healthcare professionals working in participating Trusts will be eligible for inclusion. Specifically, this includes professionals that 1. Booked eligible patients for surgery 2. Are involved in SDM discussions with eligible patients 3. Have overall responsibility for eligible patients’ care Professional participants may include surgeons, anaesthetists, nurses, perioperative care physicians and allied health professionals. Members of the wider community over the age of 18 years will be eligible to take part. Included will be people who are disproportionately affected by poor SDM and outcomes of surgery: those that are economically disadvantaged, from minority ethnic groups, and in older age. Ethnicity is expected to focus on British Asian/South Asian populations as the most common minority group in the UK, however, this will be informed in discussions with stakeholders and patient and public representatives.

Exclusion criteria

Exclusion criteria: 1. Patients under the age of 18 years 2. Without capacity to consent for medical procedures 3. Undergoing unplanned (emergency) surgery or endoscopic procedures There are no specified exclusion criteria for healthcare professional participants or members of the wider community

Design outcomes

Primary

Measure	Time frame
Patients’ experiences of shared decision making measured using the CollaboRATE and SHARED-Q10 at baseline (upon surgery booking) and follow-up (before surgery)	—

Secondary

Measure	Time frame
Will be established during the study	—

Countries

England, United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Jul 3, 2026