How participatory action research changed our view of the challenges of shared decision-making training

Jette Ammentorp, Maiken Wolderslund, Connie Timmermann, Henry Larsen, Karina Dahl Steffensen, Annegrethe Nielsen, Marianne Lau, Bodil Winther, Lars Henrik Jensen, Elisabeth Assing Hvidt, Niels Christian Hvidt, Pål Gulbrandsen

Research output: Contribution to journalJournal articleResearchpeer-review

313 Downloads (Pure)


This paper aims to demonstrate how the use of participatory action research (PAR) helped us identify ways to respond to communication challenges associated with shared decision-making (SDM) training.

Patients, relatives, researchers, and health professionals were involved in a PAR process that included: (1) two theatre workshops, (2) a pilot study of an SDM training module involving questionnaires and evaluation meetings, and (3) three reflection workshops.

The PAR process revealed that health professionals often struggled with addressing existential issues such as concerns about life, relationships, meaning, and ability to lead responsive dialogue. Following the PAR process, a communication programme that included communication on existential issues and coaching was drafted.

By involving multiple stakeholders in a comprehensive PAR process, valuable communication skills addressing a broader understanding of SDM were identified. A communication programme aimed to enhance skills in a mindful and responsive clinical dialogue on the expectations, values, and hopes of patients and their relatives was drafted.

Practical implications
Before integrating new communication concepts such as SDM in communication training, research methods such as PAR can be used to improve understanding and identify the needs and priorities of both patients and health professionals.
Original languageEnglish
JournalPatient Education and Counseling
Issue number4
Pages (from-to)639-646
Publication statusPublished - 2018


  • Communication skills training
  • Existential communication
  • Participatory action research
  • Patient involvement
  • Shared decision-making
  • Theatre workshop


Dive into the research topics of 'How participatory action research changed our view of the challenges of shared decision-making training'. Together they form a unique fingerprint.

Cite this