Summary of themes derived from the qualitative analysis
| Theme | Summary |
|---|---|
| 1. Limited motivation to use tools designed to support patients participate in decisions | Low motivation for the intended role of patient decision was encountered, as illustrated by uncertain deployment of the tools in clinical pathways and low uptake by patients |
| 2. ‘We already do shared decision-making’ | Strong perception that clinicians were already involving patients in decisions, therefore no perceived need to change or to adopt decision support by adapting pathways |
| 3. Perceived patients’ barriers to involvement in decision-making | Clinicians cited barriers such as technical access problems and often saw patients as those that did not want to be involved in shared decision-making or as those they felt had already accessed information on the internet |
| 4. Organisational factors that reduce professionals’ motivation to involve patients in decision-making | External efficiency targets and health professionals’ views about the imperative of using effective treatments were significant barriers to introducing patient decision support tools |