Data from the paper: Power asymmetry and embarrassment in shared decision-making: predicting participation preference and decisional conflict.

Item Type:	Dataset
Title:	Data from the paper: Power asymmetry and embarrassment in shared decision-making: predicting participation preference and decisional conflict.
Date:	2025
Creator:	Scherer, Karin Antonia ORCID: 0009-0005-4366-3511 ; Büdenbender, Björn ORCID: 0000-0003-1909-1224 ; Blum, Anja K. ORCID: 0000-0003-1136-6385 ; Grüne, Britta ORCID: 0000-0003-1593-217X ; Kriegmair, Maximilian C. ORCID: 0000-0002-0344-3590 ; Michel, Maurice S. ; Alpers, Georg W. ORCID: 0000-0001-9896-5158
Divisions:	School of Social Sciences > Klinische u. Biologische Psychologie u. Psychotherapie (Alpers 2010-)

DDC Classification:	150 Psychology 610 Medicine and health
Keywords:	Keywords: Shared decision-making, Patient-clinician interaction, Patient participation, Participation preference, Embarrassment, Power asymmetry, Urology, Urooncology
Abstract:	Background. Shared decision-making (SDM) is the gold standard for patient-clinician interaction, yet many patients are not actively involved in medical consultations and hesitate to engage in decisions on their health. Despite considerable efforts to improve implementation, research on barriers to SDM within the patient-clinician relationship and interaction is scant. To identify potential barriers to urological patients’ participation in decision-making, we developed two novel scales assessing power asymmetry (PA-ME) and embarrassment in medical encounters (EmMed). The present study validates both scales in a large sample comprising urological patients and non-clinical participants. It further examines the effects of both factors on participation preferences and decisional conflict among patients. Methods. Data were collected from 107 urological patients at a university hospital for Urology and Urosurgery in Germany. Patients completed self-report questionnaires before and after their clinical appointments. In addition, 250 non-clinical participants provided data via an online study. All participants rated perceived power asymmetry in the patient-clinician relationship and their experience of embarrassment in medical contexts using the PA-ME and EmMed scales. Urological patients further indicated their participation preference in decisions regarding both general and urological care prior to the consultation. Afterward, they assessed the level of perceived decisional conflict. Results. Factor analyses yielded power asymmetry and medical embarrassment as unidimensional constructs. Both questionnaires have good (PA-ME; α = 0.88), respectively excellent (EmMed; α = 0.95), internal consistency. Among urological patients, higher levels of perceived power asymmetry predicted lower generic participation preference (β = − 0.98, p <.001, adjusted R2 = 0.14) and higher decisional conflict (β = 0.25, p <.01, adjusted R2 = 0.07). While, in patients, embarrassment was not linked to generic participation preference before the consultation (p ≥.5), it resulted in higher decisional conflict after the consultation (β = 0.39, p <.001, adjusted R2 = 0.14). Neither power asymmetry nor embarrassment were specifically associated with participation preference regarding urological care (p ≥.273). Conclusions. Given their promising psychometric properties, the new instruments are recommended for routine assessment of power asymmetry and embarrassment among patients. Addressing these factors may be helpful to reduce decisional conflict and increase participation preferences. Both factors are prerequisites for a successful SDM-process and active patient engagement in health-related decisions.

URL:	https://madata.bib.uni-mannheim.de/462/
Availability (Controlled):	Delivery
Availability:	The data supporting the findings of this study are available from upon request, please email alpers@uni-mannheim.de
Publication(s) (MADOC):	Scherer, K. A., Büdenbender, B., Blum, A. K., Grüne, B., Kriegmair, M. C., Michel, M. S., & Alpers, G. W. (2025). Power asymmetry and embarrassment in shared decision-making: predicting participation preference and decisional conflict. BMC Medical Informatics and Decision Making, 25(1), 120. Scherer, K. A., Büdenbender, B., Blum, A. K., Grüne, B., Kriegmair, M. C., Michel, M. S., & Alpers, G. W. (2025). Power Asymmetry in Medical Encounters (PA-ME). University of Mannheim. Scherer, K. A., Blum, A. K., Büdenbender, B., Grüne, B., Kriegmair, M. C., Michel, M. S., & Alpers, G. W. (2025). Embarrassment in Medical Consultations (EmMed). University of Mannheim.

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Depositing User:	Karin Antonia Scherer
Date Deposited:	27 Mar 2025 14:28
Last Modified:	15 May 2025 11:52

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