Christy, Shannon M.Rawl, Susan M.2025-05-222025-05-222013Christy SM, Rawl SM. Shared decision-making about colorectal cancer screening: a conceptual framework to guide research. Patient Educ Couns. 2013;91(3):310-317. doi:10.1016/j.pec.2013.01.015https://hdl.handle.net/1805/48322Objective: To develop a conceptual framework to guide research on shared decision-making about colorectal cancer (CRC) screening among persons at average risk and their providers. Methods: Based upon a comprehensive review of empirical literature and relevant theories, a conceptual framework was developed that incorporated patient characteristics, cultural beliefs, provider/health care system variables, health belief/knowledge/stage of adoption variables, and shared decision-making between patients and providers that may predict behavior. Relationships among concepts in the framework, shared decision-making process and outcomes, and CRC screening behavior were proposed. Directions for future research were presented. Results: Many of the concepts in the proposed framework have been examined in prior research. However, these elements have not been combined previously to explain shared decision-making about CRC screening. Conclusion: Research is needed to test the proposed relationships and hypotheses and to refine the framework. Practice implications: Findings from future research guided by the proposed framework may inform clinical practice to facilitate shared decision-making about CRC screening.en-USPublisher PolicyColorectal cancer screeningShared decision-makingPatient-provider communicationArticle