Assessing dentist and dental student knowledge of and attitudes towards shared decision-making in the United Kingdom.

INTRODUCTION Shared decision-making (SDM) is a partnership between healthcare professionals and patients when choosing care. AIM To measure knowledge of, and attitudes to, SDM amongst undergraduate dental students and dentists in the UK. DESIGN AND SETTING Cross-sectional online questionnaire for 4th and 5th year dental students and dentists in the UK. MATERIALS AND METHODS The questionnaire included attitudinal questions, knowledge of SDM relative to the evidence base and preferred approach to decision-making. The questionnaire identified perceived learning needs and preferred method for SDM teaching for dentists and dental students. Respondents were invited to participate via social media, mailing lists and CPD courses. RESULTS Respondents included 266 undergraduates and 130 dentists. SDM was defined by the people involved, components of the discussion, approach to decision-making and expected outcome. Attitudes to SDM were generally positive although concerns were expressed about patients wanting professionals to make the decision, straying from the professionals' preferred option and compatibility with clinical guidelines. Respondents reported a preference for decision-making to involve patients, but this tended to be an informative rather than deliberative approach. Respondents were least sure of the evidence about the impact of SDM on adherence, choices and health outcomes, and the best approach to risk communication. Respondents from both groups reported an interest in learning more about SDM and its integration into clinical practice. CONCLUSION Knowledge of, and attitude to, SDM in UK dentists and dental undergraduates is generally positive; however, a demand for further SDM training was identified.