PONE-D-22-19504“SDM:HOSP”- a generic model for hospital-based implementation of Shared Decision MakingPLOS ONE

Dear Dr. Olling,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

Both reviewers are positive about the manuscript. One of them has, however, some minor remarks that I kindly ask you to consider before I can make a final decision about publication. 

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Kind regards,

Sara Rubinelli

Academic Editor

PLOS ONE

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Partly

Reviewer #2: Yes

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: No

Reviewer #2: N/A

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3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

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4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

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5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: Dear Authors, I am happy to see an implementation science paper came to my review table almost fully equipped. WhileI do not have qualms on the development procedures of the study, I do have some comments for improvements for the manuscript as they are some missing information or better way of presenting the information:

1. There is missing information on all four the questionnaires used.

a. What are the basis of these questionnaire?

b. Were they self-created or adapted?

c. If adapted, please provide the necessary reference?

d. If modifications were made in the adaptation, please detail the procedures and pilot outcomes.

e. If its self-created, this will lead to a whole new string of procedures that is quite lengthy but needed to be explained in this manuscript or referenced to possibly another development and validation paper.

2. The analysis section is too brief. Kindly detail the analysis procedure if they are descriptive or inferential in nature and justify why they are chosen.

3. Data presentation in supporting information section:

a. While the presentation of the questionnaire is highly recommended, the data could be presented better in the form of graphs or charts that is beneficial in terms of visual representation. Presentation of plain numbers in questionnaire layout is too crowded and confusing.

b. The presentation of the results in the manuscript is also inconsistent to the presentation in the supporting information. While the supporting information provided the raw numbers, the manuscript results were presented in percentage and as a reader I find this confusing and inconsistent. Please revise.

4. In the results of the Development of the final implementation model (line 357-358) and in the Discussion section (sporadically mentioned but a longer mention in line

Reviewer Recommendation and Comments for Manuscript Number PONE-D-22-21297

439-441) was the the introduction of the fourth theme -process. How did this "new theme" came around as there are no data to support the creation of this theme or the procedural generation of it. Please define this "missing link"in the manuscript.

Reviewer #2: This is a very good study. Shared Decision Making between healthcare professionals and patients within the hospital setting is something that should be applicable to almost all countries. This is very important. This study is a first, or at least among the first of its kind, and it is needed by many countries. Well done to the authors for coming up with such an important study.

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Reviewer #1: Yes: Mohammad Zabri Johari

Reviewer #2: No

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“SDM:HOSP”- a generic model for hospital-based implementation of Shared Decision Making

PONE-D-22-19504R1

Dear Dr. Olling,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Sara Rubinelli

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

Reviewer #2: All comments have been addressed

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2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: Yes

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3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: N/A

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4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

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5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

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6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: I am happy with all the revisions made and have no further comments to add. I support the publication of this manuscript as it meets the requirements based on the recent revision.

Reviewer #2: The authors have adequately addressed comments in a previous round of review. As such, the manuscript is acceptable for publication.

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7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: Yes: Dr Mohammad Zabri Johari

Reviewer #2: No

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