Ridgeway, JenniferBranda, MeganBagewadi, ShubhangiMontori, Victor V.Jackson, HughNautiyal, VivekDagoberg, AshleeGómez, YvonneGharai, HoomanGravholt, Derek LoyEt. al.2026-06-182026-06-182026-05-30Ridgeway, J. L., Branda, M. E., Bagewadi, S., Montori, V., Jackson, H., Nautiyal, V., Dagoberg, A., Gomez, Y. L., Gharai, H., Khurana, C. S., Louks, K., Gravholt, D. L., & Montori, V. M. (2026). Champions and early adopters in an implementation-effectiveness study of shared decision making: Implications for interpersonal strategies. Implementation Science Communications. https://doi.org/10.1186/s43058-026-00977-02662-2211https://hdl.handle.net/11268/17170Although recommended, shared decision making (SDM) is not widely adopted for primary prevention of cardiovascular (CV) disease. Champions may influence peer adoption if they are enthusiastic and skilled. This study describes adoption of an SDM conversation aid for CV risk reduction (CV Prevention Choice) by champions and early adopters in a pragmatic implementation trial and consider their influence on uptake in clinics.engAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/PsicologíaToma de decisiones conjuntaEnsayo clínico pragmáticoFactores de riesgo de enfermedad cardiacajournal article10.1186/s43058-026-00977-0open accessEnfermedad cardiovascularInvestigación médicaMedicina preventivaGoal 3: Ensure healthy lives and promote well-being for all at all ages