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Within this vast continuum, the variables which will impact on the decision making process include desires (utilities associated with each alternative, personal values, goals, etc), beliefs (expectations about processes and outcome, knowledge, means to achieve desired outcome etc)[18] and other practical considerations (e.g. Decision making in healthcare may be moving from paternalism to autonomy, finally settling on shared decision making and 'consumerism'[19].

In addition, the decision making process for child health is different to that of adults as it may include the whole family not just the patient[20].

A systematic search of the literature was carried out.Such considerations revolve around the personal perception of the balance between expected drawbacks of action (e.g.side effects) and the anticipated benefits of the treatment[17].This model provides a valuable framework for future research, and could be used to explain child CAM use.An understanding of the decision making process is crucial in promoting shared decision making between healthcare practitioners and parents and could inform service delivery, guidance and policy.

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