This Explanation and Elaboration (E&E) article expands on the 26 items in the Standards for UNiversal reporting of Decision Aid Evaluations guidelines. The E&E provides a rationale for each item and includes examples for how each item has been reported in published papers evaluating patient decision aids. The E&E focuses on items key to reporting studies evaluating patient decision aids and is intended to be illustrative rather than restrictive. Authors and reviewers may wish to use the E&E broadly to inform structuring of patient decision aid evaluation reports, or use it as a reference to obtain details about how to report individual checklist items.
- shared decision making
- patient-centred care
- patient education
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Handling editor Kaveh G Shojania
Contributors The editorial writing team was led by KS and RT and included PA and AH. All listed authors contributed substantially to the writing of the manuscript. Each author was assigned and led drafting of specific items, and had the opportunity to review the manuscript prior to its submission. RT and AH were the leads for the manuscript and contributed to the conceptualisation, organisation and overall editing of the manuscript; preparation of the background and summary; and preparation of the appendices. SLS contributed additional review and summary of the evidence for the items.
Funding The in-person work group meetings were supported through grants from the United Kingdom’s Health Foundation (grant # 7444 Thomson PI) and the Agency for Healthcare Research and Quality’s Small Conference grant (1R13HS024250-01 Sepucha PI). ASH is funded by the Shared Decision-Making Collaborative of the Duncan Family Institute for Cancer Prevention and Risk Assessment at the University of Texas MD Anderson Cancer Center.
Competing interests KRS receives salary support as a scientific advisory board member for the Informed Medical Decisions Foundation, now part of Healthwise, a not-for-profit organisation that develops patient decision aids. VS received personal fees from Merck Pharmaceuticals. During the last 36 months, SS has received funding from the Agency for Health Services Research and Quality for a scoping review to identify a research agenda on shared decision making and high value care. During this time, she also completed unfunded research or papers on patient decision aid evaluations and developed the Reaching for High Value Care toolkit, a toolkit of evidence briefs and resources on patient-centred high value care for all levels of system leaders. As part of those efforts and efforts on the current manuscripts, SS has developed a series of research resources on reporting research. She is considering the potential benefits and harms of pursuing intellectual property protection for some of these efforts, but has not initiated these to date.
Provenance and peer review Not commissioned; externally peer reviewed.
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