RT Journal Article SR Electronic T1 How can clinical practice guidelines be adapted to facilitate shared decision making? A qualitative key-informant study JF BMJ Quality & Safety JO BMJ Qual Saf FD BMJ Publishing Group Ltd SP 855 OP 863 DO 10.1136/bmjqs-2012-001502 VO 22 IS 10 A1 Trudy van der Weijden A1 Arwen H Pieterse A1 Marije S Koelewijn-van Loon A1 Loes Knaapen A1 France Légaré A1 Antoine Boivin A1 Jako S Burgers A1 Anne M Stiggelbout A1 Marjan Faber A1 Glyn Elwyn YR 2013 UL http://qualitysafety.bmj.com/content/22/10/855.abstract AB Background To explore how clinical practice guidelines can be adapted to facilitate shared decision making. Methods This was a qualitative key-informant study with group discussions and semi-structured interviews. First, 75 experts in guideline development or shared decision making participated in group discussions at two international conferences. Next, health professionals known as experts in depression or breast cancer, experts on clinical practice guidelines and/or shared decision making, and patient representatives were interviewed (N=20). Using illustrative treatment decisions on depression or breast cancer, we asked the interviewees to indicate as specifically as they could how guidelines could be used to facilitate shared decision making. Results Interviewees suggested some generic strategies, namely to include a separate chapter on the importance of shared decision making, to use language that encourages patient involvement, and to develop patient versions of guidelines. Recommendation-specific strategies, related to specific decision points in the guideline, were also suggested: These include structuring the presentation of healthcare options to increase professionals' option awareness; structuring the deliberation process between professionals and patients; and providing relevant patient support tools embedded at important decision points in the guideline. Conclusions This study resulted in an overview of strategies to adapt clinical practice guidelines to facilitate shared decision making. Some strategies seemed more contentious than others. Future research should assess the feasibility and impact of these strategies to make clinical practice guidelines more conducive to facilitate shared decision making.