Cluster 1: Strategies to structure the presentation of options | |
1.1 | Present the details for all relevant outcomes of all options |
1.2 | Display evidence about patients' actual decisions, attributes, and adherence to treatment; and about professionals' prejudice against patient preferences |
1.3 | Provide illustrations of patients’ deliberations to highlight the importance of patient involvement |
1.4 | Describe a ‘second best’ or alternative option |
1.5 | Flag those recommendations for which incorporating patient preferences is urgent |
Cluster 2: Strategies to structure the deliberation process | |
2.1 | Describe who does what in guiding the patient through the decision-making process |
2.2 | Recommend that the patient receive a copy of the individualised treatment plan |
2.3 | Recommend that the professional encourage the patient to engage a proxy in the deliberation |
2.4 | Provide specific questions to ask patients about their values to prepare them for the deliberation |
2.5 | Recommend which patient decision aids should be used and when |
2.6 | Provide a minimum list of topics and types of arguments that should be discussed |
2.7 | Provide a step-wise communication strategy for discussing different treatment options that is tailored to subgroups of patients |
2.8 | Define quality indicators and benchmarks for the decision making process |
Cluster 3: Strategies to provide decision support tools | |
3.1 | Cross-link or incorporate risk communication tools, value clarification tools, and complete decision aids for preference-sensitive decisions |
3.2 | Incorporate the patient decision aid and the guideline recommendation in the electronic health record |
3.3 | Provide scores on performance indicators and benchmarks to facilitate choice for healthcare provider with favourable profile for SDM |
SDM, shared decision making.