Decision aids that really promote shared decision making: the pace quickens

Thomas Agoritsas, Anja Fog Heen, Linn Brandt, Pablo Alonso-Coello, Annette Kristiansen, Elie A Akl, Ignacio Neumann, Kari Ao Tikkinen, Trudy van der Weijden, Glyn Elwyn, Victor M Montori, Gordon H Guyatt, Per Olav Vandvik, Thomas Agoritsas, Anja Fog Heen, Linn Brandt, Pablo Alonso-Coello, Annette Kristiansen, Elie A Akl, Ignacio Neumann, Kari Ao Tikkinen, Trudy van der Weijden, Glyn Elwyn, Victor M Montori, Gordon H Guyatt, Per Olav Vandvik

Abstract

Decision aids can help shared decision making, but most have been hard to produce, onerous to update, and are not being used widely. Thomas Agoritsas and colleagues explore why and describe a new electronic model that holds promise of being more useful for clinicians and patients to use together at the point of care

Conflict of interest statement

Competing interests: All authors have read and understood BMJ policy on declaration of interests and declare the following interests: TA, AFH, LB, AK, PAC, EAA, IN, KAOT, VMM, GHG, POV are members of the GRADE working group (www.gradeworkinggroup.org), as well as coinvestigators in the DECIDE project (www.decide-collaboration.eu). TA, AFH, LB, AK, GHG, POV are members of the MAGIC research and innovation program. GE leads the Option Grid collaborative. VMM designs and tests shared decision making tools at the KER UNIT in Mayo Clinic. These tools are then made available for free with no income generated for him, his unit, or his institution.

Provenance and peer review: Not commissioned; externally peer reviewed.

Figures

https://www.ncbi.nlm.nih.gov/pmc/articles/instance/4784581/bin/agot023361.f1_default.jpg
Fig 1 Outline of the methods and user-centred approach in the SHARE-IT project. Objective A=to develop a framework for the generic translation of GRADE evidence summaries into decision aids; Objective B=to design a set of interactive presentation formats for use in the clinical encounter; Objective C=to test the feasibility of an automated production of these decision aids from electronically published evidence summaries. Subsequent phases of the project involve the generic production of decision aids from real practice guidelines and their evaluation in randomised trials and cohort studies

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Source: PubMed

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