Developing a Conversation Aid to Support Shared Decision Making: Reflections on Designing Anticoagulation Choice.

Abstract:

:Patient-centered care requires that treatments respond to the problematic situation of each patient in a manner that makes intellectual, emotional, and practical sense, an achievement that requires shared decision making (SDM). To implement SDM in practice, tools-sometimes called conversation aids or decision aids-are prepared by collating, curating, and presenting high-quality, comprehensive, and up-to-date evidence. Yet, the literature offers limited guidance for how to make evidence support SDM. Herein, we describe our approach and the challenges encountered during the development of Anticoagulation Choice, a conversation aid to help patients with atrial fibrillation and their clinicians jointly consider the risk of thromboembolic stroke and decide whether and how to respond to this risk with anticoagulation.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Zeballos-Palacios CL,Hargraves IG,Noseworthy PA,Branda ME,Kunneman M,Burnett B,Gionfriddo MR,McLeod CJ,Gorr H,Brito JP,Montori VM,Shared Decision Making for Atrial Fibrillation (SDM4AFib) Trial Investigators.

doi

10.1016/j.mayocp.2018.08.030

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

686-696

issue

4

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(18)30675-X

journal_volume

94

pub_type

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