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Home / Education And Resources / Patient Centered Care / Shared Decision Making / Resources

RESOURCES

Developing a Shared Decision-Making Program

Developing a Shared Decision-Making Program

  • Minnesota Shared Decision-Making Collaborative. Broad set of resources to assist in developing a shared decision-making (SDM) program, including a roadmap of steps, case studies, and tools.
  • National Quality Partners PlaybookTM: Shared Decision-Making in Healthcare. A practical guide for healthcare organizations to implement or strengthen SDM. Includes six fundamentals to guide SDM, implementation examples, barriers, and solutions to overcome barriers.
  • Decision Support Toolkits for Specialty Care. From the Center for Shared Decision-Making at Dartmouth-Hitchcock Health, while these toolkits are specific to breast cancer and osteoarthritis, they provide a useful framework for integrating decisional support into clinical care models and may be effective as models for other cancer types.

Training/Capacity Building

  • AHRQ SHARE Approach. AHRQ’s SHARE Approach is a five-step process for shared decision-making that includes exploring and comparing the benefits, harms, and risks of each option through meaningful dialogue about what matters most to the patient. Includes a workshop curriculum, tools, and webinars on SDM skills, communication skills, and SDM implementation.
  • Midsouth PTN Shared Decision-Making Toolkit. This toolkit, developed by the Midsouth Practice Transformation Network (PTN), provides an overview of the steps in Shared Decision Making, explores key skills to improve provider-patient communication, and introduces resources that can aid in the process.
  • Inventory of Shared Decision-Making Programs for Healthcare Professionals. A list of training activities curated by the Canada Research Chair in Shared Decision-Making and Knowledge Translation at Université Laval.
  • Shared Decision-Making E-learning Course. Provided by the Minnesota Shared Decision-Making Collaborative, this one-hour e-learning course covers the basics of SDM.

Tools for SDM Implementation

  • Ottawa Personal Decision Guide. A generic tool designed to be used for any health decision and can be used by healthcare professionals to help facilitate decisions. Available in multiple languages.
  • Ottawa Hospital Research Institute Patient Decision Aids. A list of patient decision aids, including an extensive list of cancer decision aids, that meet a minimal set of criteria.
  • “Know Yourself” Worksheet. A tool developed by the National Coalition for Cancer Survivorship (NCCS) that helps patients prepare for a visit to their doctor and discuss their preferences with their family and healthcare team. Worksheet includes discussion of goals and quality of life priorities.
  • Measurement and Evaluation Tools for Palliative Care. Developed by the National Palliative Care Research Center, a compilation of tools to assess aspects of palliative care including pain and symptom management, functional status, psychosocial care, caregiver assessment, and quality of life.
  • Mayo Clinic Shared Decision-Making National Resource Center. Decision aids do not include those for cancer, however existing tools are useful examples of what SDM can do.

Communication

  • I*CARE – Interpersonal Communication and Relationship Enhancement. Online learning and in-person training developed by MD Anderson Cancer Center, covering culturally competent communication, challenging emotional conversations with patients and families, talking about treatment side effects, and more.
  • Health Literacy Measurement Tools. List of tools curated by AHRQ including instructions for administering tools.
  • Goals to Care: How to Keep the Person in “Person-Centered”. Guide developed by the National Committee for Quality Assurance (NCQA) provides advice on how to elicit and negotiate goals and support goal attainment in health and person-centered care.
  • Communicating with People with Hearing Loss. Strategies for communication in the health setting, created by UCSF Health.
  • Communicating with People Who Are Deaf or Hard of Hearing in the Hospital Setting. Developed by the USDOJ for Americans with Disabilities Act (ADA) compliance.
  • Vision Loss Affects Our Ability to Communicate. Article in Today’s Caregiver for non-clinician caregivers but provides useful tips for how to improve communication.
  • ONS Palliative Care Strategies. One-page summary of communication strategies and meeting strategies when discussing palliative care.
  • ONS Advanced Care Planning Worksheet. One-page questionnaire with prompts to help start the advanced care planning process.

Quality Improvement/Program Evaluation

  • Measure and Evaluate. Minnesota Shared Decision-Making Collaborative: Includes measurement resources to assess how well your SDM program is working.
  • SDM Q9. A nine-item questionnaire that measures the extent to which patients are involved in decision-making from the perspective of the patient.
  • National Quality Partners PlaybookTM: Shared Decision-Making in Healthcare. A practical guide for healthcare organizations to implement or strengthen SDM. Includes six fundamentals to guide SDM, implementation examples, barriers, and solutions to overcome barriers.
  • Decision Making at the Point of Care: Voices of Oncology Providers, A Patient Values Initiative Issue Brief. Produced by CancerCare through the Patient Values Initiative, a summary of qualitative research to understand some provider perspectives on the importance and utility of learning about their patients’ lifestyles and priorities, and how and when this information is recorded and/or shared with the larger care team. Provides tips on how to effectively use EHRs to improve person-centered care.

Patient Resources

  • Open to Options. A decision-support counseling program accessed through Cancer Support Community affiliates or by phone.
  • Let’s Talk Treatment Options. A web-based tool for use by patients ahead of their appointment to help them think through questions about their diagnosis, their treatment options, and their goals, including what matters most right now.
  • ASCO Answers Fact Sheets: Produced by the American Society of Clinical Oncology (ASCO), available for most cancers and includes a list of “questions to ask the health care team” for patients.

Articles

  • Shared Decision Making in Oncology Practice: What Do Oncologists Need to Know? Politi MC, Studts JL, Hayslip JW. Oncologist. 2012;17(1):91–100.
  • Shared Decision Making: A Model for Clinical Practice. Elwyn G, Frosch D, Thomson R, et al. J Gen Intern Med. 2012;27(10):1361–1367.
  • Lessons in Integrating Shared Decision-Making into Cancer Care. Steffensen KD,Vinter M, Crüger D, Dankl K, Coulter A, et al. J Oncol Pract.2018;14(4):229-235.
  • Decision Making Criteria in Oncology. Glatzer M, Panje CM, Sirén C, Cihoric N, Putora PM. Oncology. 2018.
  • Oncology Nursing and Shared Decision Making for Cancer Treatment. Tariman JD, Mehmeti E, Spawn N, McCarter SP, Bishop-Royse J, et al. Clin J Oncol Nurs. 2016;Oct 1;20(5):560-3.
  • Importance of Clarifying Patients’ Desired Role in Shared Decision Making to Match Their Level of Engagement with Their Preferences. Politi MC, Dizon DS, Frosch DL, Kuzemchak MD, Stiggelbout AM. BMJ. 2013;347:f7066.
  • What Is the Effectiveness of Patient Decision Aids for Cancer-Related Decisions? A Systematic Review Subanalysis. McAlpine K, Lewis KB,Trevena LJ,Stacey D. JCO Clin Cancer Inform.2018; Dec 2:1-13