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Review
. 2019 Apr;94(4):686-696.
doi: 10.1016/j.mayocp.2018.08.030. Epub 2019 Jan 11.

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

Claudia L Zeballos-Palacios  1 , Ian G Hargraves  1 , Peter A Noseworthy  2 , Megan E Branda  1 , Marleen Kunneman  1 , Bruce Burnett  3 , Michael R Gionfriddo  4 , Christopher J McLeod  5 , Haeshik Gorr  6 , Juan Pablo Brito  1 , Victor M Montori  7 ; Shared Decision Making for Atrial Fibrillation (SDM4AFib) Trial Investigators
Collaborators, Affiliations
Review

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

Claudia L Zeballos-Palacios et al. Mayo Clin Proc. 2019 Apr.

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.

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Figures

Figure 1.
Figure 1.
Process for developing and prototyping conversation aids for use in the clinical encounters.
See this image and copyright information in PMC

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