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

Shared Decision Making for Atrial Fibrillation (SDM4AFib) Trial Investigators

Research output: Contribution to journalReview article

2 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)686-696
Number of pages11
JournalMayo Clinic proceedings
Volume94
Issue number4
DOIs
StatePublished - Apr 2019

ASJC Scopus subject areas

  • Medicine(all)

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