Tools and resources to facilitate the use of shared decision making (SDM)

Infographic about shared decision making

Patient decision aids (PDAs) in rheumatology

• Tapering in Rheumatoid Arthritis PDA (Canadian Rheumatology Association (CRA))
• Methotrexate for RA PDA (Arthritis Research Canada)
• Biologics for RA PDA (Arthritis Research Canada)
• Biologics for RA PDA (Mayo Clinic)
• Covid-19 PDA (CRA)
• Osteoporosis PDAs (Mayo Clinic)
• Cochrane rheumatology PDAs (for osteoarthritis, rheumatoid arthritis and osteoporosis) (Cochrane)
• Other PDAs (Ottawa Hospital Research Institute (OHRI))

Decision coaching

• Resources about decision coaching (OHRI)

Question prompts

• ASK (AskShareKnow) Patient–Clinician Communication Model

Instruments to assess the impact of SDM

• SURE test to assess uncertainty (OHRI)

1. Sure of myself – Do you feel SURE about the best choice for you?
2. Understand information – Do you know the benefits and risks of each option?
3. Risk-benefit ratio – Are you clear about which benefits and risks matter most to you?
4. Encouragement – Do you have enough support and advice to make a choice?

(A response of yes scores 1 and a response of no scores 0; a score lower than 4 is a positive result for decisional conflict)

• Decision Quality Instruments (including hip and knee joint replacement in osteoarthritis)

Resources on SDM and tools

• OHRI website on PDAs, decision coaching, conceptual models, evaluation measures and implementation toolkit
• OMERACT SDM group
• Mayo Care that fits website
• Cochrane review of PDAs
• Cochrane review of decision coaching
• Twelve myths about shared decision making