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Patient Decision Aids
Conceptual Frameworks
Development Toolkit
Evaluation Measures
Implementation Toolkit
   Step 1: Identify the decision
   Step 2: Find patient decision aids
   Step 3: Identify barriers
   Step 4.1: Implement decision aids/support
   Step 4.2: Provide training
   Step 5: Monitor use and outcomes
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Step 4.2: Provide training
Provide training for health professionals.

Do health professionals recognize a need to better support patients when making decisions? Is there a need for training in shared decision making and/or decision coaching?

4.2 Training Activities
The Cochrane Review of Interventions to Increase Adoption of Shared Decision Making and another systematic review of patients' perception of shared decision making both found that when health professionals participated in education, they were more likely to use patient decision aids and share decision making with patients. The following are evidence and theory-based educational programs developed and evaluated by our research program.

  1. Ottawa Decision Support Tutorial (ODST)
    The ODST is an online tutorial based on the Ottawa Decision Support Framework and designed to help health professionals further develop their knowledge and skills in providing decision support. The ODST features:
    • Self-paced learning
    • Self-assessment quizzes with tailored feedback at the end of each section
    • Criterion-referenced final test
    • Certificate of Completion (for scores of 75% or more on the final test)
    • Downloadable PDF version of online reading
    Log in requires selection of your own user name and password. Anyone may use the ODST for educational purposes at no cost without permission. The ODST is protected by copyright but is freely available for you to use, provided you cite the original source. Findings from multiple studies show that health professionals and students who use the tutorial have improved knowledge (compared to baseline scores and when compared to control groups).
  2. Video example of the Shared Decision Making (SDM) process
    Click here to watch a video illustrating a shared decision-making process in a medical encounter regarding the use of antibiotics to treat an acute respiratory tract infection.
  3. Decision Support Workshops
    There are two workshops for health professionals on topics related to decision support. If you are interested in any of the workshops please contact us at decisionaid@ohri.ca for information on availability and cost.

    Decision Support/Coaching Skill-Building Workshop
    Based on the Ottawa Decision Support Framework, this 3-hour workshop to build skills in assessing patients' decisional needs, coaching patients through a process of decision making, self-assessing the quality of decision support provided, and exploring ways to implement decision support.

    Interprofessional Shared Decision Making (IP-SDM) Skill-Building Workshop
    Based on the key elements of the IP-SDM conceptual model, this 3-hour workshop aims to build skills in considering team-based approach to involving patients in the decision making process, assessing patients' decisional needs, using evidence- and theory-based interventions to support patients making decisions, self-appraising the quality of decision support, and exploring ways to implement decision support.

  4. Credit Courses in Decision Making
  5. Curriculum-Based Tools

    Integrating Patient Decision Support in Curriculum
    Stepwise series of lectures, problem-based case scenarios, and assignments that can be embedded as a thread across a curriculum for health professionals.


Examples of additional resources

Légaré F, Politi MC, Drolet R, Desroches S, Stacey D, Bekker H; the SDM-CPD team. (2012). Training health professionals in shared decision-making: An international environmental scan. Patient Educ Couns. 2012 Aug;88(2):159-169. Epub 2012 Feb 1.

Légaré F, Bekker H, Desroches S, Drolet R, Politi MC, Stacey D, Borduas F, Cheater FM, Cornuz J, Coutu MF, Ferdjaoui-Moumjid N, Griffiths F, Härter M, Jacques A, Krones T, Labrecque M, Neely C, Rodriguez C, Sargeant J, Schuerman JS, Sullivan MD. (2011). How can continuing professional development better promote shared decision-making? Perspectives from an international collaboration. Implement Sci. 2011 Jul 5;6:68.

Murray MA, Stacey D, Wilson KG, O'Connor AM. (2010). Skills training to support patients considering place of end-of-life care: a randomized control trial. J Palliat Care. 26(2):112-21.

Stacey D, Higuchi KA, Menard P, Davies B, Graham ID, O'Connor AM. (2009). Integrating patient decision support in an undergraduate nursing curriculum: An implementation project. Int J Nurs Educ Scholarsh. 6(1):Article10.

Stacey D, Chambers SK, Jacobsen MJ, Dunn J. (2008). Overcoming barriers to cancer-helpline professionals providing decision support for callers: An implementation study. Oncol Nurs Forum. 35(6):961-9.

Stacey D, O'Connor AM, Graham ID, Pomey MP. (2006). Randomized controlled trial of the effectiveness of an intervention to implement evidence-based patient decision support in a nursing call centre. J Telemed Telecare. 12(8):410-5.



Last modified: 2014-01-10.

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