Ottawa Decision Support Framework (ODSF)

The Ottawa Decision Support Framework is an evidence-based, practical, mid-range theory for guiding patients making health or social decisions. It uses a three-step process to:

  1. assess client and practitioner determinants of decisions to identify decision support needs;
  2. provide decision support tailored to client needs using
  3. evaluate the decision making process and outcomes.

It is based on concepts from general psychology (Tversky & Kahneman, 1981), social psychology (Ajzen & Fishbein, 1980), decision analysis (Keeney & Raiffa, 1976), decisional conflict (Janis & Mann, 1977), social support (Norbeck, 1988; Orem, 1995), and economic concepts of expectations and values (Feather, 1980).

The ODSF has been used to guide the development and evaluation of more than 30 patient decision aids, practitioner decision support resources, and tools to evaluate the quality and outcomes of providing decision support.

The Patient Decision Aids Research Group welcomed 40 participants to a two-day workshop in May 2010, to discuss The Ottawa Decision Support Framework: Update, Gaps and Research Priorities in Ottawa, Ontario, Canada.

Presentation by Annette O'Connor entitled "Ottawa Decision Support Framework: Historical Perspective" (PowerPoint file with audio). Part of the "20th Anniversary Update of the Ottawa Decision Support Framework: A Workshop to Discuss Evidence, Lessons Learned, and Future Research." held during the "10th International Shared Decision Making Conference (ISDM 2019), that took place from July 7-10 2019 in Quebec City, Canada.

References discussing the ODSF

Last modified: 2015-06-22.