Shared Decision Making

Question 1

How can we help and support a patient in shared decision making in treatment?

Answer 1

• Understand the care, treatment and support options available, and the risks, benefits and consequences.
• Make a decision based on good evidence-based information and their personal preferences.

Question 2

True or False: Shared decision making can be relevant in both life threatening and non-life threatening situations.

Answer 2

False. Only in non-life threatening situations.

Question 3

Why is it important that patients are supported to make decisions based on their personal preferences?

Answer 3

• More adherence to treatment/care
• More likely to have improved outcomes
• Less likely to regret decisions made

Question 4

What are the 4 parts of shared decision making?

Answer 4

• Prepared Public
• Commissioned service
• Trained teams
• Supportive systems and processes

Question 5

What does BRAN stand for and what part of shared decision making does it come under?

Answer 5

• Benfits, Risks, Alternatives, Nothing
• Prepared Public

Question 6

What are some examples of SDM support tools?

Answer 6

Using diagrams to show patients the benefit of having treatment, for example.

Question 7

What is a Patient Decision Aid?

Answer 7

Tool designed to help patients make informed healthcare choices by providing evidence-based information about available options.

Question 8

What are the essential standards for a PDA?

Answer 8

1. Health condition, decision and available options
2. Details of available options
3. Support for the person’s values, circumstances, and preferences
4. Use of language and numbers
5. For PDAs that include screening and diagnostic tests
6. Formats and availability of PDAs aimed at patients
7. Evidence sources
8. Patient involvement and co-production
9. Neutral presentations of benefits and risks
10. Review cycle and declaration of interests

Question 9

What are the Enhanced Standards for PDAs?

Answer 9

• Experience of treatments
• Presentation of data
• Field testing and validation with users
• Equality, diversity and health inequalities

Question 10

What are the 2 ways to measure SDM?

Answer 10

• Three-item CollaboRATE - patient rates SDM consultation after consultation from 0-4
• SDM Q9 - 9 questions on consultation from strongly disagree-strongly agree. Same for patients and clinicians.

Question 11

True or False: Shared Decision Making = Personalised Care

Answer 11

True