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Table 7 Participants’ perceptions of how each program component could facilitate their adoption of shared decision-making

From: User-centered and theory-based design of a professional training program on shared decision-making with older adults living with neurocognitive disorders: a mixed-methods study

E-learning activity

Decision box

Describes the SDM process

Improves knowledge about shared decision-making

Sets out the potential benefits of shared decision-making

Describes clinical situations where shared decision-making is most relevant

Describes situations where SDM should be prioritized and explains how shared decision-making can still be implemented when you’re short of time

Explains that SDM requires a discussion around probabilities of experiencing risks associated with each option, and explains why the Decision boxes present statistics

Explains how best to present risks, and the evidence underlying these principles

Supports discussion of pros and cons of the options with patients, even for more difficult topics

Demonstrates to patients that their values are respected

Helps empower patients

Offers simpler vocabulary and definitions to explain more complex concepts

Supports patients’ understanding of the stakes

Helps maintain a therapeutic relationship when a decision threatens this relationship

Improves client service

Provides up-to-date scientific knowledge needed for professional practice

Synthesizes the evidence required to support decision making

Improves knowledge of the available options

Helps to take ownership of unfamiliar topics and guides patients more effectively toward their preferred option

Helps refer patients to the services available near their home in order to support implementation of the selected option