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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