Developing a Conversation Aid to Support Shared Decision Making: Reflections on Designing Anticoagulation Choice

Academic Article


  • Patient-centered care requires that treatments respond to the problematic situation of each patient in a manner that makes intellectual, emotional, and practical sense, an achievement that requires shared decision making (SDM). To implement SDM in practice, tools—sometimes called conversation aids or decision aids—are prepared by collating, curating, and presenting high-quality, comprehensive, and up-to-date evidence. Yet, the literature offers limited guidance for how to make evidence support SDM. Herein, we describe our approach and the challenges encountered during the development of Anticoagulation Choice, a conversation aid to help patients with atrial fibrillation and their clinicians jointly consider the risk of thromboembolic stroke and decide whether and how to respond to this risk with anticoagulation.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Pubmed Id

  • 9068394
  • Author List

  • Zeballos-Palacios CL; Hargraves IG; Noseworthy PA; Branda ME; Kunneman M; Burnett B; Gionfriddo MR; McLeod CJ; Gorr H; Brito JP
  • Start Page

  • 686
  • End Page

  • 696
  • Volume

  • 94
  • Issue

  • 4