Intervention purpose | ||||
---|---|---|---|---|
Inform/prepare/educate | Participate/informed decision making | Participate/shared decision making | ||
Components | ||||
Passive patient | Readable or comprehensible summary of illness or health condition | ✓ | ✓ | ✓ |
Role | Readable or comprehensible information about pros and cons of treatment option(s) | ✓ | ✓ | ✓ |
Risk figures presented in an accessible way: note; not verbal equivalents (for example, low/high) | ✓ | ✓ | ✓ | |
Information about procedures, aftercare, and other information sources | ✓ | ✓ | ✓ | |
Patient prompt to prepare questions for consultation | ✓ | ✓ | ✓ | |
Explicit reference to the decision to be made | ✓ | ✓ | ||
Figure to represent decision options and outcomes | ✓ | ✓ | ||
Layout to help patients reason about options' attributes | ✓ | ✓ | ||
Technique to help patient express values about outcomes | ✓ | ✓ | ||
Technique to encourage reasoning/trade-offs | ✓ | ✓ | ||
Active patient | Clinician prompt to provide expert opinion and/or evidence | ✓ | ||
Role | Clinician training to understand and negotiate choices based on different values and experience | ✓ |
Reproduced from Winterbottom A, Conner M, Mooney A, Bekker HL. Evaluating the quality of patient leaflets about renal replacement therapy across UK renal units. Nephrol Dial Transplant 2007; 22(8): 2291–2296. By permission from the European Renal Association − European Dialysis and Transplant Association.32