Table 1

Components, their constituting elements, and how often they are part of the 40 shared decision making models.

ComponentsElementsFrequency
Advocate patient views
Patient advocacy12 (30%)
Patient opinion is important
Create choice awareness
Equipoise22 (55%)
Make need for decision explicit
Deliberate
Deliberation*23 (58%)
Negotiation*
Describe treatment options


Benefits/risks (pros/cons)†35 (88%)
Feasibility of option(s)
List options‡
Present evidence†
Determine roles in decision making process



All parties have a legitimate interest in the decision†14 (35%)
Formulation of equality of partners
Involves at least two people†
Patient's decisional role preference‡
Process determination or evaluation
Determine next step
Arrange follow-up†19 (48%)
Implementation
Foster partnership
Mutual respect†12 (30%)
Partnership†
Gather support and information
Patient accesses information8 (20%)
Support with decision
Healthcare professional expertiseDoctor knowledge*4 (10%)
Healthcare professional preferences
Healthcare professional preferences7 (18%)
Healthcare professional values
Learn about the patient
Check/clarify understanding healthcare professional‡21 (53%)
Learn about the patient
Make the decision


Document (discussion about) decision30 (75%)
Make or explicitly defer decision†
Patient retains ultimate authority over decision
Revisiting decision
Offer timeOffer time8 (20%)
Patient expertisePatient expertise3 (8%)
Patient preferences


Patient concerns26 (65%)
Patient goals of care
Patient preferences*
Patient values*
Patient questionsPatient questions8 (20%)
PreparePrepare (prior to consultation)6 (15%)
Provide information

Information exchange†17 (43%)
Medical information
Patient information
Provide neutral informationUnbiased information†8 (20%)
Provide recommendationDoctor recommendation*10 (25%)
Reach mutual agreementMutual agreement†14 (35%)
Set agenda
Decide on agenda for the consultation9 (23%)
Define/explain problem†
Support decision making process

Assess what patient needs to make decision11 (28%)
Doctor guidance in decision making process
Identify and address emotions
Tailor information


Ascertain preferred (format for) information†26 (65%)
Check/clarify understanding patient‡
Flexibility/individualised approach†
Use clear language
  • *Split element from review Makoul & Clayman;5 the original element contained two different constituents.

  • †Original element from review Makoul & Clayman.5

  • ‡Refined element from review Makoul & Clayman;5 we added the appropriate verb or relevant actor.