Table 1 Practical framework for shared decision making about goals and actions
Phase | Explanation |
|---|---|
1 Preparation | Informing the patient about the aim of the consultation. Inviting the patient to ask questions or raise points for discussion. |
2 Goal setting | |
A Exploration | Exploring the patient’s current and desired situations. |
B Giving Information | Giving information tailored to the patient. |
C Formulating goals | Supporting the patient in formulating feasible goals. |
3 Action planning | |
A Choice talk | Making sure the patient knows that he/she has a choice. |
B Option talk | Discussing possible options for actions with the patient. |
C Decision talk | Deciding on actions together with the patient. |
4 Evaluation | Continuously reflecting on the patient’s progress, and adjusting goals and actions. |