title: Translating Evidence to Facilitate Shared Decision Making: Development and Usability of a Consult Decision Aid Prototype.
abstract: The purpose of this study was to translate evidence from Cochrane Reviews into a format that can be used to facilitate shared decision making during the consultation, namely patient decision aids.
  
  
  
  A systematic development process (a) established a stakeholder committee; (b) developed a prototype according to the International Patient Decision Aid Standards; (c) applied the prototype to a Cochrane Review and used an interview-guided survey to evaluate acceptability/usability; (d) created 12 consult decision aids; and (e) used a Delphi process to reach consensus on considerations for creating a consult decision aid.
  
  
  
  The 1-page prototype includes (a) a title specifying the decision; (b) information on the health condition, options, benefits/harms with probabilities; (c) an explicit values clarification exercise; and (d) questions to screen for decisional conflict. Hyperlinks provide additional information on definitions, probabilities presented graphically, and references. Fourteen Cochrane Consumer Network members and Cochrane Editorial Unit staff participated. Thirteen reported that it would help patient/clinician discussions and were willing to use and/or recommend it. Seven indicated the right amount of information, six not enough, and one too much. Changes to the prototype were more links to definitions, more white space, and details on GRADE evidence ratings. Creating 12 consult decision aids took about 4 h each. We identified ten considerations when selecting Cochrane Reviews for creating consult decision aids.
  
  
  
  Using a systematic process, we developed a consult decision aid prototype to be populated with evidence from Cochrane Reviews. It was acceptable and easy to apply. Future studies will evaluate implementation of consult decision aids.
authors.affiliation: School of Nursing, University of Ottawa and Clinical Epidemiology Program, Ottawa Hospital Research Institute, 451 Smyth Road (RGN 1118), Ottawa, ON, K1H 8M5, Canada. dstacey@uottawa.ca.
authors.forename: Dawn
authors.initials: D
authors.lastname: Stacey
authors.affiliation: Centre de recherche du CHU de Québec-Université Laval, Hôpital St-François d'Assise, Québec, QC, Canada.
authors.forename: France
authors.initials: F
authors.lastname: Légaré
authors.affiliation: , Ingersoll, Canada.
authors.forename: Anne
authors.initials: A
authors.lastname: Lyddiatt
authors.affiliation: Laval University, Pavillon Ferdinand-Vandry, Québec, QC, Canada.
authors.forename: Anik M C
authors.initials: AM
authors.lastname: Giguere
authors.affiliation: Bruyère Research Institute, Ottawa, ON, Canada.
authors.forename: Manosila
authors.initials: M
authors.lastname: Yoganathan
authors.affiliation: Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
authors.forename: Anton
authors.initials: A
authors.lastname: Saarimaki
authors.affiliation: Cochrane Musculoskeletal Group, Centre for Practice-Changing Research, General Campus, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
authors.forename: Jordi Pardo
authors.initials: JP
authors.lastname: Pardo
authors.affiliation: Canadian Agency for Drugs and Technologies in Health, Ottawa, ON, Canada.
authors.forename: Tamara
authors.initials: T
authors.lastname: Rader
authors.affiliation: Department of Medicine, University of Ottawa and Clinical Epidemiology Program, Ottawa, Canada.
authors.forename: Peter
authors.initials: P
authors.lastname: Tugwell
mesh_terms: D032921:Consensus; D003657:Decision Making; D003661:Decision Support Techniques; D006801:Humans; D010358:Patient Participation; D012017:Referral and Consultation