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

Mayo Clin Proc. 2019 Apr;94(4):686-696. doi: 10.1016/j.mayocp.2018.08.030. Epub 2019 Jan 11.


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.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Atrial Fibrillation / therapy*
  • Decision Making*
  • Humans
  • Patient Education as Topic / methods*
  • Patient Participation / statistics & numerical data*
  • Physician-Patient Relations*
  • Risk Factors
  • Stroke / prevention & control