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Legal and political landscape in shared decision making: Current Danish legislation empowers patients in securing their rights, but there are no present legislative developments in Denmark to support patient involvement. Policy initiatives within health care, however, show positive trends by, for example, including recommendations for shared decision making (SDM) in national clinical guidelines and the allocation of resources to fund projects in SDM. Within the last five years, three out of five regions have launched centers in patient involvement and SDM to focus on training, implementation of patient decision aids (PtDAs) and to foster the cultural change in SDM. A national dissemination of a template for easy building of PtDAs accessible via an online platform is one of the latest initiatives. The way forward: Although the political discourse on SDM is gathering speed, an unclear definition and purpose of SDM is a barrier to real-life implementation. Politicians, leaders and clinicians seem to be moving at different paces and in different directions and are lacking consensus on SDM as a paradigm requiring training, leadership and a patient-centered mindset. Conclusion: Many relevant initiatives are underway. However, SDM is also challenged by the lack of legislation and a central push for real SDM implementation in Denmark.

Supplemental material, sj-docx-1-mdm-10.1177_0272989X211021397 for Providing Balanced Information about Options in Patient Decision Aids: An Update from the International Patient Decision Aid Standards by Richard W. Martin, Stina Brogård Andersen, Mary Ann O’Brien, Paulina Bravo, Tammy Hoffmann, Karina Olling, Heather L. Shepherd, Kathrina Dankl, Dawn Stacey and Karina Dahl Steffensen in Medical Decision Making

Supplemental material, sj-docx-2-mdm-10.1177_0272989X211021397 for Providing Balanced Information about Options in Patient Decision Aids: An Update from the International Patient Decision Aid Standards by Richard W. Martin, Stina Brogård Andersen, Mary Ann O’Brien, Paulina Bravo, Tammy Hoffmann, Karina Olling, Heather L. Shepherd, Kathrina Dankl, Dawn Stacey and Karina Dahl Steffensen in Medical Decision Making

ObjectiveThe aim of this study was to develop and test a patient decision aid (PtDA) template that could be adapted to different clinical encounters.Methods A systematic development process guided by the International Patient Decision Aid Standards (IPDAS) model was adopted and a collaboration with a design school was established. Scope and purpose of prototypes were defined, steering groups were established and a PtDA template was designed. Alpha testing was conducted by structured interviews with patients and health care professionals. ResultsIn the alpha test, 39 patients and 24 health care professionals participated. Patients and health care professionals rated the PtDA highly for usability and acceptability and the PtDAs were found suitable for preparing patients to make preference-sensitive decisions.Qualitative findings were used to refine the PtDA.ConclusionUsing a systematic process and high user involvement we developed a PtDA template and two prototypes that meet the IPDAS criteria. Testing of the PtDA prototypes, showed that the template can be adapted to other clinical settings without affecting the quality of the PtDA.The PtDA template will be made available in a web-based “build-your-own-PtDA” software platform, making development of PtDAs more accessible for all health care professionals.