The SHARE Approach: 3 Modules and In-Person Exercises

Essential Elements of Shared Decision Making.
In this course, you’ll learn to:

  • Define “shared decision making” in healthcare
  • Communicate to patients that there are decisions to be made
  • Describe the 5 elements of the SHARE Approach and how to apply them

Instructions to complete module 1:

First, watch the Essential Elements video.

Next, complete 2 in-person exercises:

You can use the Conversation Starters handout as part of Module 1. This handout will give you several prompts to engage with patients for each of the 5 elements of SHARE Approach. You can roleplay these during training, or use in your practice.

Click above for the Module 1 VIDEO

Decision Aids: What They Are and How to Implement Them.
In this course, you’ll learn to:

  • Identify what a patient decision aid is and the benefits of using one.
  • Learn where to find decision aids.
  • Identify how to use different kinds of decision aids.

Instruction to complete Module 2:

First, watch the Decision Aids video.

Next, complete 1 in-person exercise:

You can search for decision aids at your institution or other institutions. Many of these can meet national guidelines. Here are 2 websites that include a large number of decision aids about various topids:

Click above for the Module 2 VIDEO

Communication: Barriers and Solutions.

In this course, you’ll learn to:

  • Explore common communication challenges.
  • Explain the impact of health literacy on patient understanding.
  • Describe techniques to better communicate health numbers in a way patients can understand.
  • Learn the teach-back method to facilitate understanding and communication.
  • Learn how to make a recommendation in a patient-centered way.
  • Identify strategies to support shared decision making among diverse patients with an array of social challenges.

Instruction to complete Module 3:

First, watch the Communication video.

Next, complete 3 in-person exercises:

There are 3 handouts for Module 3. You can use these while learning, or as a quick refresher afterwards.

  • The Communicating Numbers to Your Patients handout will help ensure your patients are understanding risks and benefits in your discussions.
  • The Teach-Back Method handout offers guidance on how to repeat back to patients what you hear them saying, and vice-versa, to ensure understanding. What you say isn’t always what people hear.
  • The Cultural Competency handout will help you identify strategies to support shared decision making among diverse patients with an array of social challenges.

Click above for the Module 3 VIDEO

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The Patient decision aids on this website are licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.The material provided on this website is for informational purposes only and is not provided as medical advice. Nothing contained in these pages is intended to be for medical diagnosis or treatment. Any individual should consult with his or her own physician before starting any new treatment or with any question you may have regarding a medical condition. No personal health information will be collected from users. Contact information is only collected if the user requests additional information regarding one of the tools. Last Updated 10/31/2019

Funding by the National Institutes on Aging (1K23AG040696) and the Patient-Centered Outcomes Research Institute (PI000116-01).