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:
- Exercise #1: Making a Patient-Centered Recommendation.
See pages 3-4 of the Facilitator’s Guide. - Exercise #2: Role-Play Exercise.
See pages 4-6 of the Facilitator’s Guide.- The Role Play handout includes scripts for role playing a patient, a clinician, and the Role-Play Checklist.
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.
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:
- Exercise #3: Exploring Decision Aids.
See pages 7-8 of the Facilitator’s Guide.
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:
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:
- Exercise #4: Discuss What Makes Communication Difficult.
See page 9 of the Facilitator’s Guide. - Exercise #5: Communicating Numbers.
See page 10 of the Facilitator’s Guide.
You can print out the Communicating Numbers handout. - Exercise #6: Wrap Up Discussion.
See page 10 of the Facilitator’s Guide.
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.



