Approval is granted with the following terms of clearance:
1. On the Pre-training clinician survey to assess prior experience with SDM instrument, AHRQ will refer to "MD" as "Doctor of Medicine" rather than "Medical Doctor" to avoid implying a hierarchy between physicians who hold the MD degree and those who hold the Doctor of Osteopathic Medicine degree
2. This collection will be conducted in compliance with Federal and local COVID-19 social distancing guidelines.
Inventory as of this Action
Requested
Previously Approved
10/31/2023
36 Months From Approved
18,460
0
0
476
0
0
0
0
0
Shared decision making (SDM) occurs when a health care provider and a patient work together to make a health care decision that is best for the patient. Implementing SDM involves effective communication between providers and patients to take into account evidence-based information about available options, the provider's knowledge and experience, and the patient's values and preferences in reaching the best health care decision for a patient. To facilitate SDM in all care delivery settings AHRQ developed the five-step SHARE Approach that includes exploring and comparing the benefits, harms, and risks of each option through meaningful dialogue about what matters most to the patient.
SDM is increasingly included in clinical care guidelines, and in some cases is even mandated. While there is considerable interest in improving SDM across broad health care settings, less is known about how to effectively implement SDM. There is evidence that SDM is often not conducted effectively in practice, and identifying ways to improve SDM has therefore become an imperative. Lack of clinician support and education have been identified as important barriers to SDM.
The SHARE Approach was developed by AHRQ as a clinician-facing toolkit that teaches clinicians skills to facilitate shared decision-making (SDM) across a broad range of clinical contexts. While several implementation success stories have been shared with AHRQ, to date there has been no formal evaluation of the effectiveness of the SHARE Approach materials for improving SDM in primary and specialty care settings for which it was designed. As a result, challenges that may be faced by practices who wish to implement the SHARE Approach are currently unknown. Without research to identify and address these issues, practices and organization may be unable to effectively implement the SHARE Approach and may be unwilling to do so absent evidence of its effectiveness at improving SDM outcomes.
The Evaluation of the SHARE Approach Model has the following goals:
1. Revise the SHARE Approach toolkit to remove outdated references and increase applicability for SDM in contexts involving problem solving
2. Evaluate the implementation of the SHARE Approach in eight primary care and four cardiology clinics
3. Evaluate the effectiveness of the SHARE Approach at improving SDM.
US Code:
42 USC 299
Name of Law: Healthcare Research and Quality Act of 1999
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form 4 Audio recorded encounters
Supporting Statement Part A (6).docx
Audio recorded encounters