Evaluation of the SHARE Approach Model

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 Revise the SHARE Approach toolkit to remove outdated references and increase applicability for SDM in contexts involving problem solving 2.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.

The latest form for Evaluation of the SHARE Approach Model expires 2023-10-31 and can be found here.

Attachment B – SHARE Approach evaluation clinician and staff surveys

Federal Enterprise Architecture: Health - Health Care Services

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