Table 1.

SDM-ROM model

1. Introduction	➣ Refer to expectations about shared process.
	➣ Discuss which role the patient desires in decision making.
	➣ Connect with patient’s wishes and goals. ‘What does he/she want to achieve in treatment?’
	➣ Explain about ROM as an information source.
2. Give meaning to ROM	➣ Discuss ROM outcomes
	➣ Steps:
	Identify, Understand, Appreciate, Act.
3. Explore options	➣ Discuss options, advantages and disadvantages, in a neutral manner.
4. Weigh options	➣ Weigh advantages and disadvantages: ‘What’s for you important?’
5. Shared Decision	➣ Can a choice be made?
	➣ Select together most appropriate option.
	➣ Make follow-up appointments.

Shared Decision Making using Routine Outcome Monitoring as an information source (Step 1 to 5)