TABLE II.

Booklet questions, rationale, and fit with shared decision-making (SDM)

Question	Rationale and fit
Do you understand why you are going to see your health care provider?
	People might not understand why they have been asked to meet with one or more health care providers. They might have travelled a long distance without having anyone inform them about why they are going to see the health care providers.
	For SDM to occur, the patient and the health care provider must be clear about the decision that they are meeting to discuss.
What do you want help for? How does this affect you?
	People might not be confident to share information about their health concerns with health care providers. As well, people value the expertise of health care providers to help with their health.
	With SDM, patients bring expertise about their health concern or concerns to health care decisions with their health care provider or providers.
What are your worries?
	People might not be confident to share information about their lives that affects decisions about their health care. For example, Inuit might consider health care decisions from the perspective of how having a contributing community member absent (for example, hunter, caregiver to dependents) affects their family and community, rather than from an individual perspective.
	Inuit also have recent experiences with residential schools, medical ships that removed family members, and other events that have created distrust of Western-oriented health care systems.
	With SDM, patient views and values are considered in weighing health care options and the risks and benefits of those options, while health care decisions are made together with health care providers. SDM has been found to promote culturally safe care.
What are you hoping will be better after seeing your health care provider?
	People might not be confident to share information about their lives that might be very different from lives lived in an urban setting. For example, people might want help to be able to resume activities that are not familiar to urban-based health care providers.
	With SDM, patient views and values are considered in weighing health care options and the risks and benefits of those options, while health care decisions are made with health care providers.
Are there traditional or cultural ways to heal that you use or want to know more about?
	People might not be confident to share information about what could support them in participating in their health care. For example, Inuit might derive comfort from familiar food (such as country food) or from community resources to support them during their care.
	With SDM, patient views and values are important both for making and for following through on decision-making with health care providers.
What information do you need and who can support you to make good health decisions for you?
	People mght not have the resources or supports to follow through on a decision for a plan of care.
	The final step in the SDM process is agreement between the health care provider and the patient for a feasible plan of care.