Table 4.

IPDASi v3 checklist.

Dimension	Item	Result
Information	1. The decision support technology (DST) describes the health condition or problem (intervention, procedure or investigation) for which the index decision is required	✓
	2. The DST describes the decision that needs to be considered (the index decision)	✓
	3. The DST describes the options available for the index decision	✓
	4. The DST describes the natural course of the health condition or problem, if no action is taken.	✓
	5. The DST describes the positive features (benefits or advantages) of each option	✓
	6. The decision aid describes negative features (harms, side effects or disadvantages) of each option.	✓
	7. The DST makes it possible to compare the positive and negative features of the available options.	✓
	8. The DST shows the negative and positive features of options with equal detail (for example, using similar fonts, order and display of statistical information).	✓
Probabilities	1. The DST provides information about outcome probabilities associated with the options (i.e. the likely consequences of decisions)	✓
	2. The DST specifies the defined group (reference class) of patients for which the outcome probabilities apply.	✓
	3. The DST specifies the event rates for the outcome probabilities (in natural frequencies).	✓
	4. The DST specifies the time period over which the outcome probabilities apply.	✓
	5. The DST allows the user to compare outcome probabilities across options using the same denominator and time period.	✓
	6. The DST provides information about the levels of uncertainty around event or outcome probabilities (e.g. by giving a range or by using phrases such as “our best estimate is …”).	✓
	7. The DST provides more than one way of viewing the probabilities (e.g. words, numbers and diagrams).	✓
	8. The DST provides balanced information about event or outcome probabilities to limit framing biases.	✓
Values	1. The DST describes the features of options to help patients imagine what it is like to experience the physical effects.	✓
	2. The DST describes the features of options to help patients imagine what it is like to experience the psychological effects.	✓
	3. The decision support technology describes the features of options to help patients imagine what it is like to experience the social effects.	✓
	4. The decision support technology asks patients to think about which positive and negative features of the options matter most to them.	✓
Decision Guidance	1. The decision support technology provides a step-by-step way to make a decision.	✓
	2. The decision support technology includes tools like worksheets or lists of questions to use when discussing options with a practitioner.	✓
Development	1. The development process included finding out what clients or patients need to prepare them to discuss a specific decision.	✓
	2. The development process included finding out what health professionals need to prepare them to discuss a specific decision with patients.	✓
	3. The development process included expert review by clients/patients not involved in producing the decision support technology.	✓
	4. The development process included expert review by health professionals not involved in producing the decision aid.	✓
	5. The decision support technology was field tested with patients who were facing the decision.	✓
	6. The decision support technology was field tested with practitioners who counsel patients who face the decision.	✓
Evidence	1. The decision support technology (or associated documentation) provides citations to the studies selected.	✓
	2. The decision support technology (or associated documentation) describes how research evidence was selected or synthesized.	✓
	3. The decision support technology (or associated documentation) provides a production or publication date.	✓
	4. The decision support technology (or associated documentation) provides information about the proposed update policy.	✓
	5. The decision support technology (or associated documentation) describes the quality of the research evidence used.	✓
Disclosure and Transparency	1. The decision support technology (or associated technical documentation) provides information about the funding used for development.	✓
	2. The decision support technology includes author/developer credentials or qualifications.	✓
Plain Language	1. The decision support technology (or associated documentation) reports readability levels (using one or more of the available scales).	✓
DST Evaluation	1. There is evidence that the DST improves the match between the features that matter most to the informed patient and the option that is chosen.	✓
	2. There is evidence that the patient decision support technology helps patients improve their knowledge about options’ features.	✓

DST: decision support technology.