TABLE.
Research components | Research priorities | Research questions |
---|---|---|
1. Shared decision making process at the level of clinical consultation | • Assess if and how shared decision making happens in diverse clinical consultations for rheumatoid arthritis. | • What are the different decisions facing patients with rheumatoid arthritis at the different steps of their care process? |
2. Strategies to foster shared decision making in rheumatoid arthritis. | • Pursue development of new decision aids using adaptative and computer-assisted designs. • Pursue large-scale pragmatic randomized trials of decision aids and/or clinician training to determine their effectiveness. • Expand innovative SDM strategies such as shared goals and preference phenotypes. |
• Are there more effective implementation strategies beyond the learning collaborative to support uptake of SDM in clinical practice? • Is there a differential effect of SDM tools among persons with limited health literacy? |
3. Measuring SDM and its impact in clinical practice | • Following consensus on Core Outcome Domains for SDM, identify valid, reliable and easy-to-use tools to measure the impact of SDM in clinical practice. | • Does SDM improve rheumatoid arthritis outcomes (e.g. disease activity, quality of life)? • Can SDM reduce disparities in health outcomes in rheumatoid arthritis? |