TABLE 1.

Brief description of toolkit DAs

Tool	Features	IPDAS score
		Qualifying	Certification	Quality
Option grid	A one-page list of common questions regarding ICD implantation and CHF comparing staying with current medical treatment to getting an ICD. It is designed to facilitate discussion between patient and provider on the pros and cons to getting the device.	7/7	8/9	8/9
In-depth paper pamphlet	Four-page, color brochure describing heart failure progression, the purpose of an ICD plus the risks and benefits of ICD implantation. This DA highlights the trade-off of living longer with dying quickly allowing readers to reflect upon how each option align with their treatment goals.	7/7	9/9	9/9
Video	This engaging 17-minute video allows patient to hear directly from a Cardiologist and Electrophysiologist regarding the device, implantation, risks and benefits and trade-offs. Viewers hear testimonials from both ICD decliners and recipients of the ICD, providing a more personal perspective on the decision-making process.	7/7	8/9	8/9
Website	An interactive version of the in-depth paper tool, the website also includes a “test your understanding” section to reinforce information uptake. Patients can print out their responses along with any questions that came to mind while viewing the website. It incorporates patient video clips discussing reimplantation and deactivation of the ICD.	7/7	9/9	9/9