This self-assessment survey will be used to help to understand how knowledge, belief and skills in shared decision making change over time. Thank you for completing the survey.

Please indicate in the table below your self assessed skill/knowledge level for each competency listed. A description of each skill level is provided here:

Level / Description
Unaware / 1 / At this stage you think that Shared Decision Making (SDM) skills/ techniques might be useful to you, but you don't know anything about them.
Aware / 2 / At this point you are learning about SDMskills/ techniques, perhaps by going on a training course, reading a book or informally from your supervisor or colleagues.
Informed / 3 / Now you are ready to look for suitable opportunities to put SDMinto practice, but it will take conscious effort to use the new skills/ techniques.
Capable / 4 / You are now using SDMskills/ techniques routinely, and are consciously aiming to improve by other methods.
Recognised / 5 / People around you recognise the change in skill level and you are now so practised that the skill has moved from your conscious to subconscious level.
Skill or knowledge / Level
I understand the structure of a shared decision making consultation
I am able to introduce a preference sensitive decision in a consultation
I am able to explain why there is more than one treatment option
I am able to portray the options and check for understanding
I am able to elicit the patient’s personal preferences
I am comfortable with introducing decision support tools (within or outside the consultation)
I am able to put into practice the skills I learned at the workshop

NOW PLEASE TURN OVER AND COMPLETE PAGE 2

1 / I think involving patients in decisions about treatment and care is not a good idea / I think involving patients in decisions about treatment and care is probably a good idea / I think involving patients in decisions about treatment and care is definitely a good idea
Tick one box / □ / □ / □
2 / I think providing decision support tools such as patient decision aids or Brief Decision Aids (BDAs) is not a good idea / I think providing decision support tools such as patient decision aids or Brief Decision Aids (BDAs) is probably a good idea / I think providing decision support tools such as patient decision aids or Brief Decision Aids (BDAs) is definitely a good idea
Tick one box / □ / □ / □
3 / I do not have any of the skills to involve patients in decisions about treatment and care / I have some of the skills to involve patients in decisions about treatment and care / I have all of the skills to involve patients in decisions about treatment and care
Tick one box / □ / □ / □
4 / I have a lot to learn about decision support tools such as patient decision aids or Brief Decision Aids (BDAs) / I have some more to learn about decision support tools such as patient decision aids or Brief Decision Aids (BDAs) / I have only a little more to learn about decision support tools such as patient decision aids or Brief Decision Aids (BDAs)
Tick one box / □ / □ / □
5 / At present I do not involve patients in making decisions about treatment and care / At present I sometimes involve patients in making decisions about treatment and care / At present I routinely involve patients in making decisions about treatment and care
Tick one box / □ / □ / □
6 / In future I do not wish to involve patients in making decisions about treatment and care / In future I would like to involve patients more in making decisions about treatment and care / In future I would like to feel my practice was based on fully involving patients in decisions about treatment and care
Tick one box / □ / □ / □
7 / I do not use decision support tools such as patient decision aids or Brief Decision Aids (BDAs) / I sometimes use patient decision support tools such as patient decision aids or Brief Decision Aids (BDAs) / I use patient decision support tools such as patient decision aids or Brief Decision Aids (BDAs) as part of routine practice
Tick one box / □ / □ / □

V1.2June 2013

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