The challenge of shared decision making among patients with lower literacy: A framework for research and development

Kirsten J. McCaffery, Sian K. Smith, Michael Wolf

Research output: Contribution to journalArticlepeer-review

76 Scopus citations

Abstract

There have been major advances in techniques to increase patient involvement in health decisions with the benefits of greater involvement and shared decision making now widely recognized. However, there has been little attention in the development of tools and strategies to support patient participation among adults with lower literacy, a group with poor health knowledge, limited involvement in health decisions, and poor health outcomes. The authors put forward a framework to consider the different stages of shared health decision making and the tasks and skills required to achieve each stage. They consider where current research exists in the decision making literature and where more is needed if adults with limited literacy are to be better engaged in shared decision making in health care.

Original languageEnglish (US)
Pages (from-to)35-44
Number of pages10
JournalMedical Decision Making
Volume30
Issue number1
DOIs
StatePublished - Jan 2010

Keywords

  • Health literacy
  • Informed choice
  • Informed decision making
  • Literacy
  • Patient involvement
  • Shared decision making

ASJC Scopus subject areas

  • Health Policy

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