Table 2

Stages and competencies of involving patients in health care decisions40

(1)  Implicit or explicit involvement of patients in decision making process
(2)  Explore ideas, fears, and expectations of the problem and possible treatments
(3)  Portrayal of options
(4)  Identify preferred format and provide tailor made information
(5)  Checking process: understanding of information and reactions (eg, ideas, fears, and expectations of possible options)
(6)  Acceptance of process and decision making role preference
(7)  Make, discuss, or defer decisions
(8)  Arrange follow up