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Shared Decision Making in Health CareAchieving evidence-based patient choice$
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Glyn Elwyn, Adrian Edwards, and Rachel Thompson

Print publication date: 2016

Print ISBN-13: 9780198723448

Published to Oxford Scholarship Online: September 2016

DOI: 10.1093/acprof:oso/9780198723448.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 19 October 2021

Shared decision making and motivational interviewing

Shared decision making and motivational interviewing

Integrating two basic tools

(p.239) Chapter 37 Shared decision making and motivational interviewing
Shared Decision Making in Health Care

Glyn Elwyn

Dominick L. Frosch

Oxford University Press

While shared decision making (SDM) and motivational interviewing (MI) have been viewed as distinct, practitioners could benefit by using both approaches. MI focuses on supporting change away from risky behaviour towards a behaviour change goal, such as reducing smoking or losing weight. In contrast, SDM has typically been considered relevant when weighing up reasonable options in order to make a decision. Both approaches share the same principles of respecting autonomy and building relationships based on respect for the patient as a person. MI addresses ambivalence to change and seeks to explore and understand the patient’s reasons to change before setting out a plan of action. In contrast, SDM strives to clarify options and help patients take a more active role in considering those treatment options before supporting their journey towards informed, well-considered preferences. These complementary processes should be integrated as and when required.

Keywords:   Motivational interviewing, shared decision making, patient preferences, ambivalence, equipoise

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