Option Grid™ decision aids

Optimize shared decision making with patient-specific decision aids.

Option Grid™ decision aids are brief, easy-to-read tools that help patients and providers compare healthcare options. Content is developed using the most current evidence available and is focused on the questions patients most frequently ask when they need to make preference-sensitive decisions. Providers can select two to three options to compare, and for select topics, fill in patient-specific data to customize the grid.

EBSCO Health Option Grid Decision Aids in Action

Available Option Grids

Option Grids decision aids highlighted in bold are certified by the Washington State Health Care Authority.

  • Abdominal Aortic Aneurysm: Treatment Options
  • Amniocentesis Test for Chromosome Problems: Yes or No? 
  • Atrial Fibrillation: Treatment Options to Lower Stroke Risk 
  • Breast Cancer: Surgical Options
  • Breast Reconstruction After Mastectomy: Surgical Options
  • Breast Reduction Surgery: Yes or No?
  • Breathing with a Ventilator: Stop or Stay on?
  • Cardiopulmonary Resuscitation (CPR) in Serious Illness: Yes or No?
  • Depression: Treatment Options
  • Down Syndrome Screening: Yes or No? 
  • Enlarged Prostate: Treatment Options for Benign Prostatic Hypertrophy
  • Failure to Progress in Labor: Delivery Options
  • Heavy Menstrual Bleeding: Treatment Options
  • Hepatitis C Treatment Now: Yes or No?
  • Herniated Disk in Lower Back: Treatment Options
  • Hip Osteoarthritis: Treatment Options
  • Implantable Cardioverter Defibrillator for Heart Failure: Yes or No?
  • Ischemic Heart Disease: Treatment Options for Chest Pain from One Blocked Artery 
  • Kidney Dialysis: Stay On or Stop?
  • Knee Osteoarthritis: Treatment Options
  • Lung Cancer Screening: Yes or No?
  • Multiple Sclerosis (MS): Treatment Options to Slow Disease
  • Nutrition at the End of Life: Feeding Tubes and Other Options
  • Opioid Addiction: Treatment Options
  • Planning for the End of Life: Options for Getting the Care You Want
  • Previous Cesarean Section: Delivery Options
  • Post-Traumatic Stress Disorder (PTSD): Treatment Options
  • Prostate Cancer: Treatment Options for Low-risk Prostate Cancer
  • Prostate Specific Antigen (PSA) Test: Yes or No?
  • Stenosis of Lower Back: Treatment Options for Spinal Narrowing
  • Uterine Fibroids: Treatment Options

Features Include

  • Customize content based on patient demographics
  • Choose options to compare and a customized decision aid is dynamically created
  • Print or email to patients
  • Copy and paste into the EMR
  • Available in UK and US English

Learning More About Shared Decision Making

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Interested in learning more about Option Grid™ decision aids?

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Providers can share customized Option Grid decision aids with patients electronically, or they can print them during the encounter. Providers are able to easily document the decision aids with a prepopulated EMR note.

Benefit Breakdown

Empowers Patients: Helps patients share what matters most to them

Easy to Read: Uses patient-friendly language

Evidence-Based: Uses highest quality clinical evidence available

Patient-Tested: Co-developed with patients to make sure the patient voice is heard

Trustworthy: Developed without conflicts of interest

Simple to Use: Can be used in clinical visits without adding extra time

Meets Requirements: Meets all shared decision-making policy requirements and incentives

Research indicates that Option Grid decision aids:

  • Facilitate shared decision making in clinical encounters
  • Appear to have minimal effect on encounter length
  • Lead to increases in patient knowledge

*Read the research below.

Interested in Research?

The Dartmouth Institute for Health Policy and Clinical Practice at Dartmouth College manages academic research initiatives focused on patient engagement and shared decision making and how Option Grid decision aids impact healthcare delivery. If you are interested in research initiatives, please email Glyn Elwyn, MD, MSc, FRCGP, PhD, Professor, The Dartmouth Institute for Health Policy and Clinical Practice at Dartmouth College at glynelwyn@gmail.com or Marie-Anne Durand, BSc, MSc, MPhil, PhD, CPsychol Assistant Professor, The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College at Marie-Anne.Durand@dartmouth.edu.

Read the Research

Not missing the opportunity: Improving depression screening and follow-up in a multicultural community. Schaeffer AM, Jolles D. The Joint Commission Journal on Quality and Patient Safety (2018). doi:10.1016/j.jcjq.2018.06

Online, Interactive Option Grid Patient Decision Aids and their Effect on User Preferences. Scalia P, Durand M.A, Kremer J, et al. Medical Decision Making (2017). doi:10.1177/0272989X17734538 

Supporting Shared Decision-making for Children's Complex Behavioral Problems: Development and User Testing of an Option Grid™ Decision Aid ― Barnett ER, Boucher EA, Daviss WB, et al. Community Mental Health J (2017). doi:10.1007/z10597-017-0136-5

Working with interpreters: the challenges of introducing Option Grid™ patient decision aids. ― Wood F, Phillips K, Edwards A, Elwyn G. Patient Educ Couns. 2016. DOI: http://dx.doi.org/10.1016/j.pec.2016.09.016

Trustworthy patient decision aids: a qualitative analysis addressing the risk of competing interests. ― Elwyn G, Dannenberg M, Blaine A, et al. BMJ Open. 2016;6:e012562. DOI:10.1136/bmjopen-2016- 012562 

Much clearer with pictures: using community-based participatory research to design and test a Picture Option Grid for underserved patients with breast cancer. ― Durand MA, Alam S, Grande SW, Elwyn G. BMJ Open. 2016:6(2) DOI:10.1136/bmjopen-2015-010008

Shared Decision Making: A Model for Clinical Practice. ― Elwyn G, Frosch D, Thomson R, Joseph-Williams N, Lloyd A, Kinnersley P, Cording E, Tomson D, Dodd C, Rollnick S, Edwards A, Barry M. J Gen Intern Med. 2012:27(10);1361-1367. DOI: 10.1007/s11606-012-2077-6

Shared decision making in a multidisciplinary head and neck cancer team: a case study of developing Option Grids. ― Elwyn G, Lloyd A, Joseph-Williams A, Beasley A, Tomkinson A. The International Journal of Person Centered Medicine. 2012:2(3):421-426. DOI: http://dx.doi.org/10.5750/ijpcm.v2i3.262.

Option Grids: Shared decision making made easier. ― Elwyn G, Lloyd A, Joseph-Williams N, Cording E, Thomson R, Durand MA, Edwards A. Patient Education and Counseling. 2013:90(2);207–212. DOI: 10.1016/j.pec.2012.06.036

Supporting shared decision making using an Option Grid for osteoarthritis of the knee in an interface musculoskeletal clinic: a stepped wedge trial. ― Elwyn G, Pickles T, Edwards A, Kinsey K, Brain K, Newcombe RG, Firth J, Marrin K, Nye A, Wood F. Patient Education and Counseling. 2016:99(4);571-7. DOI: 10.1016/j.pec.2015.10.011

Using Option Grids: steps toward shared decision-making for neonatal circumcision. ― Fay M, Grande SW, Donnelly K, Elwyn G. Patient Education and Counseling. 2015:In Press. DOI: http://dx.doi.org/10.1016/j.pec.2015.08.025

Option grids: an idea whose time has come? ―Greenhalgh T. The British Journal of General Practice. 2013:63(608);147. DOI: 10.3399/bjgp13X664315.

Patchy 'coherence': using normalization process theory to evaluate a multi-faceted shared decision making implementation program (MAGIC). ―Lloyd A, Joseph-Williams N, Edwards A, Rix A, Elwyn G. Implementation Science. 2013:8;102. DOI:10.1186/1748-5908-8-102.

Fast and frugal tools for shared decision-making: How to develop Option Grids. ― Marrin K, Brain K, Durand M-A, Edwards A, Lloyd A, Thomas C, Elwyn G. European Journal for Person Centered Healthcare. 2013:1(1);240-245. DOI: http://dx.doi.org/10.5750/ejpch.v1i1.657

Option Grids to facilitate shared decision making for patients with Osteoarthritis of the knee: protocol for a single site, efficacy trial. ― Marrin K, Wood F, Firth J, Kinsey K, Edwards A, Brain K E, … Elwyn G. BMC Health Services Research. 2014:14(1),160. DOI:10.1186/1472-6963-14-160

Shared decision-making in epilepsy management. ― Pickrell WO, Elwyn G, Smith PE. Epilepsy Behavior. 2015:S1525-5050(15)00040-2. DOI: 10.1016/j.yebeh.2015.01.033

Clinicians' perceptions of digital vs. paper-based decision support interventions. ― Politi MC, Adsul P, Kuzemchak MD, Zeuner R, Frosch DL. Journal of Evaluation in Clinical Practice. 2015:21;175-179. DOI: 10.1111/jep.12269

Using an Option Grid in shared decision making. ― Seal RP, Kynaston J, Elwyn G, Smith PEM. Practical Neurology. 2014:14:54-56. DOI: 10.1136/practneurol-2013-000806

Shared decision making: really putting patients at the centre of healthcare. ― Stiggelbout AM, Van der Weijden T, De Wit MPT, Frosch D, Légaré F, Montori VM, Trevena L, Elwyn G. BMJ. 2012:344:e256. DOI: http://dx.doi.org/10.1136/bmj.e256

Assessing Option Grid® practicability and feasibility for facilitating shared decision making: An exploratory study. ― Tsulukidze M, Grande SW, Gionfriddo MR. Patient Education and Counseling. 2015:In Press. DOI: 10.1016/j.pec.2015.03.013


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