Bisphosphonates for osteoporosis

Healthcare Improvement Scotland has assessed this shared decision aid against the following quality criteria. The quality criteria are based on national and international standards for shared decision aids.

Criterion	Assessment	More information
Process
1.Has information available about the updating policy.	Met	See methodology document section 9
2.Provides an indication that the shared decision aid is underpinned by evidence.	Met	Information about how this decision aid was produced and the evidence on which it is based is available on the NICE website.
3.Provides information about the levels of uncertainty around event or outcome probabilities, e.g. by giving a range or by using phases such as ‘our best estimate is.	Met	It is not possible to know in advance what will happen to any individual person
4.An equality impact assessment has been carried out to identify impact on inequalities groups.	Met	Developed in line with NICE equality scheme
Content
1.Provides a production or publication date.	Met	Aug-19
2. Provides information about country of publication.	Met	UK
3. Describes the health condition or issue for which the decision is required.	Met
4.States the decision that needs to be considered.	Met	If you are at higher risk of fractures because of your osteoporosis, you might want to think about having bisphosphonate treatment.
5. Provides clear information about the potential consequences, benefits and harms of each option	Met
6.Displays and frames options in a consistent, balanced and impartial way - for example, using the same sized font and neutral language	Met	Narrative format
7. Uses everyday language that is widely understood, or simpler language where necessary.	Not met (reading age over 11 for direct patient use)	Your direct input has an average reading ease of about 59.6 of 100. It should be easily understood by 17 to 18 year olds.
8. Shows that effort has been made to present quantitative information about risks, benefits, chance and uncertainty in a way that is understandable to people with low levels of numeracy	Met	Charts to show vertebral and hip fracture outcomes
9. Is presented in a digital format that complies with accessibility standards,	Not met