Reducing breast cancer risk post menopausal high risk

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	Based on CG164 also has accompanying user guide
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	No one can say for certain what will happen to an individual woman. Also uses the term on average to set out statistical info
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	Updated May 2021
2. Provides information about country of publication.	Met	UK
3. Describes the health condition or issue for which the decision is required.	Met	see 'about this decision aid'
4.States the decision that needs to be considered.	Met	You can choose to take a medicine every day for 5 years to reduce your risk of developing breast cancer. But you do not have to take it: there are pros and cons
5. Provides clear information about the potential consequences, benefits and harms of each option.	Met	Table setting out how each of the three meds and doing nothing compare
6. Displays and frames options in a consistent, balanced and impartial way - for example, using the same sized font and neutral language.	Met	tabular 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 64.2 of 100. It should be easily understood by 15 to 16 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	diagrams - illustrating risk of breast cancer and risk of blood clots
9. Is presented in a digital format that complies with accessibility standards.	Met	Complies with W3C AAA standard.