Being a partner in my care: Realistic Medicine together
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.
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Criterion |
Assessment |
More information |
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Process |
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1.Has information available about the updating policy. |
Met |
If a major piece of research is published which should be practice changing, we may consider updating our content to include this, but generally prefer evidence to have gone through an independent, high quality systematic review process. |
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2.Provides an indication that the shared decision aid is underpinned by evidence. |
Met |
Source and strength of evidence set out |
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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 |
eg - only 1 trial (from 1985 involving 17,000 patients) reported this outcome |
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4.An equality impact assessment has been carried out to identify impact on inequalities groups. |
No Info |
Strongly based on NICE GLs so source info subject to EQIA during development |
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Content |
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1.Provides a production or publication date. |
Met |
About' section dated Feb 2023 |
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2. Provides information about country of publication. |
Met |
UK |
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3. Describes the health condition or issue for which the decision is required. |
Met |
Overall category is to treat vs not to treat - range of medications is large |
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4.States the decision that needs to be considered. |
Met |
Drug treatment for stage 1 hypertension (Hg definitions included) |
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5. Provides clear information about the potential consequences, benefits and harms of each option |
Met |
“combined cardiovascular events” - fatal and non-fatal angina, MI, TIA and stroke / fainting falls acute kidney injury |
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6.Displays and frames options in a consistent, balanced and impartial way - for example, using the same sized font and neutral language |
Met |
Cates plots and tables |
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7. Uses everyday language that is widely understood, or simpler language where necessary. |
Met |
Not tested - given the technical nature of the text (particularly for medication interventions) reading age unlikley to be under 14 |
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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 |
Yes - cates plots for benefits - table format for harms |
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9. Is presented in a digital format that complies with accessibility standards, |
Not Met |
Accessible design principles employed. |