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This video with Professor Glyn Elwyn was filmed for the NHS Wales National Learning Event in June 2014. Glyn Elwyn is a physician-researcher, Professor and Senior Scientist at The Dartmouth Center for Health Care Delivery Science and The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, USA. In this video, Glyn talks about shared decision making (SDM), which is the conversation that happens between a patient and their health professional to reach a healthcare choice together. This conversation needs patients and professionals to understand what is important to the other person when choosing a treatment. Health professionals give patients information about all the treatment options for the health problem. Health professionals also give information about an option that is medically better for a person based on the patient’s personal medical history and test results. Patients give professionals information their life and experiences of illness and treatment. Patients have views that one treatment option may fit better in their life than another. This view about a treatment may be different from the medically best treatment. The shared decision making conversation needs both the patient and professional to understand the other’s point of view and agree the reasons why the treatment chosen was the best one for the patient. The reason may be that it was the best medical option or it was the best option for that patient’s life. Decision Aids are designed to help people make decisions about difficult healthcare choices. They have good quality information about all the options and the health problem, and questions to help patients think about what is important to them. Each Decision Aid is split into five steps which guide the patient through the process of making this decision: Step 1 (Introduction) - describing the health problem, treatment options and decisions to be made. Further, background information is also provided about the condition itself. Step 2 (Compare options) - accurate information on the similarities and differences between treatment options Step 3 (My Views) - here you are asked for your personal likes and dislikes about the different treatments Step 4 (My Trade-offs) - helping patient to trade-off the advantages and disadvantages of each option Step 5 (My Decision) - supporting patient to choose an option that is best for them. For more information, please visit our website: http://www.1000livesplus.wales.nhs.uk/