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However, decision aids are hard to produce, and onerous to update. Consequently, they often do not reflect best current evidence, and show limited uptake in practice. In response, we initiated the Sharing Evidence to Inform Treatment decisions (SHARE-IT) project. Our goal was to develop and refine a new generation of decision aids that are generically produced along digitally structured guidelines and evidence summaries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Applying principles of human-centred design and following the International Patient Decision Aid Standards (IPDAS) and GRADE methods for trustworthy evidence summaries we developed a decision aid prototype in collaboration with the Developing and Evaluating Communication strategies to support Informed Decisions and practice based on Evidence project (DECIDE). We iteratively user-tested the prototype in clinical consultations between clinicians and patients. Semi-structured interviews of participating clinicians and patients were conducted. Qualitative content analysis of both user-testing sessions and interviews was performed and results categorized according to a revised Morville\u2019s framework of user-experience. We made it possible to produce, publish and use these decision aids in an electronic guideline authoring and publication platform (MAGICapp).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Direct observations and analysis of user-testing of 28 clinical consultations between physicians and patients informed four major iterations that addressed readability, understandability, usability and ways to cope with information overload. Participants reported that the tool supported natural flow of the conversation and induced a positive shift in consultation habits towards shared decision-making. We integrated the functionality of SHARE-IT decision aids in MAGICapp, which has since generated numerous decision aids.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study provides a proof of concept that encounter decision aids can be generically produced from GRADE evidence summaries and clinical guidelines. Online authoring and publication platforms can help scale up production including continuous updating of electronic encounter decision aids, fully integrated with evidence summaries and clinical practice guidelines.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12911-021-01541-7","type":"journal-article","created":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T12:02:42Z","timestamp":1624968162000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Decision aids linked to evidence summaries and clinical practice guidelines: results from user-testing in clinical encounters"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8873-7028","authenticated-orcid":false,"given":"Anja Fog","family":"Heen","sequence":"first","affiliation":[]},{"given":"Per Olav","family":"Vandvik","sequence":"additional","affiliation":[]},{"given":"Linn","family":"Brandt","sequence":"additional","affiliation":[]},{"given":"Frankie","family":"Achille","sequence":"additional","affiliation":[]},{"given":"Gordon Henry","family":"Guyatt","sequence":"additional","affiliation":[]},{"given":"Elie A.","family":"Akl","sequence":"additional","affiliation":[]},{"given":"Shaun","family":"Treewek","sequence":"additional","affiliation":[]},{"given":"Thomas","family":"Agoritsas","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2021,6,29]]},"reference":[{"key":"1541_CR1","doi-asserted-by":"publisher","first-page":"e256","DOI":"10.1136\/bmj.e256","volume":"344","author":"AM Stiggelbout","year":"2012","unstructured":"Stiggelbout AM, Van der Weijden T, De Wit MP, et al. 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Patients and physicians participating in the study provided written informed consent. The Scottish study was approved by National Research Ethics Service Committee South West\u2014Frenchay (15\/SW\/0127). The Norwegian study was approved by Regional Committees for Medical and Health Research Ethics (Ref. nr.: 2013\/1630). The Canadian study was approved by Hamilton Integrated Research Ethics board (Ref. 13-373).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"POV, LB, GG, and TA are board members of MAGIC Evidence Ecosystem Foundation (), a not-for-profit organization which provides authoring and publication software (MAGICapp) for evidence summaries, guidelines, and decision aids.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"202"}}