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Article History

Received: 12 July 2019

Accepted: 5 August 2019

First Online: 2 September 2019

Ethics approval and consent to participate

: Ethics approval for this study was provided by the Dartmouth Committee for the Protection of Human Subjects on February 1, 2019. Brigham and Women’s Hospital and Montefiore Medical Center provided their authorization agreement to rely on Dartmouth’s approval on May 2, 2019. Ethics approval was provided by Barnes-Jewish Hospital Institutional Review Board on May 10, 2019. The Mayo Clinic provided ethics approval on May 7, 2019.

: Not applicable.

: Past<b>:</b> Glyn Elwyn has edited and published books that provide royalties on sales by the publisher: the books include <i>Shared Decision Making</i> (Oxford University Press) and <i>Groups</i> (Radcliffe Press).He has in the past provided consultancy for organizations, including (1) Emmi Solutions LLC who developed patient decision support tools, (2) National Quality Forum on the certification of decision support tools, (3) Washington State Health Department on the certification of decision support tools, and (4) SciMentum LLC, Amsterdam (workshops for shared decision making).Current<b>:</b> Founder and Director of &think LLC which owns the registered trademark for Option Grids™ patient decision aids. Founder and Director of SHARPNETWORK LLC, a provider of training for shared decision making. He provides consultancy in the domain of shared decision making and patient decision aids to (1) Access Community Health Network, Chicago (Federally Qualified Medical Centers) and (2) EBSCO Health Option Grids™ patient decision aids.Non-financial: Glyn Elwyn’s academic interests are focused on shared decision making and co-production. He owns copyright in measures of shared decision making and care integration, namely <b>collabo</b>RATE, <b>integ</b>RATE, Observer OPTION-5, and Observer OPTION-12. These measures are freely available for use by researchers.Dr. Marie-Anne Durand is a consultant to Access Community Health Network. Together with Professor Elwyn, she has developed the Option Grid™ patient decision aids, which are licensed to EBSCO Health. She receives consulting income from EBSCO Health and may receive royalties in the future.Dr. Johanna WM Aarts is an advisor of EBSCO Health Option Grid patient decision aids. This position does not include financial compensation.