Shared Decision Making to Improve Diabetes Prevention and Care

May 2024 Council

Lead Division/Office


Point(s) of Contact

Maureen Monaghan Center, Ph.D., CDCES

Executive Summary

Shared decision making is a collaborative process that enables and encourages people to play a significant role in the decisions that impact their health. Shared decision making is central to facilitating personalized, person-centered diabetes care. However, despite inclusion of shared decision making in evidence-based standards of care, current clinical practice is not optimized for effective shared decision making. Additionally, there is a paucity of research to guide the conduct and implementation of shared decision making in diabetes care, particularly studies evaluating application of shared decision making in real world settings, with diverse populations, and with rigorous evaluation of cost and cost effectiveness.  This proposed initiative addresses the critical need to build the evidence base linking shared decision making and health outcomes in patients with diabetes, with particular attention to facilitators and barriers to shared decision making in populations of patients traditionally underserved and/or underrepresented in clinical trials and sustainability in clinical care settings.