The Ottawa Decision Support Framework (ODSF) has guided practitioners and patients facing difficult decisions for 20 years. The ODSF asserts that decision support interventions that address patients’ decisional needs improve decision quality. Authors updated the ODSF based on a synthesis of evidence. Following their findings, they revised the ODSF by refining definitions of 6 decisional needs and adding new interventions to address 4 needs. They added a decision process outcome and eliminated secondary outcomes unlikely to improve across a range of decisions, retaining the implementation/continuance of the chosen option and appropriate use/costs of health services. Read more here.