Providing patient-centered care requires involving patients in their personal health care decisions. Patient decision aids aim to support evidence-informed, values-congruent decisions. The International Patient Decision Aid Standards stipulate that patients and clinicians should be involved in the development of patient decision aids, but the literature is unclear regarding how and to what extent teams have included end users in their development process. The goal of this study was to review the literature using a user-centered design framework to synthesize evidence on existing practices and identify opportunities for improvement. User-centered design is a methodological approach to iteratively optimizing something by adapting its design to the people who will use it.
