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Shared Decision-Making Sandwich

During clinical conversations with patients, we can use the “shared decision-making sandwich” to build rapport and trust, center clients in the conversation, provide relevant information in a way that is digestible, and assist patient to integrate information. 


The sandwich contains three components:

Acknowledgement (top piece of bread)

Content/Information (“filling” of the sandwich)

Follow up question (bottom piece of bread)

Click on the photos below for specific counseling skills and additional information relevant to each of the "sandwich" components. 

Vegan Sandwich
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