Table 3 Results of analysis and revision process

Participants were not familiar and confident in dealing with the coaching material.

The decision coaching material (decision aid, decision guidance, prompt cards and fact sheets) combined with a working sheet will be sent to the participants in preparation of the training.

Participants were not able to place some of the contents in the overall context of training e.g. dealing with emotions or the input to BRCA1/2 gene mutations.

The schedule of contents was revised.

The time frame given to each participant to practice decision coaching with a simulated patient was too short.

The time frame was expanded for each participant.

The time limit for some exercises and presentations were overstepped.

Work sheets were shortened, or they were revised to be done collaboratively. The presentation slides for risk communication, evidence-based health information and test accuracy were optimized in length and structure.

At the beginning participants were not clear about main goals of the training.

Main targets and aims of the training were presented at the beginning of the training

The input phase of BRCA1/2 were not standardized and slides were in English.

The input was skipped, the decision aid was sent out in preparation. In case of questions that require special expertise, questions are forwarded to an expert and the feedback is given to learners.

Calculation of test accuracy was too complex.

The calculation was reduced to the predictive values.

Work sheets were not easy to find in the training folder.

Work sheets were replaced in the training folder.

Decision coaching materials (decision guidance and fact sheets) were not easy to handle.

Decision guidance was divided into chapters (decision about preventive options for breast cancer and decision about preventive strategies for ovarian cancer). Fact sheets were adapted and reduced to a maximum of two sheets for each preventive option. For each option the sheets were bound.