Shared decision making for MCS can be facilitated through the use of formal patient decision aids. In a six-center stepped-wedge trial of 248 patients being considered for DT LVAD, patients enrolled in theintervention period—consisting of clinician education and use of DT LVAD pamphlet and video patient decision aids—had significantly better knowledge and higher concordance between stated values and patient-reported treatment choice (https://patientdecisionaid.org/lvad/)