The adapted OPDG, of which decision coaching is a critical part, suggests an SDM strategy for Aboriginal women that may be used to inform and structure interactions with Western trained health providers. Further, it aligns with Battiste’s [21] postcolonial approach in which social interactions that underlie oppression of Aboriginal people and contribute to undermining health literacy are resolved from within a partnership. Additionally, this strategy may have broader potential applicability to other populations who face similar challenges with health literacy and inequitable barriers to access and negotiate
systems of care.