A decision aid for autologous pre-donation in cardiac surgery—a randomized trial

O’Connor, Annette M.; Drake, Elizabeth; Rubens, F.; Robblee, J.A.; Grant, Francis C.; Wells, Philip S.

doi:10.1016/j.pec.2005.05.014

Cited by 34 publications

(44 citation statements)

References 13 publications

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“…Greater knowledge is predicted to lower decisional conflict by helping patients feel more informed about the test’s benefits and barriers/risks (13,14). In line with previous literature, improved knowledge would increase satisfaction with the level of decision making preparation (15). A possible mediating influence of preparedness on the association between knowledge and conflict has not previously been evaluated.…”

supporting

confidence: 81%

Effects of a Decision Support Intervention on Decisional Conflict Associated with Microsatellite Instability Testing

Hall

Manne

Winkel

et al. 2011

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Decision support to facilitate informed consent is increasingly important for complicated medical tests. Here, we test a theoretical model of factors influencing decisional conflict in a study examining the effects of a decision support aid that was designed to assist patients at high risk for hereditary nonpolyposis colorectal cancer (CRC) deciding whether to pursue the microsatellite instability (MSI) test.Methods: Participants were 239 CRC patients at high familial risk for a genetic mutation who completed surveys before and after exposure to the intervention. Half of the sample was assigned to the CD-ROM aid and half received a brief description of the test. Structural equation modeling was employed to examine associations among the intervention, knowledge, pros and cons to having MSI testing, self-efficacy, preparedness, and decisional conflict.Results: The goodness of fit for the model was acceptable [FIML, full information maximum likelihood, c

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supporting

confidence: 81%

Effects of a Decision Support Intervention on Decisional Conflict Associated with Microsatellite Instability Testing

Hall

Manne

Winkel

et al. 2011

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…In the comparison of PtDAs to usual care 15,16,18,26,28,29,31,36,39,41,43,48,50,64,65,69,73,78 (Figure 2), PtDAs had higher average knowledge scores (WMD = 15.2%, 95% CI = 11.7, 18.7). The 9 studies comparing detailed with simpler PtDAs 22,24,30,35,54,60,61,63,66 (Figure 3) showed a smaller effect (WMD = 4.6%, 95% CI = 3.0, 6.2).…”

Section: Decision Qualitymentioning

confidence: 99%

“…The 3 trials comparing interventions were similar in that they 1) focused on the decision to take menopausal hormone replacement therapy (HRT) and 2) compared 2 active interventions. However, these trials used different measures of value Auvinen and others 13,14 103 + 100 men: Man-Son-Hing, 43 Volk, 69 Dunn, 26 Green, 31 Goel,30 Shapira, 63 Rostom, 60 Phelan, 23 Dodin 24 2007 49 27/55 As above plus Bekker, 16 Gattellari, 28 Johnson, 36 Whelan, 73 Shorten, 65 Montgomery, 48 Gattellari, 29 Laupacis, 39 Wong, 78 Man-Son-Hing, 43 Dodin, 24 Goel, 30…”

Section: Decision Qualitymentioning

confidence: 99%

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Do Patient Decision Aids Meet Effectiveness Criteria of the International Patient Decision Aid Standards Collaboration? A Systematic Review and Meta-analysis

O’Connor¹,

et al. 2007

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“…In a randomized controlled trial of 120 patients, Laupacis et al (2006) tested a DA on predonation of autologous blood before elective open heart surgery. The DA, a 25-min audiotape and a 19-page booklet describing the options for perioperative transfusion, was reviewed by patients prior to the surgical consultation.…”

Section: Recent Studies: 2002-2007mentioning

confidence: 99%

Effectiveness of Decision Aids

Leatherman¹,

Warrick²

2008

Med Care Res Rev

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Increased interest in health care consumerism has created an environment conducive to growth in the use of decision aids (DAs) to support patient decision making. The authors review the research literature published within the past 5 years that assesses the effects of DAs in the areas of screening and treatment. Multiple measures are used to evaluate the effectiveness of DAs, with mixed evidence of impacts. To date, most evidence from screening studies suggests that DAs are effective in increasing knowledge and are acceptable to patients, but patient uptake of screening has been mixed. Among treatment studies, there is some, but limited, evidence showing impact of DAs on immediate and long-term decisional conflict, patient satisfaction, and quality of life. Few studies provide assessment of impact on health outcomes, quality of care, utilization, or costs, all areas likely to be of growing interest to private purchasers, insurers, and public programs.

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A decision aid for autologous pre-donation in cardiac surgery—a randomized trial

Cited by 34 publications

References 13 publications

Effects of a Decision Support Intervention on Decisional Conflict Associated with Microsatellite Instability Testing

Effects of a Decision Support Intervention on Decisional Conflict Associated with Microsatellite Instability Testing

Do Patient Decision Aids Meet Effectiveness Criteria of the International Patient Decision Aid Standards Collaboration? A Systematic Review and Meta-analysis

Effectiveness of Decision Aids

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