Decision aids for people facing health treatment or screening decisions

Stacey, Dawn; Bennett, Carol; Barry, Michael J.; Col, Nananda F.; Eden, Karen; Holmes‐Rovner, Margaret; Llewellyn‐Thomas, Hilary A.; Lyddiatt, Anne; Légaré, France; Thomson, Richard

doi:10.1002/14651858.cd001431.pub3

Cited by 1,580 publications

(2,402 citation statements)

References 257 publications

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“…The most common reason for noncompletion reported in previous studies is that a decision had already been made (Peate, Watts, & Wakefield, 2013). At baseline, 59% of our participants reported having had at least one PSA test during the preceding 12 months, and 77.5% reported having already made a choice (Stacey et al, 2011), the preferred format and depth of the VCE should also be further investigated to ensure that it is optimally utilized. There were no significant effects of the DA on inclination regarding PSA testing or on screening behavior.…”

mentioning

confidence: 87%

Online prostate cancer screening decision aid for at-risk men: A randomized trial.

Watts¹,

Meiser²,

Wakefield³

et al. 2014

Health Psychology

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Objective: This study examines the efficacy of an online screening decision aid (DA) for men with a family history of prostate cancer. Methods: Unaffected Australian men (40–79 years) with at least one affected relative completed the first online questionnaire, were randomized to read either the tailored DA (intervention) or nontailored information about prostate cancer screening (control), then completed a questionnaire postreading and 12 months later. The primary outcome was decisional conflict regarding prostate specific antigen (PSA) testing. The impact of the DA on longitudinal outcomes was analyzed by using random intercept mixed effects models. Logistic and linear regressions were used to analyze the impact of the DA on screening behavior and decision regret. Stage of decision-making was tested as a moderator for decisional conflict and decision regret. The frequency of online material access was recorded. Results: The DA had no effect on decisional conflict, knowledge, inclination toward PSA testing, accuracy of perceived risk, or screening behavior. However, among men considering PSA testing, those who read the DA had lower decision regret compared with men who read the control materials, β = 0.34, p < .001, 95% confidence interval (CI) = [.22, .53]. Conclusions: This is the first study to our knowledge to evaluate the uptake and efficacy of an online screening DA among men with a family history of prostate cancer. Men who were undecided about screening at baseline benefitted from the DA, experiencing less regret 12 months later. In relation to decisional conflict, the control materials may have operated as a less complex and equally informative DA.

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mentioning

confidence: 87%

Online prostate cancer screening decision aid for at-risk men: A randomized trial.

Watts¹,

Meiser²,

Wakefield³

et al. 2014

Health Psychology

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“…There is evidence that failure to account for patients' social circumstances [12] and comorbidities [9] has a negative impact on the ability of MTB's to implement treatment recommendations [12]. Other studies have shown reduced costs [13] and improved care [14] when decisions are aligned with patients' needs and preferences. The quality of MTB decision-making is a cornerstone of effective care planning.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Treatment Decisions in Multidisciplinary Oncology Meetings: A Quantitative Observational Study

et al. 2016

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SynopsisInput into multidisciplinary tumor boards (MTB) by all core disciplines is crucial for making treatment recommendations. Patients' psychosocial information stimulates decision-making, and must be considered by MTBs, while comorbidities, or those requiring nursing input suggest complexity, and decision-making is impaired. 3 AbstractBackground. In many healthcare systems, treatment recommendations for cancer patients are

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“…At one end of the continuum are intervention studies that examine tools for patient involvement in professional decisions and review articles about the same. This kind of research is most often concerned with patients’ views of medical treatment [9–11]. The research represents a disease-oriented approach to patient involvement [12].…”

Section: Introductionmentioning

confidence: 99%

Patient involvement in healthcare professional practice – a question about knowledge

Aagaard

2017

International Journal of Circumpolar Health

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The concept of patient involvement is ambiguous and contested in the healthcare systems in Western Europe and North America. Current research indicates that patients only feel moderately involved in their treatment and care. This article builds on a study of chronically ill patients’ perspectives on healthcare practice in Greenland. It discusses the significance of including in healthcare practice knowledge of patients’ everyday lives with illness and their own views on their situations. Research was qualitative and ethnographic. Participants were followed with participant observations and qualitative interviews for 2.5 years during hospital stay in the capital Nuuk and in their homes in towns and settlements during 2010–2013. Results show that patients are concerned about how to manage their life with illness on a daily basis. Their everyday life activities demonstrate the resources they have to live with illness. However, procedures for healthcare practice concentrate on treatment of the physical disease. Knowledge about psychosocial needs for care and rehabilitation tend to be excluded. The study points to potential for improving professional practice through healthcare professionals’ active investigation of patients’ everyday lives and values, integration of this knowledge into their professional practice and developing structures for this kind of involvement.

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Decision aids for people facing health treatment or screening decisions

Cited by 1,580 publications

References 257 publications

Online prostate cancer screening decision aid for at-risk men: A randomized trial.

Online prostate cancer screening decision aid for at-risk men: A randomized trial.

Predictors of Treatment Decisions in Multidisciplinary Oncology Meetings: A Quantitative Observational Study

Patient involvement in healthcare professional practice – a question about knowledge

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