2021
DOI: 10.1136/bmjopen-2020-046021
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Decision Analysis in SHared decision making for Thromboprophylaxis during Pregnancy (DASH-TOP): a sequential explanatory mixed methods pilot study protocol

Abstract: IntroductionDecision analysis is a quantitative approach to decision making that could bridge the gap between decisions based solely on evidence and the unique values and preferences of individual patients, a feature especially important when existing evidence cannot support clear recommendations and there is a close balance between harms and benefits for the treatments options under consideration. Low molecular weight heparin (LMWH) for the prevention of venous thromboembolism (VTE) during pregnancy represent… Show more

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Cited by 7 publications
(24 citation statements)
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“…These factors have been shown to influence the decision-making process [ 46 ], and their clarification is especially important in low risk settings (i.e., women with a prior history of VTE associated with a non-hormonal temporary provoking risk factor), in which we showed lower levels of willingness to take antithrombotic treatment [ 41 , 47 ]. This is particularly relevant when using systematic reviews to inform the development of tools used to support SDM [ 19 ].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…These factors have been shown to influence the decision-making process [ 46 ], and their clarification is especially important in low risk settings (i.e., women with a prior history of VTE associated with a non-hormonal temporary provoking risk factor), in which we showed lower levels of willingness to take antithrombotic treatment [ 41 , 47 ]. This is particularly relevant when using systematic reviews to inform the development of tools used to support SDM [ 19 ].…”
Section: Discussionmentioning
confidence: 99%
“…Our aim was to conduct a systematic review on values and preferences for LMWH therapy during pregnancy using a mixed-methods integrative design. We conducted this review as part of the DASH-TOP project [ 19 ] that aims to improve the quality of thromboprophylaxis decisions in this population.…”
Section: Introductionmentioning
confidence: 99%
“…Other studies have developed communication tools [36] and support materials aimed at facilitating the application of SDM by health professionals [37], but they did not assess their effectiveness. Two recent study protocols will assess the effectiveness of risk communication in breast cancer screening (DECIDO study) [38] and the integration of decision analysis in a decision tool for thromboprophylaxis during pregnancy (DASH-TOP) [39].…”
Section: Patient and Public Involvement In Research And Development O...mentioning
confidence: 99%
“…The topics addressed within the European Union are varied, such as the construction of methodological frameworks for implementing an Integrated Multimorbidity Care Model in local health systems (Joint Action CHRODIS-PLUS), the development of massive online open courses (MOOCs) to improve digital health lit-eracy skills of European citizens as an open education initiative for all (IC-Health project), among others. Different publications report the results of these collaborations [27,28,39,51,[63][64][65].…”
Section: Collaborative Projects and International Networkingmentioning
confidence: 99%
“…The international collaborative group, DASH-TOP (12) is developing a SDM intervention to support women and their clinicians in making decisions about the best strategy to prevent recurrent VTE during pregnancy. This SDM intervention contains three components: 1) evidence-based information about the risks and bene ts of taking LMWH to prevent VTE; 2) values elicitation exercises to explore women's preferences for each of the four health states relevant to this decision (i) use of LMWH during pregnancy;…”
mentioning
confidence: 99%