Effect of a decision aid with patient narratives in reducing decisional conflict in choice for surgery among early-stage breast cancer patients: A three-arm randomized controlled trial

Osaka, Wakako; Nakayama, Kazuhiro

doi:10.1016/j.pec.2016.09.011

Cited by 39 publications

(53 citation statements)

References 27 publications

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“…However, there was no difference in providers' participatory behaviours, as analysed on consultation videotapes (mean = 33.01, SD = 9.71 vs mean = 32.06, SD = 0.45). The RCT from Japan found that decisional conflict was significantly reduced for both the decision aid groups one month after receiving them and after having the selected surgery (26.5 vs 26.9 vs 32.1), but not immediately after the intervention and before the surgery (28.7 vs 29.8 vs 31.7) . Conversely, the RCT study from South Korea which assessed a PDA for carpal tunnel syndrome did not find any difference in the decisional conflict between the PDA (video format) group and the regular information group (control) (22 vs 23, P = 0.76).…”

Section: Resultsmentioning

confidence: 94%

“…Patient decision aids (PDAs) were utilized in nine of the 17 included studies and the PDAs were either paper‐based or computer‐delivered . Five of these studies (5/9), all from East Asian countries, used the International Patient Decision Aids Standards (IPDAS) Collaboration checklist to guide the development of their decision aids . Of the nine included studies of PDAs, three were RCTs .…”

Section: Resultsmentioning

confidence: 99%

“…Five of these studies (5/9), all from East Asian countries, used the International Patient Decision Aids Standards (IPDAS) Collaboration checklist to guide the development of their decision aids . Of the nine included studies of PDAs, three were RCTs . We note that none of the RCTs included training as part of their intervention and that the studies which did were all of a weaker study design as uncontrolled before‐and‐after studies (n = 6) .…”

Section: Resultsmentioning

confidence: 99%

“…Decision aids which met the IPDAS criteria were predominately tested in the studies from East Asia (5/8), especially since 2013 . These studies mainly assessed the effect on decisional conflict; the three RCT studies within this group showed mixed and inconsistent results. However, as noted earlier, the non‐RCT PDA studies from East Asia which had provider or patient communication training components resulted in significant improvements to patient participation.…”

Section: Discussionmentioning

confidence: 99%

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Interventions to improve participation in health‐care decisions in non‐Western countries: A systematic review and narrative synthesis

Dolan

Trevena

2019

Health Expectations

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BackgroundPatients' participation in medical decision making is an important aspect of patient‐centred care. However, there is often uncertainty about its applicability and feasibility in non‐Western countries.ObjectiveTo provide an overview and assessment of interventions that aimed to improve patients' participation in decision making in non‐Western countries.MethodOvid Medline, Embase, Cochrane Central Register of Controlled Trials, CINAHL, Ovid MEDLINE(R) Epub Ahead of Print, In‐Process, Other Non‐Indexed Citations, without Revisions and Daily Update and Database of Abstracts of Reviews of Effects, were searched from respective inception to February 2018. Studies were included if they (a) were randomized controlled trials, before‐and‐after studies and interrupted time series studies; (b) were conducted in non‐Western countries; (c) aimed to improve patients' participation in dyadic decision making; and (d) reported outcomes relevant to patient participation in decision making. Studies were excluded if they included children, were about triadic decision making or solely focused on information provision without reporting outcomes related to patient participation. Narrative synthesis method was used for data analysis and presentation.ResultsA total of 17 studies, 6 RCTs and 11 non‐RCTs, were included across ten countries. Intervention strategies included patient and/or provider communication skills training, decision aids and a question prompt material. Whilst most of the studies reported increased patient participation, those interventions which had provider or patient training in communication skills were found to be more effective.ConclusionInterventions to improve patient participation, within the context of dyadic decision making, in non‐Western countries can be feasible and effective if communication skills training is provided for health‐care providers and/or patients.

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Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Interventions to improve participation in health‐care decisions in non‐Western countries: A systematic review and narrative synthesis

Dolan

Trevena

2019

Health Expectations

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“…[19,[30][31][32][33][34] Hypothesized to facilitate SDM, DAs help clinicians share evidence-based information and clinical uncertainty with patients to improve the quality of decision making. [35] However, it is important to note that not all DA interventions promote SDM [36,37] and not all SDM interventions involve DAs. [9,14,38,39] Past research on SDM is limited by the lack of both qualitative and quantitative information on how clinicians implement SDM, their fidelity to the principles of SDM, and whether the "interpersonal and interdependent processes in which the health care provider and the patient relate to and influence each other" [1,2] (i.e., authentic bi-directionality of information exchange and influence) actually takes place.…”

Section: Introductionmentioning

confidence: 99%