Effectiveness of Decision Aids

Leatherman, Sheila; Warrick, Louise H.

doi:10.1177/1077558708324234

Cited by 16 publications

(4 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…34 In addition to improving informed consent, these interventions may increase overall satisfaction with the decision-making process. 35 This is especially relevant to the craniosynostosis patient population, as parents described significant anxiety associated with therapeutic decision making.…”

Section: Discussionmentioning

confidence: 99%

Understanding families’ experiences following a diagnosis of non-syndromic craniosynostosis: a qualitative study

et al. 2020

View full text Add to dashboard Cite

ObjectivesCraniosynostosis is typically diagnosed and surgically corrected within the first year of life. The diagnosis and surgical correction of the condition can be a very stressful experience for families. Despite this, there is little research exploring the impact that craniosynostosis has on families, especially in the period immediately following diagnosis and correction. In this study, the authors aimed to qualitatively examine the psychosocial experience of families with a child diagnosed with craniosynostosis.DesignQualitative study.SettingTertiary care paediatric health centre.ParticipantsMothers of children newly diagnosed with single-suture, non-syndromic craniosynostosis.InterventionSemistructured interviews regarding parental experience with the initial diagnosis, their decision on corrective surgery for their child, the operative experience, the impact of craniosynostosis on the family and the challenges they encountered throughout their journey.Primary and secondary outcome measuresThematic analysis, a type of qualitative analysis that provides an in-depth account of participant’s experiences, was used to analyse the interview data.ResultsOver a 4-year period, 12 families meeting eligibility criteria completed the study. Three main themes (six subthemes) emerged from the preoperative interviews: frustration with diagnostic delays (parental intuition and advocacy, hope for improved awareness), understanding what to expect (healthcare supports, interest in connecting with other families) and justifying the need for corrective surgery (influence of the surgeon, struggle with cosmetic indications). Two main themes (four subthemes) were drawn from the postoperative interviews: overcoming fear (the role of healthcare professionals, transition home) and relief (reduction in parental anxiety, cosmetic improvements).ConclusionsOverall, the diagnosis of craniosynostosis has a profound impact on families, leading them to face many struggles throughout their journey. A better understanding of these experiences will help to inform future practice, with a hope to improve this experience for other families moving forward.

show abstract

Section: Discussionmentioning

confidence: 99%

Understanding families’ experiences following a diagnosis of non-syndromic craniosynostosis: a qualitative study

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Numerous reviews have provided considerable evidence of the effectiveness of decision aids in improving patient outcomes [ 22 – 25 ]. The first Cochrane review on the effectiveness of decision aids was published in 2001, and concluded that decision aids improve knowledge, reduce decisional conflict, and stimulate patients to be more active in decision making [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

Wilfully out of sight? A literature review on the effectiveness of cancer-related decision aids and implementation strategies

Herrmann

Mansfield

Hall

et al. 2016

BMC Med Inform Decis Mak

View full text Add to dashboard Cite

BackgroundThere is evidence to suggest that decision aids improve a number of patient outcomes. However, little is known about the progression of research effort in this area over time. This literature review examined the volume of research published in 2000, 2007 and 2014 which tested the effectiveness of decision aids in improving cancer patient outcomes, coded by cancer site and decision type being targeted. These numbers were compared with the volume of research examining the effectiveness of strategies to increase the adoption of decision aids by healthcare providers.MethodsA literature review of intervention studies was undertaken. Medline, Embase, PsychInfo and Cochrane Database of Systematic Reviews were searched. The search was limited to human studies published in English, French, or German. Abstracts were assessed against eligibility criteria by one reviewer and a random sample of 20 % checked by a second. Eligible intervention studies in the three time periods were categorised by: i) whether they tested the effectiveness of decision aids, coded by cancer site and decision type, and ii) whether they tested strategies to increase healthcare provider adoption of decision aids.ResultsOver the three time points assessed, increasing research effort has been directed towards testing the effectiveness of decision aids in improving patient outcomes (p < 0.0001). The number of studies on decision aids for cancer screening or prevention increased statistically significantly (p < 0.0001) whereas the number of studies on cancer treatment did not (p = 1.00). The majority of studies examined the effectiveness of decision aids for prostate (n = 10), breast (n = 9) or colon cancer (n = 7). Only two studies assessed the effectiveness of implementation strategies to increase healthcare provider adoption of decision aids.ConclusionsWhile the number of studies testing the effectiveness of decision aids has increased, the majority of research has focused on screening and prevention decision aids for only a few cancer sites. This neglects a number of cancer populations, as well as other areas of cancer care such as treatment decisions. Also, given the apparent effectiveness of decision aids, more effort needs to be made to implement this evidence into meaningful benefits for patients.Electronic supplementary materialThe online version of this article (doi:10.1186/s12911-016-0273-8) contains supplementary material, which is available to authorized users.

show abstract

“…They have been shown to improve patient knowledge about medical decisions and increase participation during the doctor visit [1-2]. Although numerous studies have been performed to demonstrate the efficacy of decision aids, relatively few have focused on their implementation and uptake in clinical practice [2-8].…”

Section: Introductionmentioning

confidence: 99%

Promoting decision aid use in primary care using a staff member for delivery

Miller

Brenner

Griffith

et al. 2012

Patient Education and Counseling

View full text Add to dashboard Cite

Objective To determine the feasibility and effectiveness of in-clinic decision aid distribution using a care assistant. Methods We identified potentially eligible patients scheduled for upcoming appointments in our General Internal Medicine Clinic (n=1229). Patients were deemed eligible for two decision aids: prostate cancer screening and/or weight loss surgery. Patients were approached to view the decision aid in-clinic. Our primary measures were the proportion of decision aids distributed to eligible patients, and the proportion of decision aids viewed. Results Among 913 patients who attended their scheduled appointments, 58% (n=525) were approached and eligibility was assessed by the staff member. Among the 471 who remained eligible, 57% (n=268) viewed at least a portion of the target decision aid. The mean viewing time for patients who watched less than the complete decision aid was 13 minutes. Conclusions In clinic viewing of decision aids may be a feasible and effective distribution method in primary care. Practice Implications In clinic distribution requires an electronic health information system to identify potentially eligible patients, and a staff member dedicated to DA distribution. Brief decision aids (less than 10 minutes) are needed so patients can complete their use prior to the visit to facilitate patient-physician decision making.

show abstract

Effectiveness of Decision Aids

Cited by 16 publications

References 43 publications

Understanding families’ experiences following a diagnosis of non-syndromic craniosynostosis: a qualitative study

Understanding families’ experiences following a diagnosis of non-syndromic craniosynostosis: a qualitative study

Wilfully out of sight? A literature review on the effectiveness of cancer-related decision aids and implementation strategies

Promoting decision aid use in primary care using a staff member for delivery

Contact Info

Product

Resources

About