2017
DOI: 10.1186/s12911-017-0415-7
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What information is used in treatment decision aids? A systematic review of the types of evidence populating health decision aids

Abstract: BackgroundPatient decision aids (DAs) are support tools designed to provide patients with relevant information to help them make informed decisions about their healthcare. While DAs can be effective in improving patient knowledge and decision quality, it is unknown what types of information and evidence are used to populate such decision tools.MethodsSystematic methods were used to identify and appraise the relevant literature and patient DAs published between 2006 and 2015. Six databases (Academic Search Comp… Show more

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Cited by 33 publications
(31 citation statements)
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“…Furthermore, the range of sources to support recommendations was generally not extensive and did not always reflect the ideal triad of evidence from practice and patient perspectives. Where consensus was employed, this usually reflected consensus within the working group and not a broader representation of individuals directly involved in prescribing and implementing highlighted interventions 23 . There also tended to be poor consideration of other important factors such as contextual evidence which has been clearly shown to factor in treatment implementation in a number of health disciplines 88,89 .…”
Section: Discussionmentioning
confidence: 99%
See 3 more Smart Citations
“…Furthermore, the range of sources to support recommendations was generally not extensive and did not always reflect the ideal triad of evidence from practice and patient perspectives. Where consensus was employed, this usually reflected consensus within the working group and not a broader representation of individuals directly involved in prescribing and implementing highlighted interventions 23 . There also tended to be poor consideration of other important factors such as contextual evidence which has been clearly shown to factor in treatment implementation in a number of health disciplines 88,89 .…”
Section: Discussionmentioning
confidence: 99%
“…A recent systematic review of decision aids by Clifford et al however, suggests this area remains considerably underdeveloped. 23 In the case of the TL intervention, there are known palatability issues with impacts on independence and quality of life and associated treatment adherence issues. 7,24 Such patient evidence should be reflected by guidelines when making recommendations.…”
Section: Clinical Practice Guidelinesmentioning
confidence: 99%
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“…A decision aid is defined as an evidence-based tool designed to help patients make specific and deliberate choices about available healthcare options [39]. In order to facilitate patient-centered decision-making, the totality of evidence in a decision aid should comprise four pillars: research evidence, practice evidence, patient evidence, and contextual factors [40]. First, the decision aid provides evidence-based information.…”
Section: Discussionmentioning
confidence: 99%