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Communicating with Patients on Health Care Evidence
This discussion paper argues for the increased use of shared decision making practices, citing that patients want to be involved in evidence and decisions, that there is a gap between this and what patients get, and that patient satisfaction is linked to shared decision making. These conclusions were reached through research in three stages: environmental scan, qualitative interviews and focus groups, and quantitative survey. Continue reading
Patient Decision Aids in Knee Replacement Surgery
This article discusses the use of patient decision aids in routine clinical practice for patients considering knee replacement surgery. The decision surrounding a diagnosis of knee osteoarthritis is an example of a preference-sensitive decision, meaning there is more than one viable option. Unfortunately, when patients are not fully informed, they are often unsatisfied with the outcome due to unrealistic expectations and a lack of understanding of the potential benefits and harms. The authors describe how implementation of patient decision aids, to support a shared decision making process, may address these issues and improve patient satisfaction, specifically in the context of knee replacement surgery. Continue reading
Intuitive and Deliberative Processing in Patient Decision Aids
The present research will attempt to shed light on this issue by asking participants to read a prostate cancer decision aid and then engage in either a deliberative or intuitive decision making strategy prior to making a treatment decision. Decision quality will be measured using value-decision correspondence, feelings about the decision (e.g., confidence) and cancer-related anxiety. Continue reading
Creation and Implementation of a Decision Aid to Support Patients Making Prenatal Screening Decisions
Due to the complexity of prenatal screening, researchers are creating a decision aid tool (a DVD and booklet) that can be mailed to patients prior to a first prenatal visit, making it accessible, private, and able to be shared with all decision makers. This project aims to provide a decision aid to pregnant women and their families, in order to decrease decisional tension and improve communication between patient and provider. We believe that a DVD format is the most effective communication medium to reach the target audience of all women receiving prenatal care at DHMC. Continue reading
Developing and Testing Educational Materials to Improve Decision Making for Patients with Advanced Chronic Kidney Disease
The ultimate mission of the project is to develop audiovisual and computer-based resources to enhance shared decision making regarding choice of kidney replacement therapies, and perform a pilot randomized controlled trial comparing the relative effectiveness of resources in improving patient-provider shared decision making. It is hypothesized that resources will improve shared decision-making compared to usual care. Continue reading
Informed Choice Assistance for Patient Decision-Making
To test the feasibility of systematically offering Informed Choice Assistance (ICA) during the diagnostic evaluation process to at least 80% of patients facing decisions about the management of uterine fibroids. Continue reading
Engaging Patients in Their Healthcare: How is the UK Doing Relative to Other Countries
Most patients want to play an active role in their own healthcare. They want to know how to protect and improve their health when they are well; when they are ill they want information about the treatment options and likely outcomes; and, in addition to seeking fast effective health advice and care when they need it, most people also want to know what they can do to help themselves. Continue reading
