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Investigator-Initiated Research
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Below you will find samples of our most recent acquisitions in Investigator-Initiated Research, grouped by resource type.
Enhancing Comprehension of Graphically Presented Medical Data: Designs to Help People with Low Graph Literacy
September 20, 2012
In order to make informed medical decisions, patients need to understand information about risks, benefits and drawbacks of different treatments. However, research on health literacy and medical decision making has shown that patients in different cultures have severe problems grasping a host of numerical concepts that are prerequisites for understanding health-relevant statistical information. Graphical displays -- including line plots, bar charts or icon arrays -- often facilitate the communication of numerical information, and can help overcome some of these difficulties.… Continue reading
Effects of Decision Ambiguity on Shared Medical Decision Making
September 30, 2011
To evaluate the impact of ambiguity on shared medical decision making using scenarios on future medicine and unconventional medicine. To develop and test a decision aid tool to help patients and physicians understand ambiguity and to encourage a shared medical decision making process that is applicable to ambiguous decisions that involve future medicine and unconventional medicine. … Continue reading
Barriers and Facilitators to Implementing Decision Boxes in Primary Healthcare Interdisciplinary Teams to Facilitate Shared Decision Making
September 30, 2011
Our primary aim is to explore the barriers and facilitators influencing primary healthcare interdisciplinary teams' use of decision boxes in clinical practice. … Continue reading
Overdiagnosis in Screening Mammography: Examination of Women's Attitudes and Responses to Information about Overdiagnosis
May 15, 2011
The overall purpose of this research is to contribute to improving communication with the community about screening mammography. The research involves developing and evaluating educational materials and strategies to meet the important ethical objective of providing balanced information about screening outcomes in order to support screening decisions.… Continue reading
Facilitating Shared Decision Making in Lynch Syndrome: Notification of Relatives of Hereditary
May 15, 2011
At the foundation of genetic counseling is shared decision making. During the decision to undergo genetic testing, familial implications of results and notification are often not discussed extensively due to time constraints.… Continue reading
Decision Making on the Go: A Mobile App Interpretation of a Prostate Cancer Decision Aid
May 15, 2011
The objectives are to 1) Survey mobile use around health issues in men newly eligible for prostate cancer screening, and 2) to develop a mobile PSA decision aid prototype based on the previously validated internet-based Prosdex decision support intervention (DESI) in preparation for subsequent field testing.… Continue reading
Using Video-Enhanced, Internet-Based Vignette Experiments to Study Patient Decisions Regarding Knee Replacement for Osteoarthritis
January 31, 2011
Our substantive research aim is to examine how patients make difficult decisions about surgical treatment for knee osteoarthritis, a serious chronic condition affecting many middle aged and old people. We will be concerned specifically with the effects of: 1) level of pain; 2) opportunity costs associated with treatment; 3) physician recommendations; 4) supplementary outcome projections; and 5) testimonials of other patients on patient decisions.… Continue reading
Using Decision Analytic Modeling to Guide the ACCP Guideline Development Process for Antithrombotic Therapy in Atrial Fibrillation
January 31, 2011
We propose integrating the development of decision analytic (DA) models into the process organized by the ACCP for guideline development and dissemination of antithrombotic therapy in patients with atrial fibrillation (AF).… Continue reading
How do Patients Decide about Angioplasty for Chronic Stable Angina? A Content Analysis of Patient-Physician Discussions
January 31, 2011
The objective of this study is to evaluate the content and character of PCI discussions between cardiologists and patients to determine how often recommended elements of informed decision making are included, to understand why many patients perceive a mortality benefit and to evaluate the effect of informed decision making on patients’ decisions. … Continue reading
Cutting Through the Misguided Conventional Wisdom about Healthcare: How Can We Help the Public Believe Medical Evidence
January 31, 2011
This study will investigate public perceptions of breast, prostate and colorectal cancer screening by contrasting popular media messages with evidence based information.… Continue reading
Understanding the Experience of Early Stage Breast Cancer Diagnosis and Surgical Treatment among Jordanian Women
September 30, 2010
To understand the experience of being diagnosed with and undergoing surgical treatment for early stage breast cancer among Jordanian women. Study specific aims are to: 1) gain an understanding of women’s knowledge of breast cancer treatment and how their treatment awareness has been informed; 2) explore women’s awareness of their right to be informed and involved in their own medical care; 3) explore women’s preferences for involvement; and 4) identify the extent to which these women perceived that they had surgical treatment options.… Continue reading
A National Survey of Urologists and Radiation Oncologists on Prostate Cancer and Shared Decision-Making
September 30, 2010
Here, we propose to fill this important knowledge gap regarding recent trends in both the evidence in prostate cancer and the role of shared decision-making tools in specialty practice that will form the basis for future shared decision-making implementation research. … Continue reading
The Effect of a Decision Aid on the Quality of Colon Cancer Screening
September 30, 2010
The primary goal of this study is to determine whether the decision aid increases patient knowledge about colon cancer screening. The secondary goal of the study is to assess the degree to which use of the decision aid affects participants’ values and actual choice of particular screening tests.… Continue reading
Intuitive and Deliberative Processing in Patient Decision Aids
September 30, 2010
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
Video Images of Disease for Ethical Outcomes: The VIDEO STUDY
January 31, 2010
In previous work, the Principal Investigator successfully demonstrated that a video of the goals of care in advanced cancer improved understanding and decision making in a small group of patients with advanced brain cancer. The video presents end-of-life options within the framework of the patient’s primary goals of care (i.e., life prolongation, maintenance of function, or comfort care). Building on this earlier work, the main goal of this study is to conduct a randomized controlled trial of the video decision support tool (vs. a verbal narrative) to test the hypothesis that the video improves the decision-making process among persons with advanced cancer. … Continue reading
Prostate Education Project ("PEP Talk"): Cutting through the Uncertainty of Prostate Cancer for Black Men Using Barbershop Outreach
January 31, 2010
The goal of this research is to provide pilot data aimed at a rigorous randomized clinical trial in assessing the effectiveness of barbershop-based health promotion in order to improve the quality of decisions made by AA men about PrCA screening. … Continue reading
Development and Feasibility Testing of a "Consumer Questions" Program to Increase Health Literacy and Empower Consumers to Participate in Decisions about their Health
January 31, 2010
To explore feasibility and implementation issues of a program to train consumers to use the consumer questions.… Continue reading
[FUSION] Investigating the Doctor-Patient-Family Triad to Gain An Understanding of Shared Decision Making
January 30, 2010
To improve understanding of this critical, yet neglected area of DM, the current project will elucidate the doctor-patient-family triadic relationship through an exploration of cancer consultations. It will expand the conceptual framework of the meaning and characteristics of shared decision making (SDM) to incorporate the doctor-patient-family triad. The newly developed conceptual framework will provide a basis for future theoretical and empirical research into triadic DM across a variety of medical and professional encounters. Thus, through its novel conceptual contribution, this project has the potential to transform the field of SDM.… Continue reading
Understanding the Information Processing of a Colorectal Cancer Screening Decision Aid Among Latino Patients with Limited English Proficiency
September 30, 2009
The objectives are: 1) to adapt existing key English-language IP measures for use in assessing how LEP Latino patients perceive and process information presented in a Spanish CRC screening decision aid (DA); and 2) to determine the relationship between key IP domains and the ability to state preferences regarding CRC screening, intentions to discuss with a clinician and screen for CRC.… Continue reading
Measuring Gender Bias in Physicians' Decision Making Regarding Total Knee Arthroplasty Surgery
September 30, 2009
To develop effective interventions to redress physicians’ contributions to the gender disparity in TKA utilization and develop tools to measure the effectiveness of these interventions.… Continue reading
Development and Evaluation of a Dynamic Interactive Interface for Values Exploration and Clarification
September 30, 2009
The overall long-term goal of this research program is to develop values clarification exercises that improve decision quality. The research funded by this grant aims to establish the feasibility of the development and evaluation of a dynamic interactive tool that explicitly encourages values exploration and clarification. … Continue reading
A Mixed-Method Examination of Older Adults' Decision to Initiate Treatment for Depression
May 15, 2009
The main goal of the project was to determine how older adults weigh their experience with mental health treatment against provided outcome data about the effectiveness of psychotherapy among older adults.… Continue reading
The Unintended Consequences of Biomedical Advances: Social Inequalities in Health Behaviors Among Pregnant Women
May 15, 2009
This study combines an emerging approach in medical sociology that focuses on the importance of new health information and disease preventability with the bedrock of literature that describes the influence of social relationships on medical decision-making. … Continue reading
Process Variables in the Communication Model of Shared Decision Making in the Context of Medical Rehabilitation
May 15, 2009
The preliminary analysis of data showed a reasonable fit of the original framework and supported the hypothesis that certain process variables (e.g., empathy) are important mediating factors between SDM and positive outcomes such as higher patient satisfaction.… Continue reading
Does it Matter Whether Physicians' Recommendations are Given Early or Late in the Decision-Making Process?
May 15, 2009
The study aims to investigate what influence the time at which a physician's recommendation is given has on the patient's treatment decisions.… Continue reading
The Impact of a Decision Aid for Hormone Therapy for Prostate Cancer Recurrence on Patients' Anxiety, Decisional Conflict and Knowledge: A Randomized Trial
January 31, 2009
Specific Aims: The overall goal is to improve decision-making regarding the initiation of androgen-deprivation therapy (ADT) for men with biochemical recurrence (BCR) of prostate cancer (PCA). We will do this through lowering patients’ anxiety, decreasing decision conflict, improving patient knowledge and, thereby, influencing the shared decision about the timing of ADT initiation.… Continue reading
The Impact of Visuals and an Interactive, Personalized Risk Calculator on Knowledge, Comprehension and Decision Quality Related to the Carotid Endarterectomy Decision Aid
January 31, 2009
This proposal aims to leverage the existing investment by the Informed Medical Decisions Foundation in a CEA decision aid (DA) to answer two applied research questions with implications for both the CEA DA and future (new and/or revised or cross-nationally adapted) DAs.… Continue reading
The Impact of Patient Activation on Preparation for Shared Decision Making Among Lower Socioeconomic and Minority Populations
January 31, 2009
This proposal initiates a larger research effort aimed at identifying methods to improve the ability of patients of lower socioeconomic position or minority status to share in decision making about health and health care, and to study the impact of shared decision making (SDM) on patient satisfaction and health outcomes.… Continue reading
The Effect of Testimonials in Patient Decision Aids: The Role of Numeracy, Literacy and Decision Making Style
January 31, 2009
Researchers want to understand what the effects of including testimonials and statistical information are, and how patient numeracy, literacy and decision making style interact with the type of information presented.… Continue reading
Increasing Self-Management in Chronic Illness: Using Videos and Coaching to Engage Patients
January 31, 2009
Specific aim 1: To leverage existing staff resources to increase the Informed Medical Decisions Foundation diabetes video distribution. Specific aim 2: To increase video viewing rates by patients. Specific aim 3: To assess physician & patient behavior subsequent to video viewing.… Continue reading
Impact of a Decision Aid on Patient Participation in Decision Making and Resource Use in Low Risk Chest Pain Patients: A Randomized Trial
January 31, 2009
Clinicians in the U.S. may miss two of every 100 patients with acute myocardial infarction or unstable angina (i.e., acute coronary syndromes, or ACS) presenting to the emergency department (ED) even after considering the history, physical examination, initial electrocardiogram and cardiac biomarkers (troponin levels). … Continue reading
Feasibility of a Decision Aid for Patients with Serious Illness: A Pilot Study Among Patients and Physicians
January 31, 2009
This study examined the effects of a decision aid for patients facing a serious illness entitled, “Looking Ahead: Choices for Medical Care when You’re Seriously Ill (MCSI)©" Health Dialog.… Continue reading
Enhancing Physician Competencies for Shared Decision Making in Primary Care
January 31, 2009
The purpose of this study is to develop and validate an online educational program to promote shared decision making (SDM) for primary care physicians in their clinical practices. While the study aims to improve physician SDM skills for any kind of diagnostic or treatment decision, prostate cancer screening is used as the decision making model in the educational program.… Continue reading
BESI. From Theories to Interventions: The Conceptualisation and Development of Complex Interventions for Supporting Behaviour Change
January 31, 2009
Specific aim 1: To conduct a literature search to develop a ‘meta’ theory for interventions that would help patients adapt to living with a chronic condition.
Specific aim 2: To compare and contrast behavior support interventions (BESIs) produced by a range of providers, analyzing their fit to a proposed meta theory of behavior support intervention design.… Continue reading
Appealing to Males At-Risk for Testicular Cancer: Defining 'Control Identity' Typology and Modeling Perceptions of Testicular Self-Examination (TSE)
September 30, 2008
This study theoretically argued that an individual’s attitude toward cancer screening is a derivative of one’s “Control Identity;” specifically, how one views his control over health outcomes. A series of factor and cluster analyses in fact demonstrated that four distinct groupings of individuals as defined by the tenets of 'control identity' theory does in fact (at least) preliminarily exist. More testing is needed.… Continue reading
A Smoking Cessation Decision Aid for People with Serious Mental Illness
September 30, 2008
Because the Decision Support Website is newly designed, the aims of this grant are to pilot-test each module in order to evaluate usability, ease of use and comprehensibility.… Continue reading
A Decisional Needs Assessment Related to Implantable Cardioverter-Defibrillators for the Primary Prevention of Sudden Cardiac Death
May 15, 2008
The goal of this research is to determine the factors important to patients and physicians in making decisions about Implantable Cardioverter-Defibrillators (ICDs) for the primary prevention of sudden cardiac death.… Continue reading
Posted in Investigator-Initiated Research, Patient Involvement, Robert Derzon Grants
Tagged cardiac, ICDs
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Creation and Implementation of a Decision Aid to Support Patients Making Prenatal Screening Decisions
May 15, 2008
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
Patient Participation in Decision Making in Medication Adherence in Osteoporosis
January 31, 2008
It is hypothesized that the introduction of decision aids will improve the quality of treatment decisions regarding fracture by leading to bisphosphonate start eliciting patient involvment in the decision making process. It is hypothesized that patients will become more involved in the decision making process and decisions will be more consistent with patients' lifestyles--decision aids (DAs) will lead to bisphosphonate start and adherence in patients at high risk of fracture and to patients stopping medication or not starting in patients at low risk.… Continue reading
Novel Methods for Risk Communication Among Patients with Low Numeracy Skills--Application in Prostate Cancer Decision Support
January 31, 2008
This study is fielding a series of 50 structured interviews in our practice based research network of four clinics serving large populations of African American men with low literacy and low numeracy skills.… Continue reading
Learning by Doing: Improving Risk Communication through Active Processing of Interactive Pictographs
January 31, 2008
This project aims to develop and pilot test Flash-based web widgets that enable users to fill in a pictograph (with dynamic visual and textual feedback) to the risk level of their choice in hopes that a pictograph increases comprehension, satisfaction and/or reliance on information. … Continue reading
Developing and Testing Educational Materials to Improve Decision Making for Patients with Advanced Chronic Kidney Disease
January 31, 2008
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
What is the Role of Decision Support Software in the Decision Making Process for Men with Early Stage Prostate Cancer? A Mixed-Methods Approach to Understanding Personal Characteristics that Influence Use and the Decision Making Process
September 30, 2007
Specific CAPtDA components were highly utilized while other components were rarely used. The “Men’s Stories,” which included actual men’s stories about diagnoses, treatment decisions and challenges, was viewed by 77% of the men. Results showed that the percentage of men who viewed “Men’s Stories” spent almost half of their time (46%) here.… Continue reading
Implementing Shared Decision Making in Nutrition Clinical Practice: A Theory-Based Approach and Feasibility Study
September 30, 2007
The objectives of this study are twofold: 1) to explore the integration of shared decision making within real nutritional consultations; and 2) to design a questionnaire to assess dietitians’ intention and underlying psychosocial determinants to adopt two SDM-specific behaviors using the Theory of Planned Behavior (TPB). … Continue reading
Development and Evaluation of an Intervention to Engage Inter-Professional Health Care Teams, Patients and Families in Shared Decision Making about the Level of Care in the Intensive Care Unit
September 30, 2007
The research aims to develop and evaluate an intervention to engage interprofessional health care teams, patients and families in shared decision making about the level of care in the Intensive Care Unit.… Continue reading
Using Testimonials to Improve Decision Outcomes
May 15, 2007
This study aims to examine three types of testimonials that have the potential to improve decision aid (DA) outcomes and test the mediators through which these testimonials may be effective. The goal of this proposal is to examine whether specific types of testimonials have a beneficial influence on knowledge, satisfaction, interest in shared decision making and intentions. Social cognitive theory, social comparison theory and risk processing perspectives guide hypotheses about testimonials.… Continue reading
Treatment Decision Making in Localized Prostate Cancer: The Role of Functional Health Literacy and Cancer-Related Distress
May 15, 2007
The proposed study will examine predictors of informed decision making in men considering treatment for localized prostate cancer. Specifically, we will evaluate the ability of functional health literacy and cancer-related anxiety to predict indices of effective decision making in a population of veterans with prostate cancer. Measure of prostate cancer knowledge, decisional conflict, and eventual treatment choice will be used to assess these three components of effective decisions.… Continue reading
Decision Making About Colonoscopy Use among Survivors of Colorectal Cancer
May 15, 2007
This project addresses the risk perceptions, surveillance intentions and surveillance behaviors of CRC survivors. Researchers found that risk perception varies widely but that geographic region is a major predictor and that colonoscopy use may reflect better access to care. The Cancer Care Outcomes Research and Surveillance (CanCORS) study is a national multi-site cohort study of CRC patients. … Continue reading
Quality of Decision Making Communication and Outcomes of Care for African Americans with Depression Study
January 31, 2007
This study will increase understanding of the role of SDM in improving outcomes for patients with depression and in reducing racial disparities in mental health care.… Continue reading
Informed Choice Assistance for Patient Decision-Making
January 31, 2007
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
Helping People with Low Numeracy Understand Medical Information
January 31, 2007
Studies conducted to examine how people from two countries (USA and Germany) understand numerical and graphical information, which presentation formats help them understand it better and how they use the data to make medical decisions. Aim is to study ways to communicate quantitative medical information to people with low numeracy skills and to propose formats that promote better understanding and proper use of such information. … Continue reading
Effects of Combining Decision Aids on Breast Cancer Adjuvant Treatment Expectations
January 31, 2007
The main goals of this study, using breast cancer patients stages IA to IIIB, are to assess: 1) the degree to which an alternative method of visually presenting and summarizing the numerical data provided by “Adjuvant” influence realistic treatment expectations; 2) the degree to which numeracy affects treatment expectation and through what mechanisms and; 3) whether methods of presenting and summarizing the “Adjuvant” data differentially influence treatment expectations as a function of numeracy.… Continue reading
Are Patient Decision Aids for Total Joint Replacement Cost-Effective and Do They Optimize the Surgical Referral Process from Primary Care
January 30, 2007
The overall goal of this study is to evaluate the effects of patient decision aids (pDAs) on improving decision quality and reducing length of surgical consults for TJA, and their cost-effectiveness. … Continue reading
An Assessment of Shared Decision Aids in Latinas with Breast Cancer
January 30, 2007
Our primary hypothesis is that participants who utilize the “Early Breast Cancer: Chemotherapy and Hormone Therapy are They Right for You?” (translated) DA in shared decision- making will experience more value-congruent decisions than the control group. The specific aims of the proposed work are to: 1) determine the utility of the DA in decision-making; 2) evaluate satisfaction with the DA; and 3) assess and compare the participant’s satisfaction with and value-congruence of her decision after exposure to the DA with those of the control group.… Continue reading
Activating Seniors to Improve Chronic Disease Care
January 30, 2007
Chronic conditions are the primary sources of disease and disability among older Americans. Better patient self-management for chronic conditions has the potential to improve patient quality of life and reduce associated health care costs. Many older Americans, who are often hard to reach with health interventions, use publicly funded multi-purpose senior centers to access social services and seek social support.… Continue reading
A Randomized Controlled Trial of Consumers Asking Questions to Prompt Clinicians to Discuss and Apply Evidence to their Care
January 30, 2007
To test a brief consumer-led intervention consisting of three generic “Consumer Questions” designed to encourage doctors to discuss evidence related to treatment options with their patients. They are: 1) “What are my options?” 2) “What are the possible outcomes of those options?”and 3) “How likely is each of the outcomes to occur?”… Continue reading
Development and Evaluation of a Shared Decision Making Dashboard
January 30, 2007
This study will begin to address the hypothesis that patient decision aids based on decision dashboards will be more effective than decision aids based on other formats by: a) creating an interactive decision dashboard to help patients make decisions about non-opiod pain medications to treat osteoarthritis; and b) conducting a preliminary analysis of its ease of use, patient acceptability, effect on decision making process and decisions reached. … Continue reading
Using Video Images of Dementia in Advance Care Planning
September 30, 2006
Researchers are exploring the difference in elderly patients' preferences for the level of medical care in advanced dementia and their health literacy when given a video as opposed to a verbal narrative on dementia. They will evaluate whether videos of other diseases can serve as a tool to assist clinicians in discussions of complex information with patients with low health literacy. Researchers propose to conduct a randomized trial studying ACP for elderly subjects using a video depiction of a patient with dementia compared to the traditional verbal narrative.… Continue reading
Efficacy of a Training Intervention on the Quality of Case Managers Nurses Decision Support for Patients Deciding about the Place of Care at the End-of-Life: A Randomized Control Study & Efficacy of an Evidence Informed, Theory-based Training Intervention on the Quality of Clinicians' Decision Support for Patients Deciding about Place of End-of-Life Care: A Randomized Control Trial
May 15, 2006
To evaluate the efficacy of a theory driven, framework-based, multifaceted training intervention designed to enhance the quality of nurses decision support skills regarding end-of-life place of care for adults with terminal cancer. This study aims to determine whether the quality of nurses decision support can be improved with a theory-based skills-building intervention.… Continue reading
Determinants of HPV Testing in an Undeserved Population (The Effect of Direct-to-Consumer Advertising on Clinical Decision Quality: A Two-Part Analysis of a Cervical Cancer Screening Test Campaign)
May 15, 2006
Study found HPV test use increased over study period and appropriate use doubled to 60%-75% of total use.… Continue reading
Changes in Professional Norms and Physicians' Practice with Patients (Physician Decision-Making Around Treatment Innovations: Influences of Patients, Colleagues, and Practice Context)
May 15, 2006
This project will reveal the strategies used by patients that enable successful input into their treatments and indicate the conditions under which physician decisions are based on influences from colleagues or scientific research. Consequent interventions can potentially proceed in a fashion unhampered by obstacles that otherwise would have prevented successful implementation. The project seeks to indicate what conditions cause physicians to acquiese to their patients' requests for particular treatments and evaluate to what extent clinical research and evidence-based medical resources are used.… Continue reading
Shared Decision Making in Hispanics with Muscoloskeletal Disorders: A Qualitative Study
January 31, 2006
Our findings suggest striking commonalities across the clinical conditions (back vs. knee), sociodemographic strata (high vs. low vulnerability) and ethnic groups (Hispanics vs. non-Hispanics whites). Experienced across anatomic, socioeconomic and ethnic strata, pain and functional limitation are the central experiences of these musculoskeletal disorders.… Continue reading
Impact of Health Literacy on Outcomes and Effectiveness of Shared Decision-Making® Programs in Patients with Chronic Diseases
January 31, 2005
In conjunction with study aims, researchers hypothesize, in patients with coronary heart disease, a video version of a shared decision making program will result in greater knowledge about CAD, its associated risks and life style changes when compared to the use of a booklet alone. … Continue reading
Shared Decision Making for People with Severe and Persistent Mental Illness
January 30, 2005
The proposed research will assess the decision making needs of people with SMI and their clinicians, and create a model decision aid that meets the local needs of clients and clinicians. This study will contribute to the development of interventions for persons with SMI by: 1) identifying decision support needs gaps; 2) identifying moderating variables of needs gaps; and 3) building and assessing the feasibility of decision aids to fill decision support needs gaps in this population.… Continue reading
