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SDM Implementation
Implementing shared decision making (SDM) holds promise for improving quality, reducing unwarranted variations in care and improving patient satisfaction. Implementing SDM has garnered increased attention from both state and federal health policy makers, providers, purchasers and regulators, as they explore opportunities to integrate patient-centered concepts into clinical practice. Effective implementation of shared decision making can improve the informed consent process and potentially bridge health disparities. Many advocates also believe that implementation of SDM may impact over utilization of medical tests and procedures, therefore affecting health care costs.
Our Library
Below you will find samples of our most recent acquisitions in SDM Implementation, grouped by resource type.
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Understanding Comparative Effectiveness Research: Would Observational Data Have Predicted Results Found in Randomized Controlled Trials of Coronary Revascularization?
January 30, 2007
Contemporary randomized controlled trials (RCT) of coronary revascularization have not found any survival advantage from aggressive intervention, while observational data suggest otherwise. We aim to compare outcomes predicted from observational data without strict exclusion criteria with results from patients who would have been eligible for RCTs.… Continue reading
The National Survey of Medical Decisions (The DECISIONS Study)
January 30, 2007
The National Survey of Medical Decisions was designed to collect nationally representative data from adults age 40 and above on a variety of medical decisions from the patient perspective, using a random digit dial (RDD) telephone survey. … Continue reading
Pathways to Revascularization
January 30, 2007
Project seeks to assess utility of administrative claims data to characterize indication and urgency of revascularization procedures, and to assess care preceding, the geographic variation of, and the temporal trends of such procedures. Project also wants to assess care preceding a revascularization procedure (indication and urgency, and pathways to revascularization) and assess geographic variation and temporal trends with respect to the characteristics of revascularization procedures.… 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
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
