Informed Medical Decisions Foundation Funded ResearchView all results of this resource type.
This study will advance the evidence base regarding best methods for facilitating informed decisions among patients with knee and hip osteoarthritis (OA) by comparing DVD and Crossroads online formats of decision aids (DAs) for these conditions.
The International Patient Decision Aid Standards (IPDAS) Collaboration has led to the development of a quality checklist and, more recently, an instrument to assess the quality of decision support interventions. We recognize that further work is required to examine the relationships between International Patient Decision Aid Standards instrument (IPDASi) scores and the outcomes achieved in clinical trials.
In the proposed research, we will explore how two dimensions of narratives influence impact on health care decisions: content and emotional valence. Across two studies, the proposed research will focus on the mechanisms through which narratives influence decision processes, a dimension which has been largely ignored in the literature.
This research aims to assess the effectiveness of component parts within patient decision aids (pDAs) on patient’s informed decisions about dialysis modality.
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.
We propose two complementary investigations to address the effectiveness of optimally designed multimedia and print materials in different contexts. The first addresses knowledge dissemination for preventive services and disease self-management. The second explores best practices for conveying information about risks and benefits of treatment.
The overarching goal of this study is to compare the impact on knowledge and acceptability of a prostate screening decision aid delivered via either DVD or Web format. We have considerable experience and expertise in developing and comparing format-related differences in impact and uptake of patient education programs, with a particular interest in incorporating literacy levels into our research.
The broad, long-term goal of this project is to determine the value of enhanced multimedia approaches to communicating probabilities in patient decision support tools when applied to patients with low health literacy/numeracy.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
The specific aims of this randomized control trial are to formally evaluate the impact of the “Weight loss surgery: Is it right for you?” Shared Decision-Making® program on decision quality in primary care and bariatric specialty practice settings, following the approach recommended in the Cochrane CREDIBLE Criteria for Decision Aids among morbidly obese adults enrolled at Group Health.
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.
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.
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.
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.
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.
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.
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.