Tag Archives: decision aids

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Expanding the International Reach of our Decision Aids

The Informed Medical Decisions Foundation is currently working to expand the international reach of our decision aids with a number of exciting localization projects currently in the works with our partner Bupa and other international colleagues. Three academic groups in French-speaking countries are working with our staff to develop a study to evaluate the use of decision aids for prostate cancer screening. Continue reading
Posted in Current News, Decision Aid News | Tagged Bupa, decision aids, shared decision making | Permalink

Decision Aids Shown (Again) to Improve Decision Quality

The updated Cochrane Collaborative review of 86 randomized control trials (in six countries), involving 34 decisions, set out to find out how well decision aids prepare people to participate in decisions that involve weighing benefits, harms and scientific uncertainty. What the authors found was that decision aids not only improve the individual’s knowledge of their options, including the benefits and harms of those options, but decision aids also assist people in reaching choices that are more consistent with their informed values, while fostering collaboration with their provider. Continue reading
Posted in Current News | Tagged Cochrane Collaborative, decision aids, health care, shared decision making | Permalink

Shared Decision Making Resources

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Ottawa Personal Decision Guide (OPDG)

The Ottawa Personal Decision Guide (OPDG) is a general decision aid tool that can be used for any medical decision. Continue reading
Tagged decision aids, decision-making, Ottawa Personal Decision Guide (OPDG) | Permalink

International Patient Decision Aids Standards (IPDAS) Collaboration

The IPDAS collaboration consists of international researchers, practitioners and stakeholders working to establish an internationally approved set of criteria for patient decision aid quality. Continue reading
Tagged decision aids, IPDAS | Permalink

Shared Decision-Making® Program Research

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How does A German Audience Appraise an American Decision Aid on Early Stage Breast Cancer?

Albrecht K, Simon D, Buchholz A, et al. How does a German audience appraise an American decision aid on early stage breast cancer? Patient Educ Couns. 2011;83(1):58-63. Read the abstract.
Posted in Patient Decision Aids | Tagged breast cancer, decision aids, Shared Decision-Making® programs | Permalink

Randomized Trial of a Video-Based Patient Decision Aid for Bariatric Surgery

Arterburn DE, Westbrook EO, Bogart T, et al. Randomized trial of a video-based patient decision aid for bariatric surgery. Obesity. 2011;19(8):1669-75. Read the abstract.
Posted in Patient Decision Aids | Tagged bariatric surgery, decision aids, Shared Decision-Making® programs | Permalink

Featured Shared Decision Making Publications

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Use of Video to Facilitate End-of-Life Discussions with Patients with Cancer

This article describes a study that found that patients with cancer who viewed a video of various goals-of-care options, in addition to a verbal description were more likely to prefer comfort measures and avoid CPR. The study found that these patients were also more knowledgeable regarding advanced care treatment options and felt more certain about their decision compared to patients only hearing a verbal narrative. This article differs from some other studies regarding decision aids since other uses of video decision support tools have focused on helping people make treatment or screening decisions, whereas this video was used to initiate end-of-life discussions. Continue reading
Posted in Decision Aid Effectiveness | Tagged cancer, decision aids, end of life, Michael J. Barry, shared decision making | Permalink

Decision Aids for People Facing Health Treatment or Screening Decisions

This is the most comprehensive review article that examines evidence of patient decision aids from numerous randomized control trials and provides a strong evidence base for the positive benefits of patient decision aids. The review finds that when patients use decision aids they: a) improve their knowledge of the options b) have more accurate expectations of possible benefits and harms c) reach choices that are more consistent with their informed values and d) participate more in decision making. Continue reading
Posted in Decision Aid Effectiveness | Tagged Cochrane Review, decision aids, Michael J. Barry, shared decision making | Permalink

Provider Tool

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Introduction to Shared Decision Making & Decision Aids

An introduction for health care providers on shared decision making and patient decision aids. Continue reading
Tagged decision aids, shared decision making | Permalink

Informed Medical Decisions Foundation Perspectives

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Shared Decision Making & Medical Costs

The strongest argument for shared decision making is that patients have a fundamental right to understand all the reasonable medical options and the arguments for and against each option. Simply put, informing and involving patients in medical decisions is the right thing to do. By being informed and involved, patients have the ability to avoid having surgery that exposes them to risks they do not think are worth the benefits. In addition to those certain benefits, the evidence is also mounting that shared decision making is likely to pay for itself -- and it may well do better than that. Continue reading
Posted in Cost | Tagged decision aids, practice variation, shared decision making | Permalink

In The News

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[ScienceLine] Visualizing the very end: A group of doctors advocates use of videos in advance care planning

"For the better part of the last decade, Volandes, who studied filmmaking during medical school, has been producing short videos to inform decision making about end-of-life care. With funding from the federal government and the [Informed Medical Decisions Foundation], Volandes and other doctors have tested the videos in controlled studies, and they have been integrated into standard practice at 35 large health care organizations in the U.S."
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Tagged advance care planning, Angelo Volandes, cancer, decision aids, end of life, informed decisions, Medicare, shared decision making | Permalink

[The Dartmouth] DHMC Campuses Offer Decision-Making Tools

"These decision aids 'pave the way' for patients to have conversations with a health coach or specialist, Burstein said. These decision aids, which were developed by the Foundation for Informed Medical Decision Making, now include condensed online resources that provide interactive material, according to Megan Bowen, the Foundation's implementation manager. Bowen said that feedback indicated the DVD materials are more useful than online programs."
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Tagged Dartmouth-Hitchcock Medical Center, decision aids | Permalink

Informed Medical Decisions Foundation Funded Research

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Evaluation of DVD and Internet Decision Aids for Hip and Knee Osteoarthritis: Focus on Health Literacy

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. Continue reading
Posted in Decision Aid Components, Directed Research | Tagged decision aids, health literacy, hip osteoarthritis, knee osteoarthritis | Permalink

Examining the Relationship Between Decision Support Interventions and Outcome Measurements: Applying the IPDAS Instrument to the Results of the Cochrane Systematic Review of Patient Decision Aids

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. Continue reading
Posted in Decision Aid Effectiveness, Directed Research | Tagged Cochrane Review, decision aids, decision support, IPDAS, IPDASi | Permalink

Informed Medical Decisions Foundation Demonstration Site

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DHMC_web

Dartmouth-Hitchcock Medical Center

Dartmouth-Hitchcock Medical Center (DHMC) is comprised of physicians, specialists and other providers working together at different locations to meet the health care needs of patients in northern New England. The Center for Shared Decision Making (CSDM) at DHMC, opened its doors in 1999 as the first center in the U.S. to be dedicated to shared decision making, and became a Foundation funded primary and specialty care demonstration site at that time. True pioneers in the shared decision making arena, DHMC continues to perfect the process of providing access to decision aids and decision support to patients as a routine process of care. Continue reading
Tagged breast cancer, decision aids, DHMC, orthopedics, prostate cancer, radiation, shared decision making, Shared Decision-Making® programs, urology | Permalink
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UCSF Breast Care Center

The University of California San Francisco (UCSF) Breast Care Center (BCC) is a high volume specialty clinic providing multi-disciplinary care in a National Cancer Institute-designated Comprehensive Cancer Center. Eight medical oncologists and four surgeons, among dozens of specialists, providers and staff conduct more than 1,000 consultations annually, caring for more than 600 newly diagnosed patients each year. The Breast Care Center at UCSF became a Foundation funded specialty care demonstration site in 2005 in order to offer their patients a unique type of decision support and guidance along their journey. Continue reading
Tagged breast cancer, decision aids, decision support, health care, shared decision making, Shared Decision-Making® programs, treatment for breast cancer, UCSF | Permalink