To increase uptake of the aids, the University of California, Los Angeles researchers created several low-tech, inexpensive tools to help providers prescribe the videos and to streamline the distribution process for the clinic staff. Patients at the four participating sites are given the videos to view at home. After viewing, patients return the video, along with a short user survey, in a pre-paid envelope. Brightly colored reminders in the patient.s paper-based health record prompt the physician to query the patient about the video and engage in shared decision-making at a subsequent visit. Dr. J. David Delgado, who treats a predominantly Spanish-speaking population at an East L.A. site, promotes the video-based decision aids because he feels they provide patients with basic health information, which improves their ability to understand treatment choices.

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Research assistant, Visith Uy streamlines process for doctors

Principal investigator Dominick Frosch, sees decision support as a cultural change

Joe's eye's opened when fully informed about diabetes

Decision aids help Dr. Delgado fully inform his patients

Project director Socorro Cadena Ochoa recognizes the value of Spanish language decision aids