Heading in a new direction? Recommendations for future research on patient decision aids.


Journal

Patient education and counseling
ISSN: 1873-5134
Titre abrégé: Patient Educ Couns
Pays: Ireland
ID NLM: 8406280

Informations de publication

Date de publication:
05 2019
Historique:
received: 10 08 2018
revised: 30 10 2018
accepted: 03 12 2018
pubmed: 12 12 2018
medline: 22 11 2019
entrez: 12 12 2018
Statut: ppublish

Résumé

Decision aids can improve a number of patient outcomes, but they are not commonly used in clinical practice. This commentary paper provides suggestions for potential next steps of decision aid research, with the aim to facilitate their implementation. We suggest to further standardise clinically meaningful outcomes and outcome measures that should be used to examine the impact of decision aids. Second, using mediation analysis and active control groups could help tease out and explore variables that influence decision aids' effectiveness to help healthcare providers decide when and how to use them in clinical practice. Third, effectiveness trials should be clearly reported and replicated to investigate under what circumstances decision aids work best. Specific checklists for decision aid trials should be used to ensure that all relevant factors are reported in detail. Addressing the above issues will help identify what specific components of decision aids are effective and should be implemented. We can then move towards conducting implementation trials which help increase the use of decision aids in "real-world" healthcare.

Identifiants

pubmed: 30528874
pii: S0738-3991(18)30532-9
doi: 10.1016/j.pec.2018.12.006
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Pagination

1029-1034

Informations de copyright

Copyright © 2018 Elsevier B.V. All rights reserved.

Auteurs

Anne Herrmann (A)

Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, University Drive, Callaghan NSW 2308, Australia; Priority Research Centre for Health Behaviour, Faculty of Health and Medicine, University of Newcastle, University Drive, Callaghan NSW 2308, Australia; Hunter Medical Research Institute, Lot 1, Kookaburra Circuit, New Lambton Heights NSW 2305, Australia. Electronic address: Anne.Herrmann@uon.edu.au.

Alix Hall (A)

Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, University Drive, Callaghan NSW 2308, Australia; Priority Research Centre for Health Behaviour, Faculty of Health and Medicine, University of Newcastle, University Drive, Callaghan NSW 2308, Australia; Hunter Medical Research Institute, Lot 1, Kookaburra Circuit, New Lambton Heights NSW 2305, Australia. Electronic address: Alix.Hall@newcastle.edu.au.

Nicholas Zdenkowski (N)

Department of Medical Oncology, Calvary Mater Newcastle, Edith St & Platt St, Waratah NSW 2298, Australia. Electronic address: Nick.Zdenkowski@newcastle.edu.au.

Rob Sanson-Fisher (R)

Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, University Drive, Callaghan NSW 2308, Australia; Priority Research Centre for Health Behaviour, Faculty of Health and Medicine, University of Newcastle, University Drive, Callaghan NSW 2308, Australia; Hunter Medical Research Institute, Lot 1, Kookaburra Circuit, New Lambton Heights NSW 2305, Australia. Electronic address: Rob.Sanson-Fisher@newcastle.edu.au.

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