TY - JOUR
T1 - Implementation of a decision aid for localized prostate cancer in routine care
T2 - A successful implementation strategy
AU - van Tol-Geerdink, Julia J.
AU - van Oort, Inge M.
AU - Somford, Diederik M.
AU - Wijburg, Carl J.
AU - Geboers, Arno
AU - van Uden-Kraan, Cornelia F.
AU - de Vries, Marieke
AU - Stalmeier, Peep F.M.
PY - 2020/6/1
Y1 - 2020/6/1
N2 - For the treatment choice of localized prostate cancer, effective patient decision aids have been developed. The implementation of decision aids in routine care, however, lags behind. Main known barriers are lack of confidence in the tool, lack of training on its use, lack of resources and lack of time. A new implementation strategy addresses these barriers. Using this implementation strategy, the implementation rate of a decision aid was measured in eight hospitals and questionnaires were filled out by 24 care providers and 255 patients. The average implementation rate was 60 per cent (range 31%–100%). Hardly any barriers remained for care providers. Patients who did not use the decision aid appeared to be more unwilling than unable to use the decision aid. By addressing known barriers, that is, informing care providers on the effectiveness of the decision aid, providing instructions on its use, embedding it in the existing workflow and making it available free of charge, a successful implementation of a prostate cancer decision aid was reached.
AB - For the treatment choice of localized prostate cancer, effective patient decision aids have been developed. The implementation of decision aids in routine care, however, lags behind. Main known barriers are lack of confidence in the tool, lack of training on its use, lack of resources and lack of time. A new implementation strategy addresses these barriers. Using this implementation strategy, the implementation rate of a decision aid was measured in eight hospitals and questionnaires were filled out by 24 care providers and 255 patients. The average implementation rate was 60 per cent (range 31%–100%). Hardly any barriers remained for care providers. Patients who did not use the decision aid appeared to be more unwilling than unable to use the decision aid. By addressing known barriers, that is, informing care providers on the effectiveness of the decision aid, providing instructions on its use, embedding it in the existing workflow and making it available free of charge, a successful implementation of a prostate cancer decision aid was reached.
KW - decision aid
KW - implementation
KW - implementation barriers
KW - implementation strategy
KW - prostate cancer
KW - shared decision-making
KW - treatment choice
UR - http://www.scopus.com/inward/record.url?scp=85074018284&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85074018284&partnerID=8YFLogxK
U2 - 10.1177/1460458219873528
DO - 10.1177/1460458219873528
M3 - Article
C2 - 31566466
AN - SCOPUS:85074018284
SN - 1460-4582
VL - 26
SP - 1194
EP - 1207
JO - Health Informatics Journal
JF - Health Informatics Journal
IS - 2
ER -
