Implementation of a decision aid for localized prostate cancer in routine care: A successful implementation strategy

Julia J. van Tol-Geerdink*, Inge M. van Oort, Diederik M. Somford, Carl J. Wijburg, Arno Geboers, Cornelia F. van Uden-Kraan, Marieke de Vries, Peep F.M. Stalmeier

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)1194-1207
Number of pages14
JournalHealth Informatics Journal
Volume26
Issue number2
Early online date30 Sep 2019
DOIs
Publication statusPublished - 1 Jun 2020

Keywords

  • decision aid
  • implementation
  • implementation barriers
  • implementation strategy
  • prostate cancer
  • shared decision-making
  • treatment choice

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