Abstract
Uptake of decision aids (DAs) in daily routine is low, resulting in limited knowledge about successful DA implementation at a large scale. We assessed implementation rates after multi-regional implementation of three different prostate cancer (PCa) treatment DAs and patient-perceived barriers and facilitators to use a DA. Thirty-three hospitals implemented one out of the three DAs in routine care. Implementation rates for each DA were calculated per hospital. After deciding about PCa treatment, patients (n = 1033) completed a survey on pre-formulated barriers and facilitators to use a DA. Overall DA implementation was 40%. For each DA alike, implementation within hospitals varied from incidental (< 10% of eligible patients receiving a DA) to high rates of implementation (> 80%). All three DAs were evaluated positively by patients, although concise and paper DAs yielded higher satisfaction scores compared with an elaborate online DA. Patients were most satisfied when they received the DA within a week after diagnosis. Pre-formulated barriers to DA usage were experienced by less than 10% of the patients, and most patients confirmed the facilitators. Many patients received a DA during treatment counseling, although a wide variation in uptake across hospitals was observed for each DA. Most patients were satisfied with the DA they received. Sustained implementation of DAs in clinical routine requires further encouragement and attention.
Original language | English |
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Pages (from-to) | 1141-1148 |
Number of pages | 8 |
Journal | Journal of Cancer Education |
Volume | 35 |
Issue number | 6 |
DOIs | |
Publication status | Published - Dec 2020 |
Funding
This study is part of a larger research project on the implementation of decision aids for prostate cancer in three regions in The Netherlands (the JIPPA study), funded by CZ, a Dutch not-for-profit health insurance company. We thank Dr. Linda van Mierlo from CZ for her efforts in bringing the three research groups together and for the useful input and critical feedback we received during the progress of this project. We are also grateful to all the patients and staff of the hospitals that participated in this study.
Keywords
- Decision aids
- Implementation
- Oncology
- Prostate cancer
- Shared decision-making