Abstract
Implementation of patient’s decision aids in routine clinical care is generally low. This study evaluated uptake and usage of a novel Dutch web-based prostate cancer treatment decision aid within the Prostate Cancer Patient Centered Care trial. From an estimated total patient sample of 1006 patients, 351 received a decision aid (35% implementation rate; hospital ranges 16%–84%). After receipt of the decision aid, most patients accessed the decision aid, utilized most functions, although not completely, and discussed the decision aid summary in a subsequent consultation with their care provider. Including nurses for dissemination of decision aids seemed to positively affect decision aid uptake. Once received, patients seemed able to use the decision aid and engage in shared decision-making as intended; however, decision aid uptake and complete usage of all decision aid components should be further improved. Prior to the diagnosis consultation, handing out of the decision aid should be prepared.
Original language | English |
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Pages (from-to) | 1498-1510 |
Number of pages | 13 |
Journal | Health Informatics Journal |
Volume | 25 |
Issue number | 4 |
Early online date | 1 Jun 2018 |
DOIs | |
Publication status | Published - 1 Dec 2019 |
Funding
The authors thank all patients participating in this study and all hospitals and involved staff from Elisabeth-TweeSteden Hospital, Tilburg and Waalwijk; Catharina hospital, Eindhoven; Maxima Medical Center, Veldhoven; St. Antonius hospital, Nieuwegein; Zuyderland Medical Center, Heerlen and Sittard; Haga Medical Center, The Hague and Jeroen Bosch hospital, ‘s-Hertogenbosch; all in the Netherlands. The authors would also like to thank Zorgkeuzelab for the technical development of the DA and providing the DA log data needed for this study. Finally, the authors thank Dr Linda van Mierlo of CZ for her role in facilitating this study. Trial registration: Dutch Trial Register, NTR-4554. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Financial support for this study was provided by a grant from CZ Fund (Grant 2013-00070). The funding agreement ensured the authors’ independence in designing the study, interpreting the data and writing and publishing the report. The DA development was funded by Delectus Foundation.
Funders | Funder number |
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Delectus Foundation | |
Dutch Trial Register | 2013-00070, NTR-4554 |
Haga Medical Center | |
Hague and Jeroen Bosch hospital |
Keywords
- decision aids
- implementation
- oncology
- prostate cancer
- shared decision-making