Implementing breast cancer decision aids in community sites
Barriers and resources
Bibliographic Data
| ID | 19506056 |
|---|---|
| Authors | Kerry A Silvia (Suffolk University), Elissa M Ozanne (0000-0001-5352-9459, Massachusetts General Hospital), Karen R Sepucha, Karen Sepucha (0000-0002-3762-3880, Massachusetts General Hospital) |
| Year | 2008 |
| Volume | 11 |
| Issue | 1 |
| Pages | 46-53 |
| Publication date | 2008-03-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Expectations (JOURNAL) |
| Journal identifiers | ISSN: 1369-6513 • E-ISSN: 1369-7625 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1369-7625.2007.00477.x |
| PMID | 18275401 |
| OpenAlex | W2003839558 |
| Language | EN |
| Citations received | 8 |
| References cited | 18 |
Objective To assess the feasibility of implementing four patient decision aids (PtDAs) for early stage breast cancer treatment decisions into routine clinical care in community settings. Background There is very limited information available about implementing decision aids into routine clinical practice and most of this information is based on academic centres; more information is needed about implementing them into routine clinical practice in community settings. Design Structured individual interviews. Setting and participants Providers from 12 sites, including nine community hospitals, a community oncology centre and two academic centres. Main outcome measures Usage data, barriers to and resources for implementing the PtDAs. Results Nine of the 12 sites were using the PtDAs with patients. All of the sites were lending the PtDAs to patients, usually without a formal sign‐out system. The keys to successful implementation included nurses’ and social workers’ interest in distributing the PtDAs and the success of the lending model. Barriers that limited or prevented sites from using the PtDA included a lack of physician support, a lack of an organized system for distributing the PtDAs and nurses’ perceptions about patients’ attitude towards participation in decision making. Conclusions It is feasible to implement PtDAs for early stage breast cancer into routine clinical care in community settings, even with few resources available
Alternative medicine · Breast cancer · Cancer · Decision aids · Family medicine · Global Cancer Incidence and Screening · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient-Provider Communication in Healthcare
Offering choices
Factors influencing the implementation of a guideline for re-engagement in HIV care in primary care settings in Johannesburg, South Africa
Supporting participation in clinical research
Brief reflections – from Vikki
Clinicians’ concerns about decision support interventions for patients facing breast cancer surgery options
Conducting implementation research in community‐based primary care
Patient factors in the implementation of decision aids in general practice
What does it take to have sustained use of decision aids? A programme evaluation for the Breast Cancer Initiative
Decision aids for people facing health treatment or screening decisions
Validation of a Decisional Conflict Scale
Evaluating decision aids – where next
Patient participation in decision‐making on the introduction of home respiratory care
Implementing shared decision‐making in routine practice
Decision aids in routine practice
Patient Preferences for Medical Decision Making
Assessing Patients?? Utilities
| Unique citing works | 8 |
|---|---|
| Citations per year | 0.44 |
| Citation span | 2008 - 2024 (17) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 7 |