Decision aids in routine practice
Lessons from the breast cancer initiative
Bibliographic Data
| ID | 19506549 |
|---|---|
| Authors | Kerry A Silvia (Massachusetts General Hospital), Karen R Sepucha, Karen Sepucha (0000-0002-3762-3880, Massachusetts General Hospital) |
| Year | 2006 |
| Volume | 9 |
| Issue | 3 |
| Pages | 255-264 |
| Publication date | 2006-09-01 |
| 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.1369-7625.2006.00393.x |
| PMID | 16911140 |
| OpenAlex | W2056303329 |
| Language | EN |
| Citations received | 6 |
| References cited | 13 |
Background Many decision aids have been developed to help patients make treatment and screening decisions; however, little is known about implementing them into routine clinical practice. Objective To assess the feasibility of implementing a patient decision aid (PtDA) for the early stage breast cancer surgical decision into routine clinical care. Design Structured individual interviews. Setting and participants A convenience sample of providers from nine sites, including two community resource centres, a community hospital and six academic centres. Main outcome measures Usage data, barriers to and resources for implementing the PtDAs. Results Six of the nine sites were using the PtDAs with patients. Two sites were primarily using a scheduling system and four sites relied on a lending system. For the academic centres, the keys to successful implementation included integrating the PtDA into the flow of patients through the centre and having physicians who recommended it to patients. At the community centres, the keys to successful implementation included an informed staff and the flexibility to get the PtDAs to patients in different ways. Barriers that limited or prevented sites from using the PtDA included a lack of clinical support, a lack of system support, competing priorities and scheduling problems. Conclusions It is feasible to implement a breast cancer PtDA into routine clinical care at academic centres and community resource centres. Future research should assess the effectiveness of PtDAs in routine clinical care as well as resources and barriers to their implementation in community hospitals
Alternative medicine · Breast cancer · Cancer · Decision aids · Family medicine · Medical education · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient-Provider Communication in Healthcare
Supporting participation in clinical research
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
Implementing breast cancer decision aids in community sites
What does it take to have sustained use of decision aids? A programme evaluation for the Breast Cancer Initiative
| Unique citing works | 6 |
|---|---|
| Citations per year | 0.33 |
| Citation span | 2008 - 2011 (4) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 6 |