Patient factors in the implementation of decision aids in general practice: a qualitative study.
Background Decision aids (DAs) have been developed to help patients make treatment decisions. Research shows that they are effective in increasing patients' knowledge of treatment options without raising anxiety or conflict. However, they have not been routinely adopted for use in general practice i...
| Published in: | Health Expectations Vol. 13; no. 1; pp. 45 - 55 |
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| Main Authors: | , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Mar2010
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105121793&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105121793 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Mar2010 vid: 13 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105121793 2010567755 10.1111/j.1369-7625.2009.00556.x NLM19811545 105121793 ppf: 45 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Patient factors in the implementation of decision aids in general practice: a qualitative study. aug: au: Bhavnani V Fisher B affil: Honorary Research Associate, Department of General Practice and Primary Care, Kings College London, London, UK sug: subj: Decision Making, Patient Decision Support Techniques Utilization Family Practice Patients Psychosocial Factors Adult Aged Aged, 80 and Over Audiorecording Data Analysis Software Data Analysis, Statistical Descriptive Statistics Female Focus Groups Human Male Middle Age Qualitative Studies Semi-Structured Interview Thematic Analysis United Kingdom Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Background Decision aids (DAs) have been developed to help patients make treatment decisions. Research shows that they are effective in increasing patients' knowledge of treatment options without raising anxiety or conflict. However, they have not been routinely adopted for use in general practice in the UK and there are few reports addressing strategies to introduce them. Objective To examine patients' views about a variety of DAs for different conditions (heart disease, osteoporosis, osteoarthritis and breast cancer) in order to inform a strategy to introduce them into general practice. Setting and participants General practice patients over the age of 18 years being or having been treated for one of the conditions above. Methods Qualitative study involving 12 focus groups with 77 patients evaluating decision aids relevant to their conditions. A semi-structured interview guide was used to generate discussions about the applicability of the DAs in routine general practice. Results Patients welcomed DAs for their educational and informational content. Reactions to the DAs were influenced by patients' own personal desires for involvement. The main concerns were that the use of DAs would potentially shift the onus of decision making responsibility on to the patient and about the practical challenges to implementation. Conclusions Clinicians will need to make explicit to patients that DAs are an adjunct to routine care and not a replacement, and therefore do not represent a derogation of responsibility. DAs need to be used as an integral part of the communication and support process for patients who want them. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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