Evaluating decision aids--where next?
Decision aids have been developed to help patients become involved in decision-making about their individual health care. During the evaluation of a particular decision aid in maternity care - a set of 10 'Informed Choice' leaflets - we considered the lessons learnt for evaluation of decision aids i...
| Publicado en: | Health Expectations Vol. 7; no. 2; pp. 98 - 104 |
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| Autores principales: | , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106081656&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106081656 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Jun2004 vid: 7 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106081656 106081656 2009395215 10.1111/j.1369-7625.2004.00258.x NLM15117384 106081656 ppf: 98 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Evaluating decision aids--where next? aug: au: O'cathain A Thomas KJ sug: subj: Consumer Participation Decision Support Techniques Clinical Trials Female Great Britain Maternal Health Services Medical Practice, Evidence-Based Pregnancy Human Female ab: Decision aids have been developed to help patients become involved in decision-making about their individual health care. During the evaluation of a particular decision aid in maternity care - a set of 10 'Informed Choice' leaflets - we considered the lessons learnt for evaluation of decision aids in the future. Decision aids have been tested mainly in explanatory trials and have been found to be effective. We argue that existing decision aids should be subjected to more pragmatic trials to test their effectiveness in the real world. The small amount of evidence on their use in the real world shows that they face challenges, resulting in poor implementation. Therefore, we propose that implementation strategies are developed which take heed of the findings of research on getting evidence into practice, and in particular address structural barriers such as the lack of time available to health professionals. We recommend that these 'decision aid implementation packages' are developed in conjunction with both health professionals and patients, and identify and address potential barriers to both the delivery of patient involvement in decision-making, and the use of decision aids, in the real world. These 'packages' can then be submitted to pragmatic evaluation. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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