A decision-support tool for assessing patient-centered decision-making under uncertainty.

The aim of this research was to create and evaluate a decision aid to support a patient's ability to share in decision making, where the options available have uncertain benefits and potential harms. A color-coded matrix was used as the decision aid where randomly placed cells representing benefits,...

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Publicado en:International Public Health Journal Vol. 13; no. 2; pp. 203 - 212
Autores principales: Maleyeff, John, Danrong Chen
Formato: pictorial questionnaire/scale research tables/charts Journal Article
Publicado: Nova Science Publishers, Inc. 2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2021
      vid: 13
      iid: 2
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      pub: Nova Science Publishers, Inc.
      place: Hauppauge, New York
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        atl: A decision-support tool for assessing patient-centered decision-making under uncertainty.
      aug:
        au:
          Maleyeff, John
          Danrong Chen
        affil: Administrative Sciences Department, Metropolitan College and Economics Department, College of Arts and Sciences, Boston University, Boston, Massachusetts, USA
      sug:
        subj:
          Uncertainty
          Decision Support Techniques Evaluation
          Decision Making, Patient
          Decision Making, Shared
          Outcome Assessment
          Human
          Male
          Female
          Adult
          Aged
          Cancer Screening
          Decision Support Systems, Clinical
          Pamphlets
          Computer Terminals
          Internet
          Simulations
          Computer Graphics
          Multitrait-Multimethod
          Sensitivity and Specificity
          False Positive Results
          Interviews
          Internet-Based Intervention
          Physician-Patient Relations
          Scales
          Decision Making, Clinical Evaluation
          Probability
          Unnecessary Procedures
          Adult: 19-44 years
          Aged: 65+ years
          Male
          Female
      ab: The aim of this research was to create and evaluate a decision aid to support a patient's ability to share in decision making, where the options available have uncertain benefits and potential harms. A color-coded matrix was used as the decision aid where randomly placed cells representing benefits, harms, and neutral outcomes in quantities corresponding to their respective likelihoods. An iterative approach generated an indifference point for a set of hypothesized decision scenarios. Forty-eight study participants were asked their preferences across 12 hypothesized cancer screening testing decisions. Plots of each participant's indifference curve and regions for accepting or rejecting a screening test regimen were used to illustrate how the method can be applied, and to illustrate that some participants' decision process was irrational. The decision aid provides a useful mechanism for communicating uncertain medical outcomes to patients. It can use helpful to assist in the implementation of patient-centered medical decision making. It can also identify patients who cannot effectively interpret information in a rational manner.
      pubtype: Academic Journal
      doctype:
        pictorial
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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