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The Patient - Patient-Centered Outcomes Research
Published in: The Patient - Patient-Centered Outcomes Research 6/2016

Open Access 01-12-2016 | Original Research Article

Translating Evidence to Facilitate Shared Decision Making: Development and Usability of a Consult Decision Aid Prototype

Authors: Dawn Stacey, France Légaré, Anne Lyddiatt, Anik M. C. Giguere, Manosila Yoganathan, Anton Saarimaki, Jordi Pardo Pardo, Tamara Rader, Peter Tugwell

Published in: The Patient - Patient-Centered Outcomes Research | Issue 6/2016

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Abstract

Aim

The purpose of this study was to translate evidence from Cochrane Reviews into a format that can be used to facilitate shared decision making during the consultation, namely patient decision aids.

Methods

A systematic development process (a) established a stakeholder committee; (b) developed a prototype according to the International Patient Decision Aid Standards; (c) applied the prototype to a Cochrane Review and used an interview-guided survey to evaluate acceptability/usability; (d) created 12 consult decision aids; and (e) used a Delphi process to reach consensus on considerations for creating a consult decision aid.

Results

The 1-page prototype includes (a) a title specifying the decision; (b) information on the health condition, options, benefits/harms with probabilities; (c) an explicit values clarification exercise; and (d) questions to screen for decisional conflict. Hyperlinks provide additional information on definitions, probabilities presented graphically, and references. Fourteen Cochrane Consumer Network members and Cochrane Editorial Unit staff participated. Thirteen reported that it would help patient/clinician discussions and were willing to use and/or recommend it. Seven indicated the right amount of information, six not enough, and one too much. Changes to the prototype were more links to definitions, more white space, and details on GRADE evidence ratings. Creating 12 consult decision aids took about 4 h each. We identified ten considerations when selecting Cochrane Reviews for creating consult decision aids.

Conclusions

Using a systematic process, we developed a consult decision aid prototype to be populated with evidence from Cochrane Reviews. It was acceptable and easy to apply. Future studies will evaluate implementation of consult decision aids.
Appendix
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Metadata
Title
Translating Evidence to Facilitate Shared Decision Making: Development and Usability of a Consult Decision Aid Prototype
Authors
Dawn Stacey
France Légaré
Anne Lyddiatt
Anik M. C. Giguere
Manosila Yoganathan
Anton Saarimaki
Jordi Pardo Pardo
Tamara Rader
Peter Tugwell
Publication date
01-12-2016
Publisher
Springer International Publishing
Published in
The Patient - Patient-Centered Outcomes Research / Issue 6/2016
Print ISSN: 1178-1653
Electronic ISSN: 1178-1661
DOI
https://doi.org/10.1007/s40271-016-0177-9

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