ArticleHealth expectations : an international journal of public participation in health care and health policy2006
Decision aids in routine practice: lessons from the breast cancer initiative.
Article in Health expectations : an international journal of public participation in health care and health policy, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- "Many miles to go …": a systematic review of the implementation of patient decision support interventions into routine clinical practice.BMC medical informatics and decision making · 2013Pooled it
- Trial
- Impact of a Web-Based Decision Aid on Socioeconomically Disadvantaged Patients' Engagement in Breast Surgery Decision-Making: Stepped-Wedge Clinical Trial (Alliance-A231701CD).Annals of surgical oncology · 2025Trial
- A Randomized Controlled Trial Evaluating the Impact of Web-Based Information on Breast Cancer Patients' Knowledge of Surgical Treatment Options.Journal of the American College of Surgeons · 2018Trial
- Evaluation of the implementation of an insulin patient decision aid for patients with type 2 diabetes in an academic primary care clinic in Malaysia: a mixed method study.BMC health services research · 2025Article
- Development and usability of a decision aid to initiate anti-osteoporosis medication treatment in patients visiting the fracture liaison service with a recent fracture.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Article
- Article
- The decision aid is the easy part: workflow challenges of shared decision making in cancer care.Journal of the National Cancer Institute · 2023Article
- Implementing shared decision-making interventions in breast cancer clinical practice: a scoping review.BMC medical informatics and decision making · 2023Article
- Adaptation and Implementation of Pictorial Conversation Aids for Early-Stage Breast Cancer Surgery and Reconstruction: A Quality Improvement Study.Patient preference and adherence · 2023Article
- Integrating Option Grid Patient Decision Aids in the Epic Electronic Health Record: Case Study at 5 Health Systems.Journal of medical Internet research · 2021Article
- Factors influencing implementation of a computerized, individualized, culturally tailored lupus decision aid in lupus clinics: a qualitative semi-structured interview study.Clinical rheumatology · 2019Article
- Article
- Organizational- and system-level characteristics that influence implementation of shared decision-making and strategies to address them - a scoping review.Implementation science : IS · 2018Article
- Fostering Choice Awareness for Shared Decision Making: A Secondary Analysis of Video-Recorded Clinical Encounters.Mayo Clinic proceedings. Innovations, quality & outcomes · 2018Article
- "Provoking conversations": case studies of organizations where Option Grid™ decision aids have become 'normalized'.BMC medical informatics and decision making · 2017Article
- Factors influencing implementation of a patient decision aid in a developing country: an exploratory study.Implementation science : IS · 2017Article
- A Decision Aid for Women Considering Neoadjuvant Systemic Therapy for Operable Invasive Breast Cancer: Development and Protocol of a Phase II Evaluation Study (ANZ1301 DOMINO).JMIR research protocols · 2016Article
- Wilfully out of sight? A literature review on the effectiveness of cancer-related decision aids and implementation strategies.BMC medical informatics and decision making · 2016Review
- Optimizing Cancer Care Delivery through Implementation Science.Frontiers in oncology · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany decision aids have been developed to help patients make treatment and screening decisions; however, little is known about implementing them into routine clinical practice.
objectiveTo assess the feasibility of implementing a patient decision aid (PtDA) for the early stage breast cancer surgical decision into routine clinical care.
designStructured individual interviews. SETTING AND
participantsA convenience sample of providers from nine sites, including two community resource centres, a community hospital and six academic centres.
main outcome measuresUsage data, barriers to and resources for implementing the PtDAs.
resultsSix 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.
conclusionsIt 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.