ArticleHealth expectations : an international journal of public participation in health care and health policy2010
Patient factors in the implementation of decision aids in general practice: a qualitative study.
Article in Health expectations : an international journal of public participation in health care and health policy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 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
- Implementation and sustainability factors of two early-stage breast cancer conversation aids in diverse practices.Implementation science : IS · 2021Trial
- Investigating active ingredients in a complex intervention: a nested study within the Patient and Decision Aids (PANDAs) randomised controlled trial for people with type 2 diabetes.BMC research notes · 2014Trial
- IDECIDE breast surgery patient decision aid: Development and testing of a quality of life-integrated decision support tool.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Shared decision-making for kidney replacement therapy: a comprehensive review and a proposed model.The Korean journal of internal medicine · 2025Review
- Mediation in Healthcare: Enhancing Conflict Resolution Between Patients and Physicians Beyond the Courtroom.Cureus · 2024Review
- Exploring practice and perspectives on shared decision-making about osteoporosis medicines in Fracture Liaison Services: the iFraP development qualitative study.Archives of osteoporosis · 2024Article
- Article
- What helps the successful implementation of digital decision aids supporting shared decision-making in cardiovascular diseases? A systematic review.European heart journal. Digital health · 2023Review
- Stakeholder perspectives on the implementation of shared decision making to empower youth who have experienced commercial sexual exploitation.Children and youth services review · 2021Article
- The association between patients' preferred treatment after the use of a patient decision aid and their choice of eventual treatment.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Factors influencing implementation of an insulin patient decision aid at public health clinics in Malaysia: A qualitative study.PloS one · 2020Article
- Patients' views on the use of an Option Grid for knee osteoarthritis in physiotherapy clinical encounters: An interview study.Health expectations : an international journal of public participation in health care and health policy · 2017Article
- Arthritis patients' motives for (not) wanting to be involved in medical decision-making and the factors that hinder or promote patient involvement.Clinical rheumatology · 2016Article
- Development of patient decision support tools for motor neuron disease using stakeholder consultation: a study protocol.BMJ open · 2016Article
- Qualitative Insights from the Osteoporosis Research: A Narrative Review of the Literature.Journal of osteoporosis · 2016Review
- Using quantitative risk information in decisions about statins: a qualitative study in a community setting.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Implementing an Asthma Patient Decision Aid in Primary Care: A Qualitative Study of Clinicians' and Patients' Perspectives on Its Sustainability.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDecision 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.
objectiveTo 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
participantsGeneral practice patients over the age of 18 years being or having been treated for one of the conditions above.
methodsQualitative 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.
resultsPatients 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.
conclusionsClinicians 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.
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Registered trials
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