ArticleImplementation science : IS2014
Enablers and barriers to using patient decision aids in early stage breast cancer consultations: a qualitative study of surgeons' views.
Article in Implementation science : IS, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Implementation and sustainability factors of two early-stage breast cancer conversation aids in diverse practices.Implementation science : IS · 2021Trial
- Assigning value to preparation for prostate cancer decision making: a willingness to pay analysis.BMC medical informatics and decision making · 2019Trial
- Article
- House officers' specialist career choices and motivators for their choice- a sequential mixed-methods study from Malaysia.BMC medical education · 2022Review
- Implementing a breast cancer patient decision aid: Process evaluation using medical files and the patients' perspective.European journal of cancer care · 2021Article
- Elicitation of preferences in the second half of the shared decision making process needs attention; a qualitative study.BMC health services research · 2020Article
- Improving Communication in Breast Cancer Treatment Consultation: Use of a Computer Test of Health Numeracy.Journal of women's health (2002) · 2019Article
- Adaptation and qualitative evaluation of encounter decision aids in breast cancer care.Archives of gynecology and obstetrics · 2019Article
- Adopting patient-centred tools in cancer care: role of evidence and other factors.Current oncology (Toronto, Ont.) · 2019Article
- Psychosocial Factors of Health Professionals' Intention to Use a Decision Aid for Down Syndrome Screening: Cross-Sectional Quantitative Study.Journal of medical Internet research · 2018Article
- Interventions are needed to support patient-provider decision-making for DCIS: a scoping review.Breast cancer research and treatment · 2018Article
- Exploring women's experiences with a decision aid for neoadjuvant systemic therapy for operable breast cancer.Health science reports · 2018Article
- Factors influencing implementation of a patient decision aid in a developing country: an exploratory study.Implementation science : IS · 2017Article
- Enablers and inhibitors of the implementation of the Casalud Model, a Mexican innovative healthcare model for non-communicable disease prevention and control.Health research policy and systems · 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
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Authors and funding
8 authors.
Funding
Abstract
backgroundFor early stage breast cancer, randomized controlled trials (RCTs) have shown that patient decision aids (PtDAs), when used by surgeons, result in increased patient knowledge about options and different patient treatment choices as compared to standard care. Yet, recent data suggests that PtDAs are used by less than 25% of Canadian cancer physicians. We conducted a study to explore breast cancer surgeons' views on enablers and barriers to the use of PtDAs in their practice.
methodsPurposeful sampling was used to select breast cancer surgeons in three Ontario health regions to participate in semi-structured interviews. Inductive coding and the constant comparative method were used to identify the main themes.
resultsTwenty-two surgeons (79%) agreed to participate (median age, 50 years; 9 (40%) female). Surgeons practiced in academic (n = 7, 32%) or community (n = 15, 68%) hospitals. Fourteen surgeons were aware of PtDAs, nine had used a PtDA with patients as part of an RCT, and six had developed their own informal PtDA for use in their practice. Enablers of informal PtDA use included surgeon exposure during training and surgeon perceived need for a systematic approach when communicating risks and benefits of surgical treatments with patients. Barriers to formal PtDA use included high surgeon confidence in their verbal communication skills, surgeon belief that patients understood conveyed information, and difficulties embedding such tools in practice routines.
conclusionsSurgeons in this study valued systematic communication with patients. Several surgeons changed their practice to include formal or informal PtDAs provided they perceived there was a clear benefit to themselves or to patients. However, high surgeon confidence in their personal communications skills coupled with beliefs that patients understand conveyed information may be key barriers to PtDA uptake once surgeons have established communication routines.
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