Evidence map›Paper›PMID 27167076›Full record

ArticleThe patient2016

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

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

Abstract read
In one paragraph

Article in The patient, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

  1. Trial
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  15. Systematic Development of Patient Decision Aids: An Update from the IPDAS Collaboration.Medical decision making : an international journal of the Society for Medical Decision Making · 2021
    Article
  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Dawn StaceySchool of Nursing, University of Ottawa and Clinical Epidemiology Program, Ottawa Hospital Research Institute, 451 Smyth Road (RGN 1118), Ottawa, ON, K1H 8M5, Canada. dstacey@uottawa.ca.
France LégaréCentre de recherche du CHU de Québec-Université Laval, Hôpital St-François d'Assise, Québec, QC, Canada.
Anne Lyddiatt, Ingersoll, Canada.
Anik M C GiguereLaval University, Pavillon Ferdinand-Vandry, Québec, QC, Canada.
Manosila YoganathanBruyère Research Institute, Ottawa, ON, Canada.
Anton SaarimakiClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Jordi Pardo PardoCochrane Musculoskeletal Group, Centre for Practice-Changing Research, General Campus, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Tamara RaderCanadian Agency for Drugs and Technologies in Health, Ottawa, ON, Canada.
Peter TugwellDepartment of Medicine, University of Ottawa and Clinical Epidemiology Program, Ottawa, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe 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.

methodsA 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.

resultsThe 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.

conclusionsUsing 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.

Indexed as

Decision MakingDecision Support TechniquesPatient ParticipationReferral and ConsultationConsensusHumans

Identifiers

PMID27167076
PMCPMC5107194

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.