ArticleBreast cancer research and treatment2021
Implementing a patient decision aid, a process evaluation of a large-scale pre- and post-implementation trial.
Article in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Experiences Implementing a Suite of Decision Aids for Implantable Cardioverter Defibrillators: Qualitative Insights From the DECIDE-ICD Trial.Circulation. Cardiovascular quality and outcomes · 2022Trial
- Patient and Clinician Decision Support to Increase Genetic Counseling for Hereditary Breast and Ovarian Cancer Syndrome in Primary Care: A Cluster Randomized Clinical Trial.JAMA network open · 2022Trial
- Shared Decision-Making in the Management of Deep Partial-Thickness Burns: Development and Implementation of a Multicomponent Decision Aid.Journal of medical Internet research · 2026Article
- In their own words: A qualitative study of patient narratives on daily life after breast cancer radiotherapy.PEC innovation · 2026Article
- Implementation Science in Breast Reconstruction: A Guide to Closing the Research-to-practice Gap.Plastic and reconstructive surgery. Global open · 2025Article
- Social Media as a Platform for Cancer Care Decision-Making Among Women: Internet Survey-Based Study on Trust, Engagement, and Preferences.JMIR cancer · 2025Article
- Decision aids for patients with carotid stenosis.Journal of vascular surgery · 2024Review
- Effects and Working Mechanisms of a Multilevel Implementation Program for Applying Shared Decision-Making while Discussing Systemic Treatment in Breast Cancer.Current oncology (Toronto, Ont.) · 2022Article
- A patient decision aid for breast cancer patients deciding on their radiation treatment, no change in decisional conflict but better informed choices.Technical innovations & patient support in radiation oncology · 2021Article
- Review
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Authors and funding
11 authors.
Funding
Abstract
purposePatient decision aids (PtDAs) have been reported to have a positive influence on patients making a health care decision in trials. Nevertheless, post-trial implementation is poor. The aim of this study is to explore patient, clinician, and organizational success factors for implementing a PtDA designed for breast cancer patients, facing a decision on their radiation treatment.
methodsWe performed a process evaluation within a multi-center pre- and post-implementation trial. The PtDA was incorporated as much as possible in the logistics of 13 participating centers. Tracking data were collected on PtDA use. Process characteristics were recorded by both clinicians and patients. A logistic regression method was applied to investigate which process characteristics were significantly related to the probability that patients logged in to the PtDA.
results189 patients received the PtDA of whom140 (77%) used the PtDA. If patients received the link via the surgery department they were more likely to use the PtDA (OR 9.77 (1.28-74.51)), compared to patients that received the link via the radiation oncology department. If the report of the multidisciplinary team stated that radiation treatment "had to be discussed with the patient", patients were more likely to use the PtDA (OR 2.29 (1.12-4.71)). Educational level was not related to the probability of PtDA use.
conclusionsWe accomplished a high level of PtDA use. Patients were more likely to use the PtDA if they received the link via the surgery department and if "to be discussed with the patient" was written in the multidisciplinary team report.
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