Evidence map›Paper›PMID 33314448›Full record

ArticleEuropean journal of cancer care2021

Implementing a breast cancer patient decision aid: Process evaluation using medical files and the patients' perspective.

Wilma Savelberg, Liesbeth J Boersma, Marjolein Smidt, Trudy van der Weijden

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Article in European journal of cancer care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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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

4 authors.

Wilma SavelbergDepartment of Quality and Safety, Maastricht University Medical Centre, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0002-8048-9285
Liesbeth J BoersmaDepartment of Radiotherapy (MAASTRO Clinic), Maastricht University Medical Centre, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0001-9173-279X
Marjolein SmidtGROW School for Oncology and Developmental Biology, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0002-8328-1869
Trudy van der WeijdenSchool CAPHRI, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0002-7469-3781

Funding

Alpe d'Huzes KWF MAC2014-7024
6 · The paper itself

Abstract

objectiveAlthough patient decision aids (PtDAs) have been shown to improve shared decision-making, integration into clinical care pathways remains limited. This study investigated, among other outcomes, the uptake of the PtDA by professionals and the uptake as perceived by patients.

methodsWe performed a process evaluation among four breast cancer care teams that had been exposed to a multifaceted implementation strategy. Data were gathered by auditing patient files using a standardised data extraction sheet and conducting telephone interviews with patients using a structured interview guide. We analysed the data by using descriptive statistics.

resultsWe found that the implementation strategies, including advice on how and when to present the PtDA to the patient, were followed for 14% of the included patients (N = 84); 92% of the patients reported to have received a login code for the web-based PtDA, while 67% logged in and used the PtDA at home. An important factor influencing the use was the clinician promoting it when delivering the PtDA (OR 9.95 95% CI 3.03-37.72). DISCUSSION: The implementation strategies were followed in 14% of the patients, and a high delivery of the PtDA was achieved. Redesigning the care pathway and providing personal instruction on using PtDAs seem crucial.

Indexed as

Breast NeoplasmsDecision MakingDecision Making, SharedDecision Support TechniquesFemaleHumansPatient Participationbreast cancerimplementationpatient decision aidpatient involvementpreference-sensitive decisionshared decision-making

Identifiers

PMID33314448
PMCPMC8365645

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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.