ライフサイエンスコーパス: decision aid

1 the combined educational video and tailored decision aid.

2 of 203 patients with and without use of the decision aid.

3 re is no tool that would qualify as a formal decision aid.

4 osis as well as discussion of SDM or patient decision aids.

5 re consistent with those that may respond to decision aids.

6 sis, as well as discussion of SDM or patient decision aids.

7 or the design of effective interventions and decision aids.

8 were reviewed, from which 6 patient-directed decision aids, 1 clinician-directed decision aid, and 10

9 Of the 6 patient-directed decision aids, 3 met International Patient Decision Aids

10 Of the 15 studies examining decision aids, 5 revealed significant effects.

11 rded during a randomized clinical trial of a decision aid about prolonged mechanical ventilation at 1

12 A decision aid about prolonged mechanical ventilation did

13 Interactive evidence summaries and decision aids accompany multi-layered recommendations, d

14 Interactive evidence summaries and decision aids accompany multilayered recommendations, de

15 or borderline risk of ASCVD as a sequential decision aid after initial quantitative risk assessment

16 This first pediatric OIT decision-aid, agnostic to product, allergen, and age has

17 ements were also observed with the encounter decision aid alone versus usual care for all three outco

18 for all three outcomes and with the patient decision aid alone versus usual care for quality of shar

19 Decision aids also promote patient participation in the

20 th advanced cancer, a bundled evidence-based decision aid and communication training intervention inc

21 Patients were similar between the decision aid and control groups by age, sex, aneurysm si

22 onal conflict scores improved after both the decision aid and surgical consultation.

23 l care, the combined use of both the patient decision aid and the encounter decision aid improved the

24 Video decision aids and communication skills training offer sc

25 These insights may aid in the creation of decision aids and educational materials tailored to the

26 Decision aids and honest, unbiased sources to inform pat

27 directed decision aids, 1 clinician-directed decision aid, and 10 risk calculators were identified.

28 three time points: baseline, after viewing a decision aid, and after a surgical consultation.

29 providers used the HEART score, a validated decision aid, and troponin measures at 0 and 3 hours to

30 We propose that simplified options, decision aids, and health insurance product design to ad

31 nfrastructure, clinician training, access to decision aids, and patient engagement to fully support p

32 dicine and reconstructive surgery, but these decision aids are also associated with barriers to SDM i

33 Although patient decision aids are an effective tool to mitigate these li

34 Bottom Line: Patient decision aids are associated with improved decision qual

35 Several decision aids are available for use in the field of urol

36 Health decision aids are designed to facilitate shared decision

37 Decision aids are evidence-based tools that facilitate t

38 Decision aids are important adjuncts for counseling wome

39 Although decision aids are not designed to direct patients toward

40 Risk models and decision aids are useful tools, but more research is nee

41 990 to May 2014, the authors found that many decision aids are widely available but are not assessed

42 The 16 published studies testing decision aids as interventions for adult advance care pl

43 Only one study of decision aids assessed changes in regional variation and

44 n project, with the goal of implementing the decision aid at as many of the 176 LVAD programs in the

45 cision coaches, and using tools (ie, patient decision aids) at appropriate literacy and numeracy leve

46 ng brief evidence-based patient-facing video decision aids available in 25 languages as well as goals

47 rs using a library of brief, certified video decision aids available in 29 languages.

48 clinician-facing tools for family support or decision aids, based on current available evidence.

49 The systematic use of a decision aid before the surgical consultation may help w

50 ceived a multilevel intervention including a decision-aid booklet with detailed information on screen

51 Decision aids-brochures, web applications, and videos-ar

52 mobile (iPad, iPhone, and website) clinical decision aid called iChoose Kidney.

53 This scalable decision aid can be implemented into clinical practice t

54 r preferred AAA repair type, suggesting that decision aids can help better align patient preferences

55 Decision aids can help inform appropriate selection of t

56 Decision aids can improve decision making quality, thoug

57 Decision aids can improve patient knowledge and decision

58 Decision aids can increase patient involvement in treatm

59 Decision aids can support the advance care planning proc

60 an help to clarify choices for patients, but decision aids cannot replace the human element in facili

61 However, few decision aids combine patient education, preference asse

62 The use of a mobile clinical decision aid comparing individualized mortality risk est

63 ision Aid Standards criteria, this pediatric decision-aid comparing OIT versus avoidance was develope

64 879 participants to either the intervention decision aid (comprising evidence-based explanatory and

65 A decision aid consisting of an educational video, brochur

66 m the OIT literature to create the prototype decision-aid content.

67 more conservative decisions by users of some decision aids could reduce medical care costs in a manne

68 he impact of a patient-directed computerized decision aid (DA) on the medical knowledge and decisiona

69 PCI Choice, a decision aid (DA), was designed for use during the clini

70 Decision aids (DAs) increase patient knowledge, reduce d

71 implementation and effectiveness of patient decision aids (DAs) using a stepped-wedge design at 7 si

72 The data also suggested that decision aids decreased decisional conflict and increase

73 The HEART Pathway is a decision aid designed to identify emergency department p

74 of an educational videotape and tailored TKR decision aid designed to reduce disparities in TKR knowl

75 s is limited (but growing), various types of decision aids do generally appear to inform patients abo

76 med to develop and test the feasibility of a decision aid encompassing reproductive decisions in the

77 Patients who received any decision aid (encounter decision aid, patient decision a

78 nd greater knowledge than those receiving no decision aid, except for the effect of the patient decis

79 score is an international guideline-endorsed decision aid for further risk assessment and personalize

80 We assessed the effectiveness of a decision aid for immunosuppressive therapy in lupus neph

81 Our prior work found that a decision aid for LVADs significantly increased decision

82 Access to a decision aid for OA of the knee, a 40-minute video that

83 RealRisks decision aid for patients and the Breast Cancer Risk Nav

84 A published decision aid for pregnancy in IBD has not been identifie

85 Decision Aid for Renal Therapy (DART), NCT03522740.

86 is study reports patients' perspectives on a decision aid for sacubitril/valsartan that explicitly ad

87 o elicit their views on a publicly available decision aid for sacubitril/valsartan that explicitly in

88 usion of out-of-pocket cost as relevant in a decision aid for sacubitril/valsartan.

89 We aimed to develop and pilot test a decision aid for shared decision makers of patients unde

90 This study provides a decision aid for treating asymptomatic patients with the

91 This study provides a decision aid for treating patients with mild to moderate

92 t gene expression markers could be used as a decision aid for treatment selection or dosage tuning.

93 The novel development of a decision aid for use in pregnancy and IBD was supported

94 ew of current use of and research related to decision aids for adult advance care planning.

95 ell as the development of additional patient decision aids for different ophthalmic diseases, are nee

96 IPM programs reflect a package of tools and decision aids for individual crop insect, weed, nematode

97 to fishing activity provides high-resolution decision aids for management, highlighting the need for

98 hemes identified were general enthusiasm for decision aids for medication decisions, openness on the

99 he community; and nurse-led discussions with decision aids for people with advanced dementia in long-

100 Although there are several decision aids for the treatment of localized prostate ca

101 k prediction tools have an important role as decision aids for use by patients and surgeons before su

102 e randomized to 1 of 2 versions of an online decision aid (full-length or abbreviated) about PSA scre

103 03), and kappa statistics were higher in the decision aid group (kappa = 0.78; 95% CI, 0.60-0.95) com

104 Patients in the decision aid group less often chose to undergo invasive

105 association (odds ratio of agreement in the decision aid group relative to control group, 2.93; 95%

106 Patients in the decision aid group were more likely to receive their pre

107 A total of 126 patients were enrolled in the decision aid group, and 109 were enrolled in the control

108 essive medications would improve more in the decision aid group.

109 epair in both groups (96 of 122 [79%] in the decision aid group; 81 of 106 [76%] in the control group

110 l care group, participants randomized to the decision aid had significantly higher tubal sterilizatio

111 The cost-effectiveness of decision aids has not been studied, although it is entic

112 Tools such as decision aids have been developed to support SDM for com

113 Although practice guidelines and decision aids have been promoted for reducing variation,

114 Both practice guidelines and decision aids have been proven effective in many clinica

115 thical argument in support of this approach, decision aids have been shown to improve patients' knowl

116 Decision aids have been shown to support decision making

117 However, many decision aids have important limitations, including a re

118 Decision aids have the potential to help patients integr

119 ractive healthy relationship tool and safety decision aid (I-DECIDE) would increase women's self-effi

120 nto the electronic health record (Integrated Decision Aid [IDeA]) and delivered by clinicians for pat

121 As decision aids improve patient knowledge and lower decisi

122 h the patient decision aid and the encounter decision aid improved the quality of shared decision mak

123 To assess whether a decision aid improves access to total knee replacement (

124 We propose the nomogram as a decision aid in all patients with T1 melanoma being cons

125 The Q-TWiST analysis is a powerful decision aid in choosing among alternative therapies.

126 se of the coronary artery calcium score as a decision aid in individuals with type 2 diabetes mellitu

127 ronic databases for studies that evaluated a decision aid in patients offered both surgery and altern

128 Use of a decision aid in patients with chest pain increased knowl

129 The implementation of this decision aid in the ED has not been studied.

130 vent end points (ie, failure to progress) as decision aids in proceeding from phase II to phase III t

131 r insights into how the model arrives at its decisions, aiding in the understanding and trustworthine

132 ion, they might benefit from assistance (eg, decision aid) in the difficult task of integrating infor

133 The decision aid included a 100-person pictograph depicting

134 were randomized into a group that received a decision aid including patient education, preference ass

135 reduction, and false positives) or a control decision aid (including information on breast cancer mor

136 A decision aid increased rates of TKR among black patients

137 detection of breast cancer provided within a decision aid increased the number of women making an inf

138 Offering a decision aid increases the number of patients who prefer

139 hes that use of either pre-visit or in-visit decision aids individually or in combination is advantag

140 dy tests the efficacy and acceptability of a decision aid integrated into the electronic health recor

141 egies are important to develop to facilitate decision aid integration for routine medical decisions i

142 For those who received the decision aid intervention alone, the gains were sustaine

143 l group) or additional access to the patient decision aid (intervention group).

144 The a priori hypothesis was that the decision aid (intervention) group would reduce the propo

145 e adoption and support implementation of the decision aid into standard LVAD education processes are

146 ing logistical challenges of incorporating a decision aid into the normal clinical and decision-makin

147 incorporation of these potentially powerful decision aids into routine clinical practice.

148 The decision aid is a novel schematic that researchers can a

149 The decision aid is intended to facilitate knowledge transfe

150 s available to determine whether one type of decision aid is optimal, but more complicated programs s

151 Interactive evidence summaries and decision aids linked to the recommendations can facilita

152 ull content including evidence summaries and decision aids; major updates will be published in The BM

153 A decision aid may help patients receive their preferred t

154 Decision aids may help optimize prescribing behavior and

155 Interactive evidence summaries and decision aids may support well informed treatment choice

156 ntrol arm) or to usual care plus a web-based decision aid (MyDecision/MiDecision) (intervention arm).

157 et (n = 147), participants randomized to the decision aid (n = 151) had (1) a clinically meaningful a

158 ivers of food-allergic children assessed the decision-aid, noting good acceptability, high decisional

159 on aid, except for the effect of the patient decision aid on decisional conflict, which did not reach

160 ed are needed to determine the effect of the decision aid on the preferences of older patients for CR

161 Nearly all studies evaluating the impact of decision aids on procedure choice reported increases in

162 all studies designed to assess the effect of decision aids on surgical therapy.

163 To describe the effect of decision aids on the choice for surgery and knowledge of

164 omized trials assessing the impact of health decision aids on the quality of medical decisions is lim

165 olving 204 patients who were randomized to a decision aid or usual care and were followed for 30 days

166 inicians were randomized to use an encounter decision aid or usual care with all participating patien

167 Patients were randomized to use a patient decision aid or usual care; clinicians were randomized t

168 facilitation (range, A-D; assessing whether decision aids or quantified benefits and harms were prov

169 ecision aid (encounter decision aid, patient decision aid, or both) had lower decisional conflict, be

170 Using an Integrated Decision Aid, or IDeA, increases patient knowledge and l

171 ensus statements, shared decision making and decision aids, or provider feedback of comparative utili

172 nts who received any decision aid (encounter decision aid, patient decision aid, or both) had lower d

173 Compared with usual care patients (n=103), decision aid patients (n=101) had significantly greater

174 We designed and developed a patient-centered decision aid (PCI Choice) to promote shared decision mak

175 outcomes of the design and development of a decision aid (PCI Choice) to promote shared decision mak

176 Our objective was to develop a patient decision aid (PDA) with patient-specific estimates of ou

177 d in the development of the Pregnancy in IBD Decision Aid (PIDA).

178 patients make deliberate treatment choices, decision aids provide evidence-based information on the

179 A Web-based decision aid provided personalized prognostic estimates,

180 rstand stakeholder perspectives on a patient decision aid (PtDA) meant to help patients with heart fa

181 erence-sensitive healthcare options, patient decision aids (PtDA) significantly improve the process o

182 Clinical Question: Are patient decision aids (PtDAs) associated with (1) improved decis

183 arms were provided, with A indicating that a decision aid quantifying benefits and harms was provided

184 Studies of decision aids rarely addressed patient-physician communi

185 Many studies of decision aids reported decreases in population-based pro

186 oration of cost into decision-making and the decision aid, requests for greater specificity regarding

187 nducted to assess whether use of the patient decision aid results in optimization of shared decision

188 led trial design is required to evaluate the decision aid's effect on long-term patient and surrogate

189 sion making and rapid development of patient decision aids, say Michael Barry and colleagues

190 results, the Children's Intracranial Injury Decision Aid score is a potentially novel tool to risk s

191 modeling, the Children's Intracranial Injury Decision Aid score was created.

192 developed the Children's Intracranial Injury Decision Aid score, which ranged from 0 to 24 points.

193 education; risk assessment, counseling, and decision aids; screening checklists; community engagemen

194 New decision aids should be designed that are responsive to

195 his randomized clinical trial, an AI-enabled decision aid significantly improved decision quality, le

196 Decision aids significantly increased patient knowledge

197 In compliance with International Patient Decision Aid Standards criteria, this pediatric decision

198 el, and 12 met <50% of International Patient Decision Aid Standards criteria.

199 The International Patient Decision Aid Standards were implemented in the developme

200 d decision aids, 3 met International Patient Decision Aids Standards Instrument qualification criteri

201 nt reviewers using the International Patient Decision Aids Standards Instrument, the Patient Educatio

202 Use of a decision aid such as the one described here represents a

203 This furthers development of point-of-care decision-aid systems for personalized medicine.

204 Patient decision aid targeted to age and sex.

205 n Spain) and has led to the development of a decision aid that facilitates experimental design with t

206 developed a prolonged mechanical ventilation decision aid that is feasible, acceptable, and associate

207 g these data, we developed a mobile clinical decision aid that provides estimates of risks of death a

208 Future studies should assess how decision aids that elicit individual-level preferences c

209 f decision making is altered by SDM-oriented decision aids that foreground this discussion.

210 eneral concept of shared decision making and decision aids, the American College of Cardiology/Americ

211 Methods and Results We developed a web-based decision aid to educate patients and survey their treatm

212 A straightforward decision aid to guide disposition of atrial fibrillation

213 e demonstrate that implementation of a novel decision aid to guide disposition of patients primary di

214 e specific aim of this study was to create a decision aid to help make individualized estimates of th

215 he utility of machine learning as a clinical decision aid to improve outcomes will be necessary befor

216 the SEER-Medicare database can be used as a decision aid to predict which gallbladder patients may b

217 A Dutch online patient decision aid to support prosthetic heart valve selection

218 A patient decision aid to support shared decision making in prosth

219 Next, we compared the decision aid to usual care control in a prospective, bef

220 orm the development of HFrEF pharmacotherapy decision aids to address these decisional needs and faci

221 There are no decision aids to assist patients with metastatic disease

222 llenges currently faced in translating these decision aids to clinical practice, as well as the techn

223 fficulties of risk communication and provide decision aids to protect workers, vulnerable people, and

224 hensive patient assessment, PSI had the best decision-aid tool profile.

225 l computer with access to very sophisticated decision-aiding tools structured mainly to facilitate co

226 The decision-aid underwent 5 iterations, resulting in a 4-pa

227 I+OMT as compared to OMT were displayed in a decision aid using pictographs with natural frequencies

228 Decision aids using a personalized, data-driven approach

229 idualized, culturally tailored, computerized decision aid versus American College of Rheumatology (AC

230 Significantly more patients in the decision aid versus pamphlet group rated information to

231 e ease of use of materials was higher in the decision aid versus pamphlet groups (51% versus 38%; p =

232 esolved decisional conflict was lower in the decision aid versus pamphlet groups, 22% versus 44% (p <

233 Patients were shown a knee OA decision-aid video with or without brief counseling.

234 med consent; (6) decision support-multimedia decision aids, virtual appointments, and primary-care co

235 Presurgical consultation using a decision aid vs usual care.

236 Conclusions A web-based decision aid was associated with improved patient knowle

237 The decision aid was associated with improved performance on

238 A graphical decision aid was developed to facilitate the routine use

239 An individualized decision aid was more effective than usual care in reduc

240 and 100% of the physicians reported that the decision aid was useful in decision making.

241 olled trials indicated that women who used a decision aid were 25% more likely to choose breast-conse

242 Patients exposed to a decision aid were more likely to receive their preferred

243 Four of 6 decision aids were understandable by Patient Education M

244 Decision aids were well received by surgeons and patient

245 rtial recommendations for SDM supported by a decision aid), whereas 114 of 170 recommendations (67%)

246 rs with over 20 successive iterations of the decision aid, which were field tested during real-world

247 riation, but broader dissemination of shared decision aids will be essential to reduce variation in p

248 al imposed workload of using and documenting decision aids without validated tools or evidence that t

249 on about overdetection of breast cancer in a decision aid would help women aged around 50 years to ma