TY - JOUR
T1 - Uptake and usage of an online prostate cancer treatment decision aid in Dutch clinical practice
T2 - A quantitative analysis from the Prostate Cancer Patient Centered Care trial
AU - Cuypers, Maarten
AU - Lamers, Romy Ed
AU - Kil, Paul J.M.
AU - Van Tol-Geerdink, Julia J
AU - Van Uden-Kraan, Cornelia F
AU - van de Poll-Franse, Lonneke V.
AU - De Vries, Marieke
PY - 2019
Y1 - 2019
N2 - Implementation of patient’s decision aids in routine clinical care is generally low. This study evaluated uptake and usage of a novel Dutch web-based prostate cancer treatment decision aid within the Prostate Cancer Patient Centered Care trial. From an estimated total patient sample of 1006 patients, 351 received a decision aid (35% implementation rate; hospital ranges 16%–84%). After receipt of the decision aid, most patients accessed the decision aid, utilized most functions, although not completely, and discussed the decision aid summary in a subsequent consultation with their care provider. Including nurses for dissemination of decision aids seemed to positively affect decision aid uptake. Once received, patients seemed able to use the decision aid and engage in shared decision-making as intended; however, decision aid uptake and complete usage of all decision aid components should be further improved. Prior to the diagnosis consultation, handing out of the decision aid should be prepared.
AB - Implementation of patient’s decision aids in routine clinical care is generally low. This study evaluated uptake and usage of a novel Dutch web-based prostate cancer treatment decision aid within the Prostate Cancer Patient Centered Care trial. From an estimated total patient sample of 1006 patients, 351 received a decision aid (35% implementation rate; hospital ranges 16%–84%). After receipt of the decision aid, most patients accessed the decision aid, utilized most functions, although not completely, and discussed the decision aid summary in a subsequent consultation with their care provider. Including nurses for dissemination of decision aids seemed to positively affect decision aid uptake. Once received, patients seemed able to use the decision aid and engage in shared decision-making as intended; however, decision aid uptake and complete usage of all decision aid components should be further improved. Prior to the diagnosis consultation, handing out of the decision aid should be prepared.
KW - BARRIERS
KW - FACILITATORS
KW - SET SIZE
KW - UPDATE
KW - decision aids
KW - implementation
KW - oncology
KW - prostate cancer
KW - shared decision-making
U2 - 10.1177/1460458218779110
DO - 10.1177/1460458218779110
M3 - Article
VL - 25
SP - 1498
EP - 1510
JO - Health Informatics Journal
JF - Health Informatics Journal
SN - 1460-4582
IS - 4
ER -