Uptake and usage of an online prostate cancer treatment decision aid in Dutch clinical practice: A quantitative analysis from the Prostate Cancer Patient Centered Care trial

Maarten Cuypers*, Romy Ed Lamers, Paul J.M. Kil, Julia J Van Tol-Geerdink, Cornelia F Van Uden-Kraan, Lonneke V. van de Poll-Franse, Marieke De Vries

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

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Abstract

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.
Original languageEnglish
Pages (from-to)1498-1510
JournalHealth Informatics Journal
Volume25
Issue number4
DOIs
Publication statusPublished - 2019

Keywords

  • BARRIERS
  • FACILITATORS
  • SET SIZE
  • UPDATE
  • decision aids
  • implementation
  • oncology
  • prostate cancer
  • shared decision-making

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