Implementing a patient decision aid, a process evaluation of a large-scale pre- and post-implementation trial
| العنوان: | Implementing a patient decision aid, a process evaluation of a large-scale pre- and post-implementation trial |
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| المؤلفون: | L. M. van Maurik, D. P. G. Westhoff, T. van der Weijden, C. M. J. van Gestel, M.C. Stenfert Kroese, E. van Werkhoven, M.R. Stam, J. M. Immink, Nicola S. Russell, D. B. Raphael Daniela, Liesbeth J. Boersma |
| المساهمون: | Radiotherapie, Family Medicine, RS: CAPHRI - R6 - Promoting Health & Personalised Care, RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Graduate School, APH - Methodology, APH - Personalized Medicine |
| المصدر: | Breast Cancer Research and Treatment, 185(3), 685-695. Springer, Cham Breast cancer research and treatment, 185(3), 685-695. Springer New York Breast Cancer Research and Treatment |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Cancer Research, Decision Making, Breast Neoplasms, Decision Support Techniques, 03 medical and health sciences, 0302 clinical medicine, Radiation oncology, Health care, medicine, Decision aids, Humans, BREAST-CANCER, Tracking data, Breast irradiation, 030212 general & internal medicine, Pre and post, Shared decision-making, BARRIERS, business.industry, Success factors, medicine.disease, Clinical Trial, Patient decision aid, Oncology, 030220 oncology & carcinogenesis, Scale (social sciences), Implementation, Female, Medical emergency, Patient Participation, Process evaluation, business, RADIOTHERAPY |
| الوصف: | Purpose Patient 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. Methods We 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. Results 189 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. Conclusions We 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. |
| اللغة: | English |
| تدمد: | 0167-6806 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a84c994e834a21e871c1676457e24cb9 https://cris.maastrichtuniversity.nl/en/publications/138ef6fc-11dd-433c-8483-0ce2ad08e7db |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....a84c994e834a21e871c1676457e24cb9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 01676806 |
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