Assignment: Informed Decision Making

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Assignment: Informed Decision Making

Assignment: Informed Decision Making

Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making

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Paul C. Schroy III MD MPH,* Shamini Mylvaganam MPH� and Peter Davidson MD� *Director of Clinical Research, Section of Gastroenterology, Boston Medical Center, Boston, MA, �Study Coordinator, Section of Gastroenterology, Boston Medical Center, Boston, MA and �Clinical Director, Section of General Internal Medicine, Boston Medical Center, Boston, MA, USA

Correspondence

Paul C. Schroy III, MD MPH

Boston Medical Center

85 E. Concord Street

Suite 7715

Boston

MA 02118

USA

E-mail: [email protected]

Accepted for publication

8 August 2011

Keywords: decision aids, informed decision making, shared decision

making

Abstract

Background Decision aids for colorectal cancer (CRC) screening

have been shown to enable patients to identify a preferred screening

option, but the extent to which such tools facilitate shared decision

making (SDM) from the perspective of the provider is less well

established.

Objective Our goal was to elicit provider feedback regarding the

impact of a CRC screening decision aid on SDM in the primary care

setting.

Methods Cross-sectional survey.

Participants Primary care providers participating in a clinical trial

evaluating the impact of a novel CRC screening decision aid on

SDM and adherence.

Main outcomes Perceptions of the impact of the tool on decision-

making and implementation issues.

Results Twenty-nine of 42 (71%) eligible providers responded,

including 27 internists and two nurse practitioners. The majority

(>60%) felt that use of the tool complimented their usual approach,

increased patient knowledge, helped patients identify a preferred

screening option, improved the quality of decision making, saved

time and increased patients� desire to get screened. Respondents were more neutral is their assessment of whether the tool improved

the overall quality of the patient visit or patient satisfaction. Fewer

than 50% felt that the tool would be easy to implement into their

practices or that it would be widely used by their colleagues.

Conclusion Decision aids for CRC screening can improve the

quality and efficiency of SDM from the provider perspective but

future use is likely to depend on the extent to which barriers to

implementation can be addressed.

doi: 10.1111/j.1369-7625.2011.00730.x

� 2011 John Wiley & Sons Ltd 27 Health Expectations, 17, pp.27–35
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