20th Anniversary Update of the Ottawa Decision Support Framework: Part 2 Subanalysis of a Systematic Review of Patient Decision Aids.

Medical Decision Making : an International Journal of the Society for Medical Decision Making
Lauren HoefelDawn Stacey

Abstract

Background. The Ottawa Decision Support Framework (ODSF) has guided the development of patient decision aids (PtDAs) for 20 years and needs updating across a range of decisions and hypothesized outcomes. Purpose. To determine the effectiveness of ODSF-developed PtDAs on hypothesized outcomes and to recommend framework changes. Data Source. A subanalysis of randomized controlled trials included in the 2017 Cochrane review of PtDAs comparing PtDAs to usual care in adults considering health treatment or screening decisions (searched to 2015). Study Selection. Trials in the original review that evaluated ODSF-developed PtDAs. Data Synthesis. Meta-analyses of ODSF outcomes with similar measurements and descriptions of other reported outcomes. Results. Of 105 trials, 24 evaluated ODSF-developed PtDAs. Compared with usual care, ODSF PtDAs improved knowledge (mean difference [MD] 13.85; 95% confidence interval [CI] 10.32-17.37; 14 trials), increased accurate risk perceptions (risk ratio [RR] 2.41; 95% CI 1.66-3.48; 7 trials), and increased congruence between informed values and chosen options (RR 1.32; 95% CI 1.09-1.59; 4 trials). They reduced perceived decisional needs as measured using the Decisional Conflict Scale (MD -5.92; 95% CI ...Continue Reading

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Citations

Jan 30, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Catherine BenedictJennifer S Ford
Mar 11, 2020·BMJ Open·Ngiap Chuan TanChirk Jenn Ng
Dec 11, 2020·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Dawn StaceyAnnette M O'Connor
Feb 6, 2021·Cancer·Christopher P FilsonDonna L Berry
Mar 13, 2021·ACR Open Rheumatology·Caroline PearceKathleen Mulligan
Mar 4, 2021·International Journal of Nursing Education Scholarship·Krystina B LewisDawn Stacey
Sep 14, 2021·Nursing & Health Sciences·Misae Ito, Masae Tsutsumi
Dec 7, 2021·Circulation. Arrhythmia and Electrophysiology·Mina K ChungJennifer M Wright

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PtDA
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