Online, Interactive Option Grid Patient Decision Aids and their Effect on User Preferences

Medical Decision Making : an International Journal of the Society for Medical Decision Making
Peter ScaliaGlyn Elwyn

Abstract

Randomized trials have shown that patient decision aids can modify users' preferred healthcare options, but research has yet to identify the attributes embedded in these tools that cause preferences to shift. The aim of this study was to investigate people's preferences as they used decision aids for 5 health decisions and, for each of the following: 1) determine if using the interactive Option Grid led to a pre-post shift in preferences; 2) determine which frequently asked questions (FAQs) led to preference shifts; 3) determine the FAQs that were rated as the most important as users compared options. Interactive Option Grid decision aids enable users to view attributes of available treatment or screening options, rate their importance, and specify their preferred options before and after decision aid use. The McNemar-Bowker paired test was used to compare stated pre-post preferences. Multinomial logistic regressions were conducted to investigate possible associations between covariates and preference shifts. Overall, 626 users completed the 5 most-used tools: 1) Amniocentesis test: yes or no? ( n = 73); 2) Angina: treatment options ( n = 88); 3) Breast cancer: surgical options ( n = 265); 4) Prostate Specific Antigen (PSA) tes...Continue Reading

References

Aug 14, 2009·Scandinavian Journal of Psychology·Ola Svenson, Marianne Jakobsson
Aug 12, 2010·Journal of Evaluation in Clinical Practice·Glyn ElwynJacky Boivin
Oct 7, 2011·The Cochrane Database of Systematic Reviews·Dawn StaceyRichard Thomson
Jan 31, 2012·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Deb Feldman-StewartMichael D Brundage
Aug 3, 2012·Patient Education and Counseling·Glyn ElwynAdrian Edwards
Jul 23, 2013·American Journal of Preventive Medicine·Linda B SquiersDouglas Kamerow
Jan 1, 2013·BMC Medical Informatics and Decision Making·Angela FagerlinHolly O Witteman
May 12, 2015·American Journal of Preventive Medicine·Michael J BarryFloyd J Fowler
Sep 2, 2015·Patient Education and Counseling·Mary FayGlyn Elwyn
Jan 28, 2016·Journal of Medical Internet Research·Ania SyrowatkaRobyn Tamblyn

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Citations

Mar 16, 2019·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Gareth HopkinHuseyin Naci
Mar 14, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Carmen S S LatensteinPhilip R de Reuver
Jun 21, 2020·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Patricia D FranklinDanielle C Lavallee
Mar 5, 2021·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Lyndal J TrevenaBrian J Zikmund-Fisher
Jul 2, 2021·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Richard W MartinKarina Dahl Steffensen

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Methods Mentioned

BETA
biopsies
biopsy

Software Mentioned

Option Grid
Statins for Disease Risk Option Grid

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