Tag Archives: decision aids

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Expanding the International Reach of our Decision Aids

The Informed Medical Decisions Foundation is currently working to expand the international reach of our decision aids with a number of exciting localization projects currently in the works with our partner Bupa and other international colleagues. Three academic groups in French-speaking countries are working with our staff to develop a study to evaluate the use of decision aids for prostate cancer screening. Continue reading
Posted in Current News, Decision Aid News | Tagged Bupa, decision aids, shared decision making | Permalink

Decision Aids Shown (Again) to Improve Decision Quality

The updated Cochrane Collaborative review of 86 randomized control trials (in six countries), involving 34 decisions, set out to find out how well decision aids prepare people to participate in decisions that involve weighing benefits, harms and scientific uncertainty. What the authors found was that decision aids not only improve the individual’s knowledge of their options, including the benefits and harms of those options, but decision aids also assist people in reaching choices that are more consistent with their informed values, while fostering collaboration with their provider. Continue reading
Posted in Current News | Tagged Cochrane Collaborative, decision aids, health care, shared decision making | Permalink

Shared Decision-Making® Program Research

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How does A German Audience Appraise an American Decision Aid on Early Stage Breast Cancer?

Albrecht K, Simon D, Buchholz A, et al. How does a German audience appraise an American decision aid on early stage breast cancer? Patient Educ Couns. 2011;83(1):58-63. Read the abstract.
Posted in Patient Decision Aids | Tagged breast cancer, decision aids, Shared Decision-Making® programs | Permalink

Randomized Trial of a Video-Based Patient Decision Aid for Bariatric Surgery

Arterburn DE, Westbrook EO, Bogart T, et al. Randomized trial of a video-based patient decision aid for bariatric surgery. Obesity. 2011;19(8):1669-75. Read the abstract.
Posted in Patient Decision Aids | Tagged bariatric surgery, decision aids, Shared Decision-Making® programs | Permalink

Informed Medical Decisions Foundation Perspectives

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Shared Decision Making & Medical Costs

The strongest argument for shared decision making is that patients have a fundamental right to understand all the reasonable medical options and the arguments for and against each option. Simply put, informing and involving patients in medical decisions is the right thing to do. By being informed and involved, patients have the ability to avoid having surgery that exposes them to risks they do not think are worth the benefits. In addition to those certain benefits, the evidence is also mounting that shared decision making is likely to pay for itself -- and it may well do better than that. Continue reading
Posted in Cost | Tagged decision aids, practice variation, shared decision making | Permalink

In The News

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[ScienceLine] Visualizing the very end: A group of doctors advocates use of videos in advance care planning

For the better part of the last decade, Volandes, who studied filmmaking during medical school, has been producing short videos to inform decision making about end-of-life care. With funding from the federal government and the [Informed Medical Decisions Foundation], Volandes and other doctors have tested the videos in controlled studies, and they have been integrated into standard practice at 35 large health care organizations in the U.S.
Read the full-text article.
Tagged advance care planning, Angelo Volandes, cancer, decision aids, end of life, informed decisions, Medicare, shared decision making | Permalink

[The Dartmouth] DHMC Campuses Offer Decision-Making Tools

These decision aids "pave the way" for patients to have conversations with a health coach or specialist, Burstein said. These decision aids, which were developed by the Foundation for Informed Medical Decision Making, now include condensed online resources that provide interactive material, according to Megan Bowen, the Foundation's implementation manager. Bowen said that feedback indicated the DVD materials are more useful than online programs.
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Tagged Dartmouth-Hitchcock Medical Center, decision aids | Permalink

Informed Medical Decisions Foundation Funded Research

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Evaluation of DVD and Internet Decision Aids for Hip and Knee Osteoarthritis: Focus on Health Literacy

This study will advance the evidence base regarding best methods for facilitating informed decisions among patients with knee and hip osteoarthritis (OA) by comparing DVD and Crossroads online formats of decision aids (DAs) for these conditions. Continue reading
Posted in Decision Aid Components, Directed Research | Tagged decision aids, health literacy, hip osteoarthritis, knee osteoarthritis | Permalink

Examining the Relationship Between Decision Support Interventions and Outcome Measurements: Applying the IPDAS Instrument to the Results of the Cochrane Systematic Review of Patient Decision Aids

The International Patient Decision Aid Standards (IPDAS) Collaboration has led to the development of a quality checklist and, more recently, an instrument to assess the quality of decision support interventions. We recognize that further work is required to examine the relationships between International Patient Decision Aid Standards instrument (IPDASi) scores and the outcomes achieved in clinical trials. Continue reading
Posted in Decision Aid Effectiveness, Directed Research | Tagged Cochrane Review, decision aids, decision support, IPDAS, IPDASi | Permalink

Informed Medical Decisions Foundation Demonstration Site

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Dartmouth-Hitchcock Medical Center

Dartmouth-Hitchcock Medical Center (DHMC) is comprised of physicians, specialists and other providers working together at different locations to meet the health care needs of patients in northern New England. The Center for Shared Decision Making (CSDM) at DHMC, opened its doors in 1999 as the first center in the U.S. to be dedicated to shared decision making, and became a Foundation funded primary and specialty care demonstration site at that time. True pioneers in the shared decision making arena, DHMC continues to perfect the process of providing access to decision aids and decision support to patients as a routine process of care. Continue reading
Tagged breast cancer, decision aids, DHMC, orthopedics, prostate cancer, radiation, shared decision making, Shared Decision-Making® programs, urology | Permalink
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UCSF Breast Care Center

The University of California San Francisco (UCSF) Breast Care Center (BCC) is a high volume specialty clinic providing multi-disciplinary care in a National Cancer Institute-designated Comprehensive Cancer Center. Eight medical oncologists and four surgeons, among dozens of specialists, providers and staff conduct more than 1,000 consultations annually, caring for more than 600 newly diagnosed patients each year. The Breast Care Center at UCSF became a Foundation funded specialty care demonstration site in 2005 in order to offer their patients a unique type of decision support and guidance along their journey. Continue reading
Tagged breast cancer, decision aids, decision support, health care, shared decision making, Shared Decision-Making® programs, treatment for breast cancer, UCSF | Permalink

25 Silver Keys to Foundation History

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Foundation History: Key 2

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In 2006, the Foundation first started funding HealthNewReview.org, a nonprofit website that evaluates health care journalism, advertising, marketing, public relations and other messages that may influence the public. As you can see above, the project has undergone several logo redesigns. Unfortunately, the Foundation had to end funding in 2013 but we continue to promote and support HealthNewsReview.org in other ways. Our connection to the website goes way back to our founding. Gary Schwitzer, the creator and publisher of HealthNewsReview.org, worked for the Foundation during the 1990s in helping create our early decision aids. His interviewing and production skills were crucial in the success of our early decision aids. We hope that HealthNewsReview.org continues to critique mainstream health care journalism to better inform patients far into the future.

Tagged decision aids, Gary Schwitzer, health care journalism, Health News Review, HealthNewsReview.org | Permalink

Foundation History: Key 24

Screen Shot 2014-07-09 at 10.49.26 AM A critical component of amplifying the patient’s voice has come from our unique commitment to gathering the patient perspective. For over a decade we’ve had a team specifically dedicated to learning what is important to patients through focus groups and individual interviews. These discussions fill the gap between what clinicians might think is important to patients and what patients actually consider important. For instance, Karen Sepucha’s groundbreaking research highlighted the difference between what doctors think patients believe, and what patients actually think about the importance of breast conservation for early stage breast cancer. Understanding this gap is vital in providing patients with the resources they need to make better health decisions. The valuable insight we’ve gained from talking to patients has been directly incorporated into our decision-aid development, as well as our research and advocacy activities. The Foundation’s commitment to the patient perspective will carry forth into the freshly merged Healthwise.
Tagged advocacy, decision aids, Healthwise, Karen Sepucha, Patient Perspectives, research | Permalink