Journal Title
Title of Journal: Patient
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Abbravation: The Patient - Patient-Centered Outcomes Research
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Publisher
Springer International Publishing
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Authors: James G Dolan Peter J Veazie
Publish Date: 2015/01/25
Volume: 8, Issue: 6, Pages: 499-505
Abstract
Growing recognition of the importance of involving patients in preferencedriven healthcare decisions has highlighted the need to develop practical strategies to implement patientcentered shared decisionmaking The use of tabular balance sheets to support clinical decisionmaking is well established More recent evidence suggests that graphic interactive decision dashboards can help people derive deeper a understanding of information within a specific decision context We therefore conducted a nonrandomized trial comparing the effects of adding an interactive dashboard to a static tabular balance sheet on patient decisionmakingThe study population consisted of members of the ResearchMatch registry who volunteered to participate in a study of medical decisionmaking Two separate surveys were conducted one in the control group and one in the intervention group All participants were instructed to imagine they were newly diagnosed with a chronic illness and were asked to choose between three hypothetical drug treatments which varied with regard to effectiveness side effects and outofpocket cost Both groups made an initial treatment choice after reviewing a balance sheet After a brief “washout” period members of the control group made a second treatment choice after reviewing the balance sheet again while intervention group members made a second treatment choice after reviewing an interactive decision dashboard containing the same information After both choices participants rated their degree of confidence in their choice on a 1 to 10 scaleMembers of the dashboard intervention group were more likely to change their choice of preferred drug 102 versus 75 p = 0054 and had a larger increase in decision confidence than the control group 067 versus 0075 p 003 There were no statistically significant betweengroup differences in decisional conflict or decision aid acceptabilityJames Dolan helped design conduct analyze and report the study presented here He received grantrelated salary support and has no other conflicts of interest to report He is the overall guarantor of the study description and results as presented
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