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Understanding why decision aids work: linking process with outcome.

Hilary L Bekker1, Jenny Hewison, Jim G Thornton

  • 1Academic Unit of Psychiatry and Behavioural Science, School of Medicine, University of Leeds, UK. h.l.bekker@leeds.ac.uk

Patient Education and Counseling
|August 6, 2003
PubMed
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Decision aids improve patient decision-making for prenatal Down's syndrome diagnosis by encouraging cognitive and emotional strategies. This leads to more effective choices, though consultations may take longer.

Area of Science:

  • Medical Decision Making
  • Prenatal Diagnosis
  • Health Psychology

Background:

  • Decision aids are crucial for informed patient choices, but their mechanisms remain under-researched.
  • Empirical evidence on how decision aids function is limited.
  • Prenatal diagnosis for Down's syndrome presents complex treatment choices for expectant parents.

Purpose of the Study:

  • To describe decision-making strategies in prenatal diagnosis.
  • To evaluate the impact of decision aids on these strategies.
  • To explore associations between decision processes and outcomes.

Main Methods:

  • Randomized controlled trial comparing routine vs. decision-aided consultations.
  • Content analysis of consultation transcripts.

Related Experiment Videos

  • Questionnaires assessing knowledge, anxiety, decisional conflict, and information usefulness.

    • Main Results:

    • Women using decision aids employed more cognitive and emotional decision-making strategies.
    • More negative evaluations during decision-making correlated with better outcomes.
    • Decision aids facilitated strategies linked to more effective choices.

    Conclusions:

    • Decision aids enhance patient engagement in complex choices like prenatal Down's syndrome diagnosis.
    • While effective, decision-aided consultations may require more time and emotional processing.
    • These findings support the use of decision aids for improving patient decision-making processes.