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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Decision aids for patients.

Matthias Lenz1, Susanne Buhse, Jürgen Kasper

  • 1Hamburg University, School of Mathematics, Informatics and Natural Sciences, Hamburg, Germany. matthias.lenz@uni-hamburg.de

Deutsches Arzteblatt International
|July 11, 2012
PubMed
Summary
This summary is machine-generated.

Patient decision aids help individuals make informed choices about their healthcare. However, few aids are systematically developed or evaluated, hindering patient involvement in medical decisions.

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Area of Science:

  • Health Services Research
  • Patient Empowerment
  • Medical Decision Making

Background:

  • Growing patient desire for involvement in medical decision-making.
  • Availability of decision aids to support patient participation.

Purpose of the Study:

  • To define shared decision-making, decision aids, and evidence-based patient information.
  • To survey available decision aids in German and other languages.
  • To identify providers of decision aids in Germany.

Main Methods:

  • Literature search of MEDLINE, EMBASE, PsycInfo, and Cochrane Review.
  • Internet search for decision aid providers in Germany.
  • Overview of decision aid formats, content, and quality standards.

Main Results:

  • Decision aids include brochures, videos, and computer programs for prevention, diagnosis, and treatment.
  • Aids provide information on options, risks, benefits, and guidance for decision-making.
  • 12 RCTs in German and 106 in other languages evaluated decision aids' impact on knowledge, adherence, satisfaction, and decisional conflict.

Conclusions:

  • A small proportion of decision aids undergo systematic development and evaluation.
  • Patients lack adequate support for informed medical decision-making.
  • Need for structures to ensure sustainable development, evaluation, and implementation of high-quality decision aids.