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Clinician Needs and Requirements for a Decision Aid Navigator: Qualitative Study
Brad Morse1, Carrie Reale2, An T Nguyen3
1Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, 1890 North Revere Court, Aurora, CO, 80045, United States, 1 3037245138.
JMIR Human Factors
|August 21, 2025
Summary
Clinicians need integrated electronic health record (EHR) tools to effectively use decision aids (DAs) for shared decision-making (SDM). Streamlined functionality and clinician training are crucial for adopting these DAs in patient care.
Area of Science:
- Health Informatics
- Clinical Decision Support
- Patient Engagement
Background:
- Decision aids (DAs) enhance patient-centered care by supporting shared decision-making (SDM).
- Clinician adoption of DAs is limited by factors including time constraints and EHR integration issues.
- Existing barriers hinder the effective use of DAs in clinical practice.
Purpose of the Study:
- To identify clinician needs for designing an EHR-integrated DA tool.
- To inform the development of the Decision Aid Navigator (DEAN) application.
- To address barriers preventing clinician use of DAs.
Main Methods:
- Qualitative study involving 13 semistructured interviews with clinicians across 4 academic medical centers.
- Demonstration of a mid-fidelity DEAN app prototype during interviews.
- Qualitative content analysis of interview data to identify themes.
Main Results:
- Clinicians require streamlined functionality to simplify workflow and reduce the burden of using DAs.
- Development of clinician competencies is essential for effective use of DA tools.
- Clinicians emphasized the need for EHR integration and trust in suggested decision aids.
Conclusions:
- EHR-integrated tools are necessary to overcome barriers to DA use by clinicians.
- Streamlining DA documentation can increase clinician adoption and improve SDM.
- Developing user competencies and ensuring trust are key to successful DA tool implementation.
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