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Interpretive Review : Feasibility and Effects of Decision Aids

Author

Listed:
  • Sjaak Molenaar
  • Mirjam A.G. Sprangers
  • Fenna C.E. Postma-Schuit
  • Emiel J. Th. Rutgers
  • Josje Noorlander
  • Joop Hendriks
  • Hanneke C.J.M. De Haes

Abstract

Decision aids for patients have recently been introduced in health care. A literature review was conducted to address the following research questions: 1) which types of decision aids have been developed?; 2) to what extent are they feasible, and acceptable to patients and health care providers?; 3) do decision aids affect the decision-making process and patients' outcomes? Thirty non-controlled (e.g., one-group-only designs) and controlled studies (e.g., randomized experimental designs) were identified. Decision aids were found to be feasible and acceptable to patients and to increase the agreement between patients' values and decisions and patients' knowledge. The effects of decision aids on decisions and on patients' outcomes, including decision uncertainty, satisfaction, and health, have rarely been addressed. When studied, the beneficial effects of decision aids on these outcomes appear to be rather modest. Implications for future development of decision aids and the design of studies are discussed. Key words: shared decision making; patient decision aids. (Med Decis Making 2000;20:112-127)

Suggested Citation

  • Sjaak Molenaar & Mirjam A.G. Sprangers & Fenna C.E. Postma-Schuit & Emiel J. Th. Rutgers & Josje Noorlander & Joop Hendriks & Hanneke C.J.M. De Haes, 2000. "Interpretive Review : Feasibility and Effects of Decision Aids," Medical Decision Making, , vol. 20(1), pages 112-127, January.
    • Handle: RePEc:sae:medema:v:20:y:2000:i:1:p:112-127
    DOI: 10.1177/0272989X0002000114
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    References listed on IDEAS

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    1. Gretchen B. Chapman & Arthur S. Elstein & Katharine Kostbade Hughes, 1995. "Effects of Patient Education on Decisions about Breast Cancer Treatments," Medical Decision Making, , vol. 15(3), pages 231-239, August.
    2. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1997. "Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango)," Social Science & Medicine, Elsevier, vol. 44(5), pages 681-692, March.
    3. Margaret Holmes-Rovner & Jill Kroll & Neal Schmitt & David R. Rovner & M. Lynn Breer & Marilyn L. Rothert & Georgia Padonu & Geraldine Talarczyk, 1996. "Patient Satisfaction with Health Care Decisions," Medical Decision Making, , vol. 16(1), pages 58-64, February.
    4. Ong, L. M. L. & de Haes, J. C. J. M. & Hoos, A. M. & Lammes, F. B., 1995. "Doctor-patient communication: A review of the literature," Social Science & Medicine, Elsevier, vol. 40(7), pages 903-918, April.
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