Journal
PATIENT EDUCATION AND COUNSELING
Volume 80, Issue 3, Pages 364-371Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2010.06.001
Keywords
Decision aids; Shared decision making; Hip or knee osteoarthritis; Benign prostatic hyperplasia; Depression; Spain
Funding
- Quality Plan for the National Health System-Spanish Ministry of Health and Social Policy
- Carlos III Health Institute (Institut de Salud Carlos III, Fondo de Investigaciones Sanitarias) [PI06/90445, PI08/90678]
- Canary Islands Foundation for Health and Research (FUNCIS) [58/05]
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Objective: This study presents ongoing research aimed at understanding the suitability and impact of various decision aids (DAs) on patients with different chronic conditions in the Spanish National Health System. Methods: A three-phase process was employed to develop and evaluate DAs for patients with hip or knee osteoarthritis (OA), benign prostatic hyperplasia (BPH), and depression, including: (1) systematic reviews on the effectiveness of shared decision making (SDM) interventions (including DAs); (2) the development of DAs; (3) a pilot study assessing the DAs. Results: Systematic reviews carried out highlight that there are few studies assessing the effectiveness of DAs for OA, BPH, and depression. The development of DAs and their assessment currently differs for each medical condition. The DAs assessed for OA and BHP are well accepted. Ins pilot study with OA patients, the DA produced a significant improvement in the decisional conflict informed subscale. Conclusion: Research on SDM and DAs for different chronic conditions is at a very early stage in Spain. It is not possible to draw any definite conclusions about the effectiveness of DAs for clinical practice. Practice implications: It is necessary to conduct more high quality studies to evaluate the effects of DAs in the Spanish context. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
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