Article
Oncology
Naomi Q. P. Tan, Shawn P. E. Nishi, Lisa M. Lowenstein, Tito R. Mendoza, Maria A. Lopez-Olivo, Laura C. Crocker, Karen R. Sepucha, Robert J. Volk
Summary: The study found that a better shared decision-making (SDM) process was associated with improved affective-cognitive outcomes among patients screened for lung cancer. Patients with higher SDM process scores showed greater knowledge of lung cancer screening, less decisional conflict, and increased intentions to adhere to screening recommendations and undergo screening again.
Article
Medical Informatics
Rachel A. Pozzar, Niya Xiong, Fangxin Hong, Christopher P. Filson, Peter Chang, Barbara Halpenny, Donna L. Berry
Summary: This study explores the concordance between treatment choices and the influence of potential adverse outcomes in individuals with localized prostate cancer (LPC). The findings suggest that risk of adverse treatment outcomes may not be the primary concern for some patients, as other factors like low tumor risk and age play a significant role in treatment decision-making. Furthermore, patients who prioritize the impact of treatment on recreation are less likely to choose treatment options that align with their preferences.
BMC MEDICAL INFORMATICS AND DECISION MAKING
(2022)
Article
Public, Environmental & Occupational Health
Alda Kiss, Qian Zhang, Meg Carley, Maureen Smith, France Legare, Patrick Archambault, Dawn Stacey
Summary: This study aims to identify and evaluate the quality of COVID-19 patient decision aids (PtDAs). The findings show that there are few publicly available online COVID-19 PtDAs, and none of them are about COVID-19 vaccination boosters or treatment. The existing PtDAs scored poorly on actionability and did not meet all IPDAS criteria for minimizing risk of biased decisions.
PATIENT EDUCATION AND COUNSELING
(2023)
Article
Computer Science, Artificial Intelligence
S. Voorberg, R. Eshuis, W. van Jaarsveld, G. J. van Houtum
Summary: This paper introduces an approach that supports decision makers in balancing information gathering and cost-effective decision making, using CMMN modeling notation and Markov Decision Processes optimization technique to provide decision makers with an optimal information-gathering solution and configure a run-time recommendation tool.
DECISION SUPPORT SYSTEMS
(2021)
Article
Critical Care Medicine
Shawn P. E. Nishi, Lisa M. Lowenstein, Tito R. Mendoza, Maria A. Lopez, Laura C. Crocker, Karen Sepucha, Jiangong Niu, Robert J. Volk
Summary: Among patients recently assessed for LCS, the quality of decision-making is highly variable, with patients valuing early cancer detection over concerns about harms. Patients were more likely to receive information on the benefits of LCS than on the risks, and one-third experienced some degree of decisional conflict. However, most patients felt they were adequately involved in the screening decision-making process.
Article
Oncology
Omer Hassan Jamy, Margaret Kasner, Sarah Wall, Stacey Ingram, D. Ambra Dent, William N. Dudley, Leah Dudley, Julie M. Scott, Debra Wujcik
Summary: This study assessed the feasibility of using electronic geriatric assessment (eGA) in a real-world environment. The results showed that patients were able to easily complete the eGA, and the assessment results were considered by physicians in treatment decision-making. The study demonstrated that the use of eGA in clinical settings was feasible and provided useful information.
Article
Oncology
Matthew Anaka, David Chan, Sharon Pattison, Alia Thawer, Bryan Franco, Lesley Moody, Christopher Jackson, Eva Segelov, Simron Singh
Summary: Patients with advanced neuroendocrine tumors have heterogeneous priorities when choosing between treatment options, highlighting the importance of shared decision making for this patient population. Studies suggest that oncologists and patients have different values on treatment attributes, underlining the need for high-quality information to facilitate patient-centered decision making.
Article
Psychology, Social
Mariela E. Jaffe, Maria Douneva, Ronja Bartlome, Rainer Greifeneder
Summary: When individuals are faced with difficult decisions, they often rely on random decision-making aids like coin flips. This study shows that flipping a coin before making a decision can influence the number of reasons individuals consider when making various types of decisions, except when it comes to breakups.
EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY
(2023)
Review
Oncology
Pavlos Msaouel, Juhee Lee, Peter F. Thall
Summary: Clinicians should pay more attention to patients' prognostic information, rather than being limited to predictive subgroups or biomarkers. Different treatment decisions can be made based on individual patient prognosis and clinical outcomes of interest, taking into account patients' goals and values. Well-informed patient-specific decision-making can be carried out by estimating key parameters, using prognostic information, and specifying joint utility functions.
Review
Oncology
Guixian Tong, Qingqing Geng, Debin Wang, Tongzhu Liu
Summary: The study aimed to evaluate the effectiveness of web-based decision aids for cancer-related clinical care through a meta-analysis of 24 randomized controlled trials involving 9846 participants. Overall, the results showed significant effects on cancer decisional conflict, knowledge, and making informed choice. However, heterogeneity and quality flaws in the included studies suggest caution in interpreting the findings. More research is needed to determine the full effectiveness of WDAs in optimizing cancer clinical decision-making.
SUPPORTIVE CARE IN CANCER
(2021)
Article
Health Care Sciences & Services
Karen Sepucha, Paul K. J. Han, Yuchiao Chang, Steven J. Atlas, Neil Korsen, Lauren Leavitt, Vivian Lee, Sanja Percac-Lima, Brittney Mancini, James Richter, Elizabeth Scharnetzki, Lydia C. Siegel, K. D. Valentine, Kathleen M. Fairfield, Leigh H. Simmons
Summary: Physician training plus reminders were effective in increasing shared decision-making (SDM) and frequency of colorectal cancer (CRC) testing discussions in an age group where SDM is essential.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Green & Sustainable Science & Technology
Piyapong Janmaimool, Jaruwan Chontanawat
Summary: This study explored the impacts of affective and cognitive factors on the sustainable energy behaviors of university students, finding that factors such as perceived benefits, concerns about climate change, self-efficacy, and social norms significantly influenced participation.
Review
Economics
Mimi Choon-Quinones, Dirk Hose, Zoltan Kalo, Tamas Zelei, Jean-Luc Harousseau, Brian Durie, Paul Keown, Mike Barnett, Ivett Jakab
Summary: Decision-aids (DAs) can assist in shared decision-making by providing evidence-based information for healthcare professionals, patients, and caregivers. However, current DAs lack a comprehensive framework of decision factors.
Editorial Material
Behavioral Sciences
Annabelle R. Roberts, Ayelet Fishbach
Summary: Impatience is often caused by either the difficulty of waiting or the perceived lack of value in waiting. Distinguishing between these barriers helps determine the appropriate intervention to increase patience. Making waiting easier can increase patience when people are unable to wait, while increasing the value of waiting can increase patience when they lack the desire to wait.
TRENDS IN COGNITIVE SCIENCES
(2022)
Editorial Material
Oncology
Michael K. Gould
Summary: The goal of delivering personalized lung cancer screening is important, and balancing tradeoffs between effectiveness, efficiency, and equity to meet the needs of patients and other stakeholders is crucial. Tools such as the ENGAGE framework will continue to inspire and shape the ongoing conversation.
Article
Geriatrics & Gerontology
Jenny Ploeg, Maureen Markle-Reid, Ruta Valaitis, Kathryn Fisher, Rebecca Ganann, Johanne Blais, Tracey Chambers, Robyn Connors, Andrea Gruneir, France Legare, Janet MacIntyre, William Montelpare, Jean-Sebastien Paquette, Marie-Eve Poitras, Angela Riveroll, Marie-Lee Yous
Summary: This study aims to compare the effectiveness and implementation of the Aging, Community and Health Research Unit-Community Partnership Program (ACHRU-CPP) to usual care in older adults with diabetes and multiple chronic conditions. The study will use a randomized controlled trial design and conduct various evaluations and analyses.
Article
Nursing
Claudia Lai, Paul Holyoke, Karine Plourde, Lily Yeung, France Legare
Summary: Interprofessional care teams play a key role in supporting older adults in making informed health decisions, but shared decision-making is not commonly practiced in home care. Researchers aimed to explore the perceptions of home care teams regarding their clients' decisions and their involvement in shared decision-making. The study found that the decision to stay at home or move was considered the most difficult for older adults by home care providers. Family members were the most frequent participants in decision-making, while physicians were the least involved. However, there were differences in self-perceived shared decision-making among different disciplines, with nurses and rehabilitation professionals reporting higher levels than personal support workers. The findings suggest a need for a more tailored approach to support shared decision-making in interprofessional care teams.
NURSING & HEALTH SCIENCES
(2022)
Review
Multidisciplinary Sciences
Titilayo Tatiana Agbadje, Paula Riganti, Evehouenou Lionel Adisso, Rheda Adekpedjou, Alexandrine Boucher, Andressa Teoli Nunciaroni, Juan Victor Ariel Franco, Maria Victoria Ruiz Yanzi, France Legare
Summary: Reporting of shared decision making (SDM) interventions in healthcare professionals' behavior change studies is often incomplete, making replication difficult. A review of SDM studies published up to 2017 found that reporting on all components of SDM interventions was incomplete in most studies. The findings provide guidance for authors on improving the replicability of their SDM interventions by better reporting.
Review
Medical Informatics
Samira Abbasgholizadeh Rahimi, Michelle Cwintal, Yuhui Huang, Pooria Ghadiri, Roland Grad, Dan Poenaru, Genevieve Gore, Herve Tchala Vignon Zomahoun, France Legare, Pierre Pluye
Summary: Artificial intelligence (AI) has shown promising potential in facilitating shared decision making (SDM) in healthcare. However, there is currently a lack of comprehensive understanding of how AI can be effectively used for SDM. This scoping review aimed to identify and evaluate published studies that have tested or implemented AI for facilitating SDM. The results revealed that the use of AI in SDM is still in its early stages, with a lack of emphasis on patients' values and preferences and poor reporting of AI interventions. Further efforts are needed to strengthen and standardize the use of AI in different steps of the SDM process and evaluate its impact on various decisions, populations, and settings.
JMIR MEDICAL INFORMATICS
(2022)
Article
Clinical Neurology
Helle Sorensen von Essen, Dawn Stacey, Karina Dahl Steffensen, Rikke Guldager, Frantz Rom Poulsen, Karin Piil
Summary: This study found that patient and family involvement, balanced information, and hope were the primary decisional needs of patients and family members at the time of recurrent high-grade gliomas. Trustful relationship with the surgeon, tailored information, and sufficient time to make decisions were identified as essential factors. The experience of hope significantly influenced patients' decisions.
NEURO-ONCOLOGY PRACTICE
(2022)
Review
Medicine, General & Internal
Tania Lognon, Karine Plourde, Emmanuelle Aubin, Anik M. C. Giguere, Patrick M. Archambault, Dawn Stacey, France Legare
Summary: This study aimed to identify decision aids (DAs) developed for home and community care, assess their adherence to international criteria, and explore the involvement of interprofessional teams in their development and use. The findings showed that DAs addressed various decision points, particularly those related to older adults, but there was limited evidence of interprofessional team involvement in the development and use of DAs in home and community care settings.
Article
Public, Environmental & Occupational Health
Dawn Stacey, Claire Ludwig, Patrick Archambault, Maureen Smith, Monica Taljaard, Meg Carley, Karine Plourde, Laura Boland, Amede Gogovor, Ian Graham, Daniel Kobewka, Robert K. D. McLean, Michelle L. A. Nelson, Brandi Vanderspank-Wright, France Legare
Summary: During the COVID-19 pandemic, Canadians faced numerous new health-related decisions, and many of them reported difficulties in decision-making, resulting in decisional conflict and regret. Interventions should be designed to meet their decisional needs and support patients facing new health-related decisions.
JMIR PUBLIC HEALTH AND SURVEILLANCE
(2023)
Article
Geriatrics & Gerontology
Maya Fakhfakh, Virginie Blanchette, Karine Plourde, Souleymane Gadio, Marie Elf, C. Allyson Jones, Louise Meijering, Anik Giguere, France Legare
Summary: This study assessed the intention of Canadian older adults to use an electronic decision aid (eDA) for housing decisions and identified the factors that influenced their intention. The factors associated with intention included mother tongue, objective eHealth literacy, performance expectancy, social influence, and facilitating conditions.
Article
Health Care Sciences & Services
Mylaine Breton, Nadia Deville-Stoetzel, Isabelle Gaboury, Arnaud Duhoux, Lara Maillet, Sabina Abou Malham, France Legare, Isabelle Vedel, Catherine Hudon, Nassera Touati, Jalila Jbilou, Christine Loignon, Marie-Therese Lussier
Summary: The AA model is recommended for improving timely access in primary health care, and it is important to evaluate its implementation in interprofessional practices. The study compared AA implementation among family physicians, nurse practitioners, and nurses. The findings revealed variations among provider categories, indicating that a one-size-fits-all implementation of AA principles is not recommended.
JOURNAL OF INTERPROFESSIONAL CARE
(2023)
Article
Medicine, General & Internal
Marie-Lee Yous, Rebecca Ganann, Jenny Ploeg, Maureen Markle-Reid, Melissa Northwood, Kathryn Fisher, Ruta Valaitis, Tracey Chambers, William Montelpare, France Legare, Ron Beleno, Gary Gaudet, Luisa Giacometti, Deborah Levely, Craig Lindsay, Allan Morrison, Frank Tang
Summary: The study aimed to evaluate the experiences and perceived impacts of the Aging, Community and Health Research Unit-Community Partnership Program (ACHRU-CPP) from the perspectives of older adults with diabetes and other chronic conditions. The program provided a 6-month self-management evidence-based intervention for community-living older adults with diabetes and at least one other chronic condition. The findings showed that the program had positive effects on diabetes self-management, including improved knowledge, physical activity, and eating habits, as well as socialization opportunities. The intervention team also helped connect older adults to community resources for better health and self-management.
Article
Medicine, General & Internal
Florian Naye, France Legare, Jean-Sebastien Paquette, Yannick Tousignant-Laflamme, Annie LeBlanc, Isabelle Gaboury, Marie-Eve Poitras, Karine Toupin-April, Linda C. Li, Alison Hoens, Marie-Dominique Poirier, Simon Decary
Summary: The 2021 Action Plan for Pain from the Canadian Pain Task Force emphasizes patient-centered pain care in healthcare across provinces. Implementing the plan requires innovative shared decision-making interventions, especially after the disruption caused by the COVID-19 pandemic. The first step is to assess the current decisional needs of Canadians with chronic pain across their care pathways.
Article
Multidisciplinary Sciences
Maude Laberge, Francesca Katherine Brundisini, Herve Tchala Vignon Zomahoun, Jasmine Sawadogo, Jose Massougbodji, Amede Gogovor, Genevieve David, France Legare
Summary: This study explores how citizens, physicians, and communication specialists understand knowledge transfer in public spaces. Four kinds of knowledge were identified: biomedical, sociocultural beliefs, value-based reasoning, and institutional knowledge. The findings highlight the different perspectives on biomedical knowledge between physicians/communication specialists and citizens, which have implications for future knowledge exchange interventions with the public.
Article
Education & Educational Research
Felly Bakwa Kanyinga, Amede Gogovor, Suelene Georgina Dofara, Souleymane Gadio, Martin Tremblay, Sam J. Daniel, Louis-Paul Rivest, France Legare
Summary: The study evaluated the impact of a series of CPD courses on physicians' intention to adopt targeted behaviors. The results showed that intention scores increased after the courses, and factors such as beliefs about capabilities, moral norm, and beliefs about consequences influenced post-course intention. In addition, post-course intention was correlated with behavior adoption six months later.
BMC MEDICAL EDUCATION
(2023)
Letter
Pediatrics
Kristina I. Suorsa-Johnson, David E. Sandberg, Dawn Stacey
JOURNAL OF PEDIATRIC UROLOGY
(2023)
Article
Geriatrics & Gerontology
Evehouenou Lionel Adisso, Monica Taljaard, Dawn Stacey, Nathalie Briere, Herve Tchala Vignon Zomahoun, Pierre Jacob Durand, Louis-Paul Rivest, France Legare
Summary: This study evaluated the effectiveness of providing web-based training and workshops for home care teams in interprofessional shared decision-making, in addition to passive dissemination of a decision guide, in helping frail older adults or caregivers of cognitively-impaired frail older adults to play an active role in housing decision-making.
