Keyword: "shared decision making"

20 items were found with the keyword "shared decision making".

  • Improving Patient Decisions about Bariatric Surgery

    New

    PI: Nancy J. Birkmeyer, PhD , Amir A. Ghaferi, MD, MS

    Obesity is increasingly considered among the most important public health problems of our times. Bariatric surgery is arguably the only treatment that has proven effective in producing long-term weight loss for patients with morbid obesity. Bariatric surgery also results in resolution of obesity related co-morbid conditions, improvements in quality of life, and increased survival. There are currently four different bariatric surgical procedures in use: adjustable gastric banding, gastric bypass, sleeve gastrectomy, and duodenal switch. Bariatric surgery is considered a highly preference sensitive medical issue. Existing decision aids in bariatric surgery are limited in that they provide information about the average comparative risks and benefits of the treatment options, but do not provide customized estimates of the risks and benefits of the different procedures for individual patients. As a result of these draw-backs, decision aids are not frequently used in making treatment decisions in bariatric surgery. Our proposal is highly innovative in that our decision support tool integrates data from a large clinical registry with individual patient data to provide patients with real-time, customized, accurate information regarding the risks and benefits of the treatment options to better inform decision making. This tool will be continuously updated to ensure that the data on risks and benefits that it provides are accurate and current. Our tool also provides information about other attributes of the treatment options that bariatric surgery patients and other relevant stakeholders feel are important for patients to consider in deciding whether and what type of bariatric surgery to have. The proposed research promotes shared medical decision making for patients who are considering bariatric surgery for the treatment of morbid obesity. If our intervention proves effective, it will result in improved decision quality and outcomes of care for patients. It may also result in improved efficiency of care to the extent that it serves to augment or guide communication between the patient and physician to promote shared medical decision-making. (09/01/2013 - 08/31/2016)

  • iNSider

    PI: Debbie S. Gipson, MD, MS

    The overarching goal of this study is to strengthen our understanding of the patient and physician perspective of nephrotic syndrome, therapy, prognosis, and factors influencing disease management and to use the information generated from stakeholder engagement to inform the creation of a shared-learning online decision support tool. (10/11/2012 - 12/31/2014)

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  • CanSORT - CancerDoctorsLikeMe

    New

    PI: Lawrence C. An, MD , Sarah T. Hawley, PhD, MPH , Kenneth A. Resnicow, PhD

    The goals of the study are to collect pilot data on provider-patient interactions around contralateral prophylactic mastectomy (CPM) for breast cancer surgeons and risk of recurrence for medical oncologists. We used a web intervention to present population-based data and patient-centered communication techniques to doctors.  (07/01/2012 - 08/31/2017)

  • iDECIDE for Ann Arbor and Detroit VAs

    PI: Angela Fagerlin, PhD

    Successful diabetes management is dependent on the patient - provider partnership. However, a full discussion of potential benefits, harms, costs, and burdens associated with each medication option is often too much for a brief clinic visit. This project uses AHRQ-developed consumer guides as inspiration for a tailored program that assists with this decision-making. The current iDECIDE intervention serves as the base of the program, with updates geared toward making it more specific to veterans. (01/01/2012 - 09/30/2012)

  • Older Adult Perceptions of Shared Decisions in Colorectal Screening

    PI: L. Aubree Shay, PhD, MSSW, LCSW

    The goal of this study is to understand how older and emerging-older adult patients and their physicians perceive shared decision-making (SDM), and how SDM, as perceived by patients, impacts adherence to recommended colorectal cancer screening. (09/01/2011 - 08/31/2012)

  • DATES

    PI: Masahito Jimbo, MD, PhD, MPH

    DATES (Decision Aid to Technologically Enhance Shared Decision Making) is an interactive decision aid website for colorectal cancer, designed to be used prior to a clinic visit to clarify each patient's preferences and promote shared decision-making. The website uses a unique interactive Preference Elicitation Tool, which helps patients determine the colorectal cancer screening test option that best matches their preferences. (04/01/2011 - 03/31/2015)

  • Making the Choice - VA

    PI: Angela Fagerlin, PhD

    A current priority for VA research is "Healthcare Informatics to Improve Veteran Care Healthcare." This priority area recognizes the critical importance of developing effective technological tools for Veterans to improve their understanding of and capacity to be actively involved in shared decision making about key health issues. Making The Choice - VA develops new materials specifically for VA patients who have prostate cancer. The tool helps in shared and informed decision-making related to prostate cancer treatment options and outcomes. (01/01/2011 - 09/30/2011)

  • VA Cardiovascular Tool

    PI: Rodney A. Hayward, MD

    It is critically important to develop effective technological tools for Veterans to improve their understanding of and capacity to be actively involved in shared decision making about key health issues. It is also critical to make sure both the patients´┐Ż and the clinicians´┐Ż decisions are informed decisions. (01/01/2011 - 09/30/2011)

  • Discussing the Choice

    PI: Angela Fagerlin, PhD , Peter A. Ubel, MD

    DVDs demonstrate to patients some of the issues that might arise during their prostate cancer diagnosis visit that may prevent them from sharing in the decision of what treatment to choose. The DVDs also provide solutions that would allow for patients' participation in the treatment decision making process. (09/01/2008 - 08/31/2013)

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  • CECCR2 - Center of Excellence In Cancer Communications Research II

    PI: Victor J. Strecher, PhD, MPH

    The purpose of the University of Michigan Center of Excellence in Cancer Communications Research (CECCR) is to develop an efficient, theory-driven model for generating tailored health behavior interventions for many health behaviors and socio-demographic populations. (09/01/2008 - 08/31/2013)

  • Improving Risk Communication through Tailored Testimonials

    PI: Amanda Dillard, PhD

    Two experiments examine the effects of tailored testimonials on people's knowledge, satisfaction, interest in shared decision-making, and behavioral intentions after reading a colorectal cancer screening decision aid. (09/01/2007 - 08/31/2008)

  • SCanIT

    PI: Masahito Jimbo, MD, PhD, MPH

    Streamlining Cancer Screening Decision through Information Technology (SCanIT) aims to use information technology to link colorectal cancer (CRC) screening with health services at an integrated health system. The goal is to enhance informed decision making (IDM) for the patient and shared decision-making (SDM) between the patient and the physician. (05/01/2007 - 04/30/2008)

  • CSATS

    PI: Masahito Jimbo, MD, PhD, MPH

    Cancer Screening Adherence through Technology-Enhanced Shared Decision Making (CSATS) is a tailored behavioral intervention to improve patient adherence to colorectal cancer screening (CRC). CSATS links a computerized screening prompt/reminder system with a tailored behavioral intervention. The intervention combines a screening decision aid with a risk assessment. Upon completion of the intervention, a recommendation is provided to both patient and physician to enhance shared decision making between the two. (01/02/2006 - 08/31/2007)

  • REACH

    PI: Susan D. Goold, MD, MHSA, MA

    REACH is a variation of the existing CHAT software CD to make the simulation survey cover a broader range of benefit options beyond health care. (01/01/2005 - 02/28/2005)

  • webCHAT

    PI: Susan D. Goold, MD, MHSA, MA

    This project aims to develop a web-based version of CHAT, a game designed to help ordinary people better understand health insurance and help health insurance policy makers better understand the health care wishes of ordinary people. (10/10/2002 - 12/31/2003)

  • Making the Choice - Audio and Internet

    PI: John T. Wei, MD, MS

    This project is an adaptation of Making the Choice. We revise the paper-based decision aid and develop alternative media formats (audiotape- and Internet-based versions) of the paper based decision aid to increase distribution and utilization. We also test the paper, audiotape, and Internet-based decision aids in an appropriate population of patients to provide pilot data on the tools' efficacy for improving patient knowledge. (09/30/2002 - 09/29/2004)

  • Making the Choice

    PI: John T. Wei, MD, MS

    Making the Choice is a booklet to help men better understand prostate health and the issues surrounding prostate cancer testing. (09/30/2002 - 09/29/2004)

  • Interactive CHAT Prototype

    PI: Susan D. Goold, MD, MHSA, MA

    Develop a prototype to adapt an existing physical game board for understanding and choosing benefits of a health care plan to an electronic version. CHAT, in its original form, is a game-like exercise designed to help people pick health insurance benefits. CHAT presents the challenge of a full array of possible health care options, but limited resources. The goal of the exercise is to help people better understand health insurance and become more involved in designing group health insurance plans. Throughout the exercise, tradeoffs have to be made between competing needs for limited resources. (07/15/2000 - 01/31/2001)

  • Prostate Cancer Decision-Making

    PI: Robert C. Burack, MD, MPH

    This project is focused on creating a booklet to help men better understand prostate health and the issues surrounding prostate cancer testing. (09/01/1996 - 10/31/1997)

  • I Can Decide Dashboard

    New

    PI: Lawrence C. An, MD , Sarah T. Hawley, PhD, MPH

    Patients newly diagnosed with breast cancer face a series of complex decisions regarding locoreginal and systemic treatment. Currently many of these decisions do not meet the definition of a high quality decision, defined as one that is both informed (based on an accurate understanding of the treatment risks and benefits) and preference-concordant (consistent with the patient's underlying preferences). I Can Decide evaluates the impact of an innovative decision tool on locoregional and systemic therapy decision making for newly diagnosed breast cancer patients.  The I Can Decide Dashboard links the I Can Decide patient website to a clinic dashboard. Some of the information patients enter on the website will be shared with the clinic. The goal is to improve communication and help patients make informed treatment decisions. (08/31/2017)