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Minimum standards for the certification of patient decision support interventions

Durand, Marie-Anne, Witt, J., Joseph-Williams, Natalie J., Newcombe, Robert Gordon, Politi, M. C., Sivell, Stephanie and Elwyn, Glyn 2015. Minimum standards for the certification of patient decision support interventions. Patient Education and Counseling 98 (4) , pp. 462-486. 10.1016/j.pec.2014.12.009

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Abstract

OBJECTIVE: Patient decision support interventions are not currently subject to standardized quality control. The current study aims to assess the feasibility of applying a proposed set of minimum standards (previously developed as part of a possible certification process) to a selection of existing patient decision support interventions. METHODS: A convenience sample of interventions selected from those included in the 2009 Cochrane systematic review of patient decision aids was scored by trained raters using the International Patient Decision Aids Standards (IPDAS) instrument. Scores were then evaluated against the published proposed minimum standards. RESULTS: Twenty-five out of thirty included interventions met all qualifying criteria while only three met the proposed certification criteria. The changes required for an intervention to meet the proposed certification standards were relatively minor. There was considerable variation between raters' mean scores. CONCLUSIONS: Most interventions did not meet the certification criteria due to lack of information on modifiable items such as update policy and funding source. PRACTICE IMPLICATIONS: Specifying minimum standards for patient decision support interventions is a feasible development. However, it remains unclear whether the minimum standards can be applied to interventions designed for use within clinical encounters and to those that target screening and diagnostic tests.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > RA Public aspects of medicine
Uncontrolled Keywords: Decision aid standards; Patient decision-making; Shared decision-making; Feasibility; Decision support techniques
Publisher: Elsevier
ISSN: 0738-3991
Date of Acceptance: 21 December 2014
Last Modified: 12 Jun 2019 09:39
URI: http://orca.cf.ac.uk/id/eprint/85504

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