BMC Med Inform Decis Mak - Shared decision-making and health for First Nations, M?tis and Inuit women: a study protocol.

Tópicos

{ decis(3086) make(1611) patient(1517) }
{ studi(2440) review(1878) systemat(933) }
{ care(1570) inform(1187) nurs(1089) }
{ health(1844) social(1437) communiti(874) }
{ cancer(2502) breast(956) screen(824) }
{ first(2504) two(1366) second(1323) }
{ use(1733) differ(960) four(931) }
{ control(1307) perform(991) simul(935) }
{ inform(2794) health(2639) internet(1427) }
{ health(3367) inform(1360) care(1135) }
{ model(2656) set(1616) predict(1553) }
{ framework(1458) process(801) describ(734) }
{ case(1353) use(1143) diagnosi(1136) }
{ intervent(3218) particip(2042) group(1664) }
{ imag(2830) propos(1344) filter(1198) }
{ patient(2315) diseas(1263) diabet(1191) }
{ design(1359) user(1324) use(1319) }
{ import(1318) role(1303) understand(862) }
{ research(1218) medic(880) student(794) }
{ group(2977) signific(1463) compar(1072) }
{ patient(1821) servic(1111) care(1106) }
{ process(1125) use(805) approach(778) }
{ method(1219) similar(1157) match(930) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ concept(1167) ontolog(924) domain(897) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ visual(1396) interact(850) tool(830) }
{ studi(1119) effect(1106) posit(819) }
{ record(1888) medic(1808) patient(1693) }
{ age(1611) year(1155) adult(843) }
{ cost(1906) reduc(1198) effect(832) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ result(1111) use(1088) new(759) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ research(1085) discuss(1038) issu(1018) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ can(981) present(881) function(850) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Little is known about shared decision-making (SDM) with M?tis, First Nations and Inuit women ("Aboriginal women"). SDM is a collaborative process that engages health care professional(s) and the client in making health decisions and is fundamental for informed consent and patient-centred care. The objective of this study is to explore Aboriginal women's health and social decision-making needs and to engage Aboriginal women in culturally adapting an SDM approach.METHODS: Using participatory research principles and guided by a postcolonial theoretical lens, the proposed mixed methods research will involve three phases. Phase I is an international systematic review of the effectiveness of interventions for Aboriginal peoples' health decision-making. Developed following dialogue with key stakeholders, proposed methods are guided by the Cochrane handbook and include a comprehensive search, screening by two independent researchers, and synthesis of findings. Phases II and III will be conducted in collaboration with Minwaashin Lodge and engage an urban Aboriginal community of women in an interpretive descriptive qualitative study. In Phase II, 10 to 13 Aboriginal women will be interviewed to explore their health/social decision-making experiences. The interview guide is based on the Ottawa Decision Support Framework and previous decisional needs assessments, and as appropriate may be adapted to findings from the systematic review. Digitally-recorded interviews will be transcribed verbatim and analyzed inductively to identify participant decision-making approaches and needs when making health/social decisions. In Phase III, there will be cultural adaptation of an SDM facilitation tool, the Ottawa Personal Decision Guide, by two focus groups consisting of five to seven Aboriginal women. The culturally adapted guide will undergo usability testing through individual interviews with five to six women who are about to make a health/social decision. Focus groups and individual interviews will be digitally-recorded, transcribed verbatim, and analyzed inductively to identify the adaptation required and usability of the adapted decision guide.DISCUSSION: Findings from this research will produce a culturally sensitive intervention to facilitate SDM within a population of urban Aboriginal women, which can subsequently be evaluated to determine impacts on narrowing health/social decision-making inequities.

Resumo Limpo

ckground littl known share decisionmak sdm mtis first nation inuit women aborigin women sdm collabor process engag health care profession client make health decis fundament inform consent patientcentr care object studi explor aborigin women health social decisionmak need engag aborigin women cultur adapt sdm approachmethod use participatori research principl guid postcoloni theoret len propos mix method research will involv three phase phase intern systemat review effect intervent aborigin peopl health decisionmak develop follow dialogu key stakehold propos method guid cochran handbook includ comprehens search screen two independ research synthesi find phase ii iii will conduct collabor minwaashin lodg engag urban aborigin communiti women interpret descript qualit studi phase ii aborigin women will interview explor healthsoci decisionmak experi interview guid base ottawa decis support framework previous decision need assess appropri may adapt find systemat review digitallyrecord interview will transcrib verbatim analyz induct identifi particip decisionmak approach need make healthsoci decis phase iii will cultur adapt sdm facilit tool ottawa person decis guid two focus group consist five seven aborigin women cultur adapt guid will undergo usabl test individu interview five six women make healthsoci decis focus group individu interview will digitallyrecord transcrib verbatim analyz induct identifi adapt requir usabl adapt decis guidediscuss find research will produc cultur sensit intervent facilit sdm within popul urban aborigin women can subsequ evalu determin impact narrow healthsoci decisionmak inequ

Resumos Similares

BMC Med Inform Decis Mak - Coaching and guidance with patient decision aids: A review of theoretical and empirical evidence. ( 0,819821124935019 )
Med Decis Making - What is known about parents' treatment decisions? A narrative review of pediatric decision making. ( 0,799403518862897 )
BMC Med Inform Decis Mak - Disclosing conflicts of interest in patient decision aids. ( 0,794492796924728 )
Med Decis Making - Contributions of Second Opinions, Outcome Forecasts, and Testimonials to Patient Decisions about Knee Replacement Surgery. ( 0,793466768688544 )
BMC Med Inform Decis Mak - Basing information on comprehensive, critically appraised, and up-to-date syntheses of the scientific evidence: a quality dimension of the International Patient Decision Aid Standards. ( 0,774527616602081 )
BMC Med Inform Decis Mak - Developing and user-testing Decision boxes to facilitate shared decision making in primary care--a study protocol. ( 0,774434579951493 )
BMC Med Inform Decis Mak - Congruence between patients' preferred and perceived participation in medical decision-making: a review of the literature. ( 0,77344276794945 )
Med Decis Making - Where is the evidence? A systematic review of shared decision making and patient outcomes. ( 0,769221484194176 )
BMC Med Inform Decis Mak - Balancing the presentation of information and options in patient decision aids: an updated review. ( 0,761753982763054 )
BMC Med Inform Decis Mak - Many miles to go ?: a systematic review of the implementation of patient decision support interventions into routine clinical practice. ( 0,759659632993257 )
Med Decis Making - Decision coaching to prepare patients for making health decisions: a systematic review of decision coaching in trials of patient decision AIDS. ( 0,756849551307544 )
Med Decis Making - Can Streamlined Multicriteria Decision Analysis Be Used to Implement Shared Decision Making for Colorectal Cancer Screening? ( 0,752116761657267 )
BMC Med Inform Decis Mak - Do personal stories make patient decision aids more effective? A critical review of theory and evidence. ( 0,736957969650099 )
BMC Med Inform Decis Mak - Visual AIDS for multimodal treatment options to support decision making of patients with colorectal cancer. ( 0,728025800448941 )
BMC Med Inform Decis Mak - Refining a brief decision aid in stable CAD: cognitive interviews. ( 0,727471929695373 )
Healthc (Amst) - Incentivizing shared decision making in the USA--where are we now? ( 0,727345068297422 )
AMIA Annu Symp Proc - Revisiting the EBM decision model to formalize non-compliance with computerized CPGs: results in the management of breast cancer with OncoDoc2. ( 0,72081355651171 )
BMC Med Inform Decis Mak - Barriers and facilitators to implementing Decision Boxes in primary healthcare teams to facilitate shared decisionmaking: a study protocol. ( 0,716027101991967 )
AMIA Annu Symp Proc - Supporting shared decision making within the MobiGuide project. ( 0,711783824062915 )
J. Med. Internet Res. - A web-based tool to support shared decision making for people with a psychotic disorder: randomized controlled trial and process evaluation. ( 0,710224100964368 )
BMC Med Inform Decis Mak - Development and initial evaluation of a treatment decision dashboard. ( 0,710139118645988 )
BMC Med Inform Decis Mak - Clarifying values: an updated review. ( 0,709992398208052 )
BMC Med Inform Decis Mak - Genders of patients and clinicians and their effect on shared decision making: a participant-level meta-analysis. ( 0,709548792655129 )
Med Decis Making - Content coding for contextualization of care: evaluating physician performance at patient-centered decision making. ( 0,707205302416395 )
IEEE J Biomed Health Inform - Leveraging social supports for improving personal expertise on ACL reconstruction and rehabilitation. ( 0,703528806413321 )
AMIA Annu Symp Proc - An information-centric framework for designing patient-centered medical decision aids and risk communication. ( 0,701331355585918 )
Med Decis Making - Framing Options as Choice or Opportunity: Does the Frame Influence Decisions? ( 0,701261790901572 )
J Med Syst - The reliability of an epilepsy treatment clinical decision support system. ( 0,699261786724587 )
BMC Med Inform Decis Mak - The design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter. ( 0,6982127208446 )
J. Med. Internet Res. - Review of online evidence-based practice point-of-care information summary providers: response by the publisher of DynaMed. ( 0,69764464473575 )
BMC Med Inform Decis Mak - Development of a decision aid to inform patients' and families' renal replacement therapy selection decisions. ( 0,696396652953185 )
J Biomed Inform - Opportunistic decision making and complexity in emergency care. ( 0,693270980240196 )
BMC Med Inform Decis Mak - A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial. ( 0,691937868281982 )
BMC Med Inform Decis Mak - Development and pilot testing of an online case-based approach to shared decision making skills training for clinicians. ( 0,687814765191347 )
BMC Med Inform Decis Mak - Incorporating patient and family preferences into evidence-based medicine. ( 0,686179609893894 )
Med Decis Making - The impact of a novel computer-based decision aid on shared decision making for colorectal cancer screening: a randomized trial. ( 0,683617276059618 )
Med Decis Making - What makes a tumor diagnosis a call to action? On the preference for action versus inaction. ( 0,681741662175989 )
Med Decis Making - An equity framework for health technology assessments. ( 0,681541589933968 )
Med Decis Making - Adherence and decision AIDS: a model and a narrative review. ( 0,680585186937583 )
BMC Med Inform Decis Mak - A preliminary exploration of the feasibility of offering men information about potential prostate cancer treatment options before they know their biopsy results. ( 0,679103922489404 )
BMC Med Inform Decis Mak - Launching a virtual decision lab: development and field-testing of a web-based patient decision support research platform. ( 0,673162090767934 )
Med Decis Making - Breast cancer patients' treatment expectations after exposure to the decision aid program adjuvant online: the influence of numeracy. ( 0,671539116241886 )
Med Decis Making - Are medical outcomes fungible? A survey of voters, medical administrators, and physicians. ( 0,671107210563888 )
J. Med. Internet Res. - The effect of patient narratives on information search in a web-based breast cancer decision aid: an eye-tracking study. ( 0,670264484002522 )
BMC Med Inform Decis Mak - Assessing the information desire of patients with advanced cancer by providing information with a decision aid, which is evaluated in a randomized trial: a study protocol. ( 0,668979722678083 )
Med Decis Making - Perceptions of shared decision making and decision aids among rural primary care clinicians. ( 0,668357342075176 )
Med Decis Making - Preferences and perceived involvement in treatment decision making among Chinese patients with chronic hepatitis. ( 0,667821296205368 )
Med Decis Making - Investing in deliberation: a definition and classification of decision support interventions for people facing difficult health decisions. ( 0,664034687728848 )
J Am Med Inform Assoc - Effects of clinical decision-support systems on practitioner performance and patient outcomes: a synthesis of high-quality systematic review findings. ( 0,663362970098164 )
Artif Intell Med - Sequential decision tree using the analytic hierarchy process for decision support in rectal cancer. ( 0,661683445550797 )
Med Decis Making - When decisions should be shared: a study of social norms in medical decision making using a factorial survey approach. ( 0,660692260836862 )
AMIA Annu Symp Proc - Patient clinical profiles associated with physician non-compliance despite the use of a guideline-based decision support system: a case study with OncoDoc2 using data mining techniques. ( 0,659755935447477 )
Artif Intell Med - Aggregating evidence about the positive and negative effects of treatments. ( 0,653711037795405 )
BMC Med Inform Decis Mak - Risk assessment and decision making about in-labour transfer from rural maternity care: a social judgment and signal detection analysis. ( 0,651237284278185 )
BMC Med Inform Decis Mak - Development of a tool to improve the quality of decision making in atrial fibrillation. ( 0,648547650675475 )
BMC Med Inform Decis Mak - Development and pilot testing of a decision aid for drivers with dementia. ( 0,647549805027207 )
J. Med. Internet Res. - Acceptability and preliminary feasibility of an internet/CD-ROM-based education and decision program for early-stage prostate cancer patients: randomized pilot study. ( 0,645499382841014 )
Int J Med Inform - Pharmacist-conducted medication reconciliation at hospital admission using information technology in Taiwan. ( 0,645481799151604 )
Med Decis Making - Theoretical foundation of patient v. population preferences in calculating QALYs. ( 0,644254410683649 )
BMC Med Inform Decis Mak - Deficiencies in the transfer and availability of clinical trials evidence: a review of existing systems and standards. ( 0,642799625868665 )
BMC Med Inform Decis Mak - Data mining of audiology patient records: factors influencing the choice of hearing aid type. ( 0,641654554118811 )
Med Decis Making - Factors Associated with Informed Decisions and Participation in Bowel Cancer Screening among Adults with Lower Education and Literacy. ( 0,641140232875781 )
Med Decis Making - Web-based cancer communication and decision making systems: connecting patients, caregivers, and clinicians for improved health outcomes. ( 0,638524377378867 )
BMC Med Inform Decis Mak - A qualitative study of professional and client perspectives on information flows and decision aid use. ( 0,637382303591981 )
Med Decis Making - Participation of very old adults in health care decisions. ( 0,636151975444242 )
J Am Med Inform Assoc - Workshop on using natural language processing applications for enhancing clinical decision making: an executive summary. ( 0,636133319428808 )
Med Decis Making - The value of heterogeneity for cost-effectiveness subgroup analysis: conceptual framework and application. ( 0,635231810491474 )
Med Decis Making - All stories are not alike: a purpose-, content-, and valence-based taxonomy of patient narratives in decision aids. ( 0,633179605454602 )
Med Decis Making - Toward Minimum Standards for Certifying Patient Decision Aids: A Modified Delphi Consensus Process. ( 0,631418132053409 )
Med Decis Making - Cognitive biases and heuristics in medical decision making: a critical review using a systematic search strategy. ( 0,630935454328635 )
Med Decis Making - The context of available options affects health care decisions: a generalization study. ( 0,624651960077353 )
BMC Med Inform Decis Mak - Extensions to regret-based decision curve analysis: an application to hospice referral for terminal patients. ( 0,623460044820108 )
BMC Med Inform Decis Mak - Decision aids for respite service choices by carers of people with dementia: development and pilot RCT. ( 0,623192779382156 )
BMC Med Inform Decis Mak - Measuring decision quality: psychometric evaluation of a new instrument for breast cancer chemotherapy. ( 0,621497907503529 )
BMC Med Inform Decis Mak - Values clarification in a decision aid about fertility preservation: does it add to information provision? ( 0,619265947355022 )
Telemed J E Health - Patient data access and online sleep apnea communities. ( 0,618790585590061 )
J Am Med Inform Assoc - Automated identification of patients with a diagnosis of binge eating disorder from narrative electronic health records. ( 0,61758147098573 )
Perspect Health Inf Manag - Examination of office visit patient preferences for the after-visit summary (AVS). ( 0,616644818810407 )
Med Decis Making - The DECISIONS study: a nationwide survey of United States adults regarding 9 common medical decisions. ( 0,613092561787382 )
J Med Syst - Comparison of AI techniques for prediction of liver fibrosis in hepatitis patients. ( 0,612945426802629 )
Int J Med Inform - Nurses' experiences of using an interactive tailored patient assessment tool one year past implementation. ( 0,612503075073067 )
BMC Med Inform Decis Mak - A randomized study of telephonic care support in populations at risk for musculoskeletal preference-sensitive surgeries. ( 0,612494093146958 )
AMIA Annu Symp Proc - Supporting cancer patients' unanchored health information management with mobile technology. ( 0,61178991811945 )
BMC Med Inform Decis Mak - Applying the theory of planned behaviour to multiple sclerosis patients' decisions on disease modifying therapy--questionnaire concept and validation. ( 0,611334470402326 )
Med Decis Making - Choice set size and decision making: the case of Medicare Part D prescription drug plans. ( 0,609702589604131 )
J Med Syst - Implementing an integrative multi-agent clinical decision support system with open source software. ( 0,608157998126517 )
J Am Med Inform Assoc - Automation bias: a systematic review of frequency, effect mediators, and mitigators. ( 0,608027221520994 )
Med Decis Making - Why do patients derogate physicians who use a computer-based diagnostic support system? ( 0,605655677196302 )
J. Med. Internet Res. - Assessing the acceptability and usability of an interactive serious game in aiding treatment decisions for patients with localized prostate cancer. ( 0,605524579163586 )
BMC Med Inform Decis Mak - A new method for determining physician decision thresholds using empiric, uncertain recommendations. ( 0,602465073791408 )
J. Med. Internet Res. - Supporting informed decision making online in 20 minutes: an observational web-log study of a PSA test decision aid. ( 0,602092192187337 )
Int J Health Geogr - Mass casualty modelling: a spatial tool to support triage decision making. ( 0,600825583907821 )
J Am Med Inform Assoc - Patient-initiated electronic health record amendment requests. ( 0,599858778928712 )
Med Decis Making - Dynamics of trust in medical decision making: an experimental investigation into underlying processes. ( 0,598960914485556 )
Med Decis Making - A model to support shared decision making in electronic health records systems. ( 0,597741852536444 )
Med Decis Making - The impact of explicit values clarification exercises in a patient decision aid emerges after the decision is actually made: evidence from a randomized controlled trial. ( 0,594885265178312 )
AMIA Annu Symp Proc - Role of physicians' reactance in e-iatrogenesis: a case study with ASTI guiding mode on the management of hypertension. ( 0,594274930277672 )
J Med Syst - Development of a decision support engine to assist patients with hospital selection. ( 0,591864731942173 )
BMC Med Inform Decis Mak - Addressing tensions when popular media and evidence-based care collide. ( 0,591857303211202 )
J Am Med Inform Assoc - Imaging informatics for consumer health: towards a radiology patient portal. ( 0,588355520358915 )