Effectiveness and implementation of SHared decision-making supported by OUTcome information among patients with breast cancer, stroke and advanced kidney disease: SHOUT study protocol of multiple interrupted time series
| Autor: | Mariska Quirina Nikita, Hackert, Jet W, Ankersmid, Noel, Engels, Janine C M, Prick, Steven, Teerenstra, Sabine, Siesling, Constance H C, Drossaert, Luc J A, Strobbe, Yvonne E A, van Riet, René M A, van den Dorpel, Willem Jan W, Bos, Paul B, van der Nat, Renske M, van den Berg-Vos, Sander M, van Schaik, Mirjam M, Garvelink, Philip J, van der Wees, Cornelia F, van Uden-Kraan, J N, Brinkman |
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| Přispěvatelé: | Health Technology & Services Research, TechMed Centre, Psychology, Health & Technology, Neurology, Amsterdam Neuroscience - Neurovascular Disorders |
| Rok vydání: | 2022 |
| Předmět: |
Decision Making
Breast Neoplasms Interrupted Time Series Analysis General Medicine Breast surgery Decision Support Techniques Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Stroke MEDICAL EDUCATION & TRAINING All institutes and research themes of the Radboud University Medical Center Quality of Life Chronic renal failure Humans Female Kidney Diseases Patient Participation |
| Zdroj: | BMJ Open, 12, 8 BMJ open, 12(8):e055324. BMJ Publishing Group BMJ Open, 12(8). BMJ PUBLISHING GROUP BMJ Open, 12 |
| ISSN: | 2044-6055 |
| Popis: | IntroductionWithin the value-based healthcare framework, outcome data can be used to inform patients about (treatment) options, and empower them to make shared decisions with their health care professional. To facilitate shared decision-making (SDM) supported by outcome data, a multicomponent intervention has been designed, including patient decision aids on the organisation of post-treatment surveillance (breast cancer); discharge location (stroke) and treatment modality (advanced kidney disease), and training on SDM for health care professionals. The SHared decision-making supported by OUTcome information (SHOUT) study will examine the effectiveness of the intervention and its implementation in clinical practice.Methods and analysisMultiple interrupted time series will be used to stepwise implement the intervention. Patients diagnosed with either breast cancer (N=630), stroke (N=630) or advanced kidney disease (N=473) will be included. Measurements will be performed at baseline, three (stroke), six and twelve (breast cancer and advanced kidney disease) months. Trends on outcomes will be measured over a period of 20 months. The primary outcome will be patients’ perceived level of involvement in decision-making. Secondary outcomes regarding effectiveness will include patient-reported SDM, decisional conflict, role in decision-making, knowledge, quality of life, preferred and chosen care, satisfaction with the intervention, healthcare utilisation and health outcomes. Outcomes regarding implementation will include the implementation rate and a questionnaire on the health care professionals’ perspective on the implementation process.Ethics and disseminationThe Medical research Ethics Committees United in Nieuwegein, the Netherlands, has confirmed that the Medical Research Involving Human Subjects Act does not apply to this study. Bureau Onderzoek & Innovatie of Santeon, the Netherlands, approved this study. The results will contribute to insight in and knowledge on the use of outcome data for SDM, and can stimulate sustainable implementation of SDM.Trial registration numberNL8374, NL8375 and NL8376. |
| Databáze: | OpenAIRE |
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