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Minimum standards for the certification of patient decision support interventions: Feasibility and application
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.
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Fulfillment of IPDAS criteria can still be achieved if the decision guide is used along with decision-coaching.
“some of the steps in our guide are intended to be filled out with the health professional during a consultation (i.e. with additional verbal information) [33] and fulfillment of the criteria can still therefore be achieved if the decision guide is used along with decision-coaching.”
From Development of a decision guide to support the elderly in decision making about location of care: an iterative, user-centered design (2016) · cites this paper as [33]
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“As with other decision support interventions that have failed to meet minimal IPDAS criteria [33], some of the steps in our guide are intended to be filled out with the health professional during a consultation (i.”
BackgroundBenedict, C., Dauber-Decker, K. L., King, D., Hahn, A., Ford, J. S., & Diefenbach, M. (2021) · JMIR Formative Research · doi:10.2196/20841 · Cited by 11
Metadata
- Authors
- Durand, M.-A., Witt, J., Joseph-Williams, N., Newcombe, R. G., Politi, M. C., Sivell, S., & Elwyn, G.
- Affiliations
- Dartmouth College (US)
- Cardiff University (GB)
- Washington University in St. Louis (US)
- Corresponding author
- Elwyn, Glyn
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2015-04
- Volume
- 98
- Issue
- 4
- Pages
- 462-468
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2003841528
- Cited by
- 69
- References
- 53
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 2 · 2023: 4 · 2022: 12 · 2021: 3 · 2020: 9 · 2019: 8 · 2018: 9 · 2017: 6 · 2016: 8 · 2015: 1
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- University of Hertfordshire Research Archive (University of Hertfordshire) (submittedVersion)
- Funders
- Cardiff University
- The Informed Medical Decisions Foundation
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- patient decision support, patient decision aids, certification standards, quality standards, inter-rater reliability, feasibility, clinical decision support
- MeSH terms
- Certification, Decision Making, Decision Support Techniques, Humans, Patient Participation, Quality Control, Randomized Controlled Trials as Topic
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