Implementation, participation and satisfaction rates of a web-based decision support tool for patients with metastatic colorectal cancer
Keikes, Lotte; de Vos-Geelen, Judith; de Groot, Jan Willem B; Punt, Cornelis J A; Simkens, Lieke H J; Trajkovic-Vidakovic, Marija; Portielje, Johanneke E A; Vos, Allert H; Beerepoot, Laurens V; Hunting, Cornelis B; Koopman, Miriam; van Oijen, Martijn G H
(2019) Patient Education and Counseling, volume 102, issue 7, pp. 1331 - 1335
(Article)
Abstract
OBJECTIVE: To examine implementation and patients' and providers' participation and satisfaction of a newly developed decision support tool (DST) for patients with metastatic colorectal cancer (mCRC) in palliative setting. METHODS: Our DST consisted of a consultation sheet and web-based tailored information for mCRC treatment options. We conducted an implementation trajectory
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in 11 Dutch hospitals and evaluated implementation, participation and satisfaction rates. RESULTS: Implementation rates fluctuated between 3 and 72 handed out (median:23) consultation sheets per hospital with patients' login rates between 36% and 83% (median:57%). The majority of patients (68%) had (intermediate)-high participation scores. The median time spent using the DST was 38 min (IQR:18-56) and was highest for questions concerning patients' perspective (5 min). Seventy-six% of patients were (very) satisfied. The provider DST rating was 7.8 (scale 1-10) and participation ranged between 25 and 100%. Remaining implementation thresholds included providers' treatment preferences, resistance against shared decision-making and (over)confidence in shared decision-making concepts already in use. CONCLUSION: We implemented a DST with sufficient patient and oncologist satisfaction and high patient participation, but participation differed considerably between hospitals suggesting unequal adoption of our tool. PRACTICE IMPLICATIONS: Requirements for structural implementation are to overcome remaining thresholds and increase awareness for additional decision support.
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Keywords: Metastatic colorectal cancer, Decision support tool, Shared decision making, Patient values, Treatment preferences, Shared decision-making, General Medicine, Research Support, Non-U.S. Gov't, Journal Article
ISSN: 0738-3991
Publisher: Elsevier Ireland Ltd
Note: Funding Information: This work was supported by the Dutch Digestive Foundation . Funding Information: Martijn G.H. van Oijen has received unrestricted research funding from Amgen, Bayer, Lilly, Merck-Serono, Nordic and Roche. Publisher Copyright: © 2019 Elsevier B.V.
(Peer reviewed)