Balancing the presentation of information and options in patient decision aids: an updated review

dc.contributor.authorBravo Valenzuela, Paulina Fabiola
dc.contributor.authorAbhyankar, Purva.
dc.contributor.authorVolk, Robert J.
dc.contributor.authorBlumenthal-Barby, Jennifer.
dc.contributor.authorBuchholz, Angela.
dc.contributor.authorOzanne, Elissa.
dc.contributor.authorVidal, Dale Colins.
dc.contributor.authorCol, Nananda.
dc.contributor.authorStalmeier, Peep.
dc.date.accessioned2019-10-16T20:44:53Z
dc.date.available2019-10-16T20:44:53Z
dc.date.issued2013
dc.date.updated2019-10-14T18:38:16Z
dc.description.abstractAbstract Background Standards for patient decision aids require that information and options be presented in a balanced manner; this requirement is based on the argument that balanced presentation is essential to foster informed decision making. If information is presented in an incomplete/non-neutral manner, it can stimulate cognitive biases that can unduly affect individuals’ knowledge, perceptions of risks and benefits, and, ultimately, preferences. However, there is little clarity about what constitutes balance, and how it can be determined and enhanced. We conducted a literature review to examine the theoretical and empirical evidence related to balancing the presentation of information and options. Methods A literature search related to patient decision aids and balance was conducted on Medline, using MeSH terms and PubMed; this search supplemented the 2011 Cochrane Collaboration’s review of patient decision aids trials. Only English language articles relevant to patient decision making and addressing the balance of information and options were included. All members of the team independently screened clusters of articles; uncertainties were resolved by seeking review by another member. The team then worked in sub-groups to extract and synthesise data on theory, definitions, and evidence reported in these studies. Results A total of 40 articles met the inclusion criteria. Of these, six explained the rationale for balancing the presentation of information and options. Twelve defined “balance”; the definition of “balance” that emerged is as follows: “The complete and unbiased presentation of the relevant options and the information about those options—in content and in format—in a way that enables individuals to process this information without bias”. Ten of the 40 articles reported assessing the balance of the relevant decision aid. All 10 did so exclusively from the users’ or patients’ perspective, using a five-point Likert-type scale. Presenting information in a side-by-side display form was associated with more respondents (ranging from 70% to 96%) judging the information as “balanced”. Conclusion There is a need for comparative studies investigating different ways to improve and measure balance in the presentation of information and options in patient decision aids.
dc.fuente.origenBiomed Central
dc.identifier.citationBMC Medical Informatics and Decision Making. 2013 Nov 29;13(Suppl 2):S6
dc.identifier.doi10.1186/1472-6947-13-S2-S6
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/26575
dc.language.isoen
dc.pagina.final10
dc.pagina.inicio1
dc.revistaBMC Medical Informatics and Decision Makinges_ES
dc.rightsacceso abierto
dc.rights.holderAbhyankar et al; licensee BioMed Central Ltd.
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.otherPaciente (Hospitales)es_ES
dc.subject.otherPacientes AspectosPsicológicoes_ES
dc.subject.otherMedicina Internagicoes_ES
dc.titleBalancing the presentation of information and options in patient decision aids: an updated reviewes_ES
dc.typeartículo
dc.volumenVol. 13 (Suppl. 2)
sipa.codpersvinculados132721
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
12911_2013_Article_750.pdf
Size:
621.15 KB
Format:
Adobe Portable Document Format
Description:
License bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
0 B
Format:
Item-specific license agreed upon to submission
Description: