PMID- 25263630
OWN - NLM
STAT- MEDLINE
DCOM- 20161013
LR  - 20220408
IS  - 1369-7625 (Electronic)
IS  - 1369-6513 (Print)
IS  - 1369-6513 (Linking)
VI  - 18
IP  - 6
DP  - 2015 Dec
TI  - An exploratory mixed-methods crossover study comparing DVD- vs. Web-based patient 
      decision support in three conditions: The importance of patient perspectives.
PG  - 2880-91
LID - 10.1111/hex.12273 [doi]
AB  - BACKGROUND: The last 15 years have witnessed considerable progress in the 
      development of decision support interventions (DESIs). However, fundamental 
      questions about design and format of delivery remain. METHODS: An exploratory, 
      randomized mixed-method crossover study was conducted to compare a DVD- and 
      Web-based DESI. Randomized participants used either the Web or the DVD first, 
      followed by the alternative format. Participants completed a questionnaire to 
      assess decision-specific knowledge at baseline and a questionnaire and structured 
      qualitative interview after viewing each format. Tracking software was used to 
      capture Web utilization. Transcripts were analyzed using integrated inductive and 
      deductive approaches. Quantitative data were analyzed using exploratory bivariate 
      and multivariate analyses. RESULTS: Exploratory knowledge analyses suggest that 
      both formats increased knowledge, with limited evidence that the DVD increased 
      knowledge more than the Web. Format preference varied across participants: 44% 
      preferred the Web, 32% preferred the DVD and 24% preferred 'both'. Patient 
      discussions of preferences for DESI information structure and the importance of a 
      patients' stage of a given decision suggest these characteristics may be 
      important factors underlying variation in utilization, format preferences and 
      knowledge outcomes. CONCLUSIONS: Our results suggest that both DESI formats 
      effectively increase knowledge. Patients' perceptions of these two formats 
      further suggest that there may be no single 'best' format for all patients. These 
      results have important implications for understanding why different DESI formats 
      might be preferable to and more effective for different patients. Further 
      research is needed to explore the relationship between these factors and DESI 
      utilization outcomes across diverse patient populations.
CI  - (c) 2014 John Wiley & Sons Ltd.
FAU - Halley, Meghan C
AU  - Halley MC
AD  - Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.
FAU - Rendle, Katharine A S
AU  - Rendle KA
AD  - Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.
AD  - University of Michigan, Ann Arbor, MI, USA.
FAU - Gillespie, Katherine A
AU  - Gillespie KA
AD  - Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.
FAU - Stanley, Katherine M
AU  - Stanley KM
AD  - Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.
FAU - Frosch, Dominick L
AU  - Frosch DL
AD  - Palo Alto Medical Foundation Research Institute, Palo Alto, CA, USA.
AD  - Patient Care Program, Gordon and Betty Moore Foundation, Palo Alto, CA, USA.
AD  - University of California, Los Angeles, CA, USA.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20140929
PL  - England
TA  - Health Expect
JT  - Health expectations : an international journal of public participation in health 
      care and health policy
JID - 9815926
SB  - IM
MH  - Aged
MH  - *Attitude to Health
MH  - Colorectal Neoplasms/diagnosis
MH  - Cross-Over Studies
MH  - *Decision Support Techniques
MH  - Diabetes Mellitus/therapy
MH  - Early Detection of Cancer
MH  - Humans
MH  - *Internet
MH  - Interviews as Topic
MH  - Male
MH  - Middle Aged
MH  - Patient Education as Topic/methods
MH  - Prostatic Hyperplasia/therapy
MH  - Surveys and Questionnaires
MH  - *Video Recording
PMC - PMC5810733
OTO - NOTNLM
OT  - decision aids
OT  - patient engagement
OT  - patient preferences
OT  - qualitative research
EDAT- 2014/09/30 06:00
MHDA- 2016/10/14 06:00
PMCR- 2015/12/01
CRDT- 2014/09/30 06:00
PHST- 2014/09/02 00:00 [accepted]
PHST- 2014/09/30 06:00 [entrez]
PHST- 2014/09/30 06:00 [pubmed]
PHST- 2016/10/14 06:00 [medline]
PHST- 2015/12/01 00:00 [pmc-release]
AID - HEX12273 [pii]
AID - 10.1111/hex.12273 [doi]
PST - ppublish
SO  - Health Expect. 2015 Dec;18(6):2880-91. doi: 10.1111/hex.12273. Epub 2014 Sep 29.