The role of a novel decision aid to support informed decision making process in patients with a symptomatic non - lower pole renal stone < 20 mm in diameter: a prospective randomized study

African American men experience a disproportionate burden of prostate cancer (CaP) morbidity and mortality. National screening guidelines advise men to make individualized screening decisions through a process termed informed decision making (IDM). In this pilot study, a computer-tailored decision-aid designed to promote IDM was evaluated using a pre-/posttest design. African American men aged 40 years and older were recruited from a variety of community settings ( n = 108). At pretest, 43% of men reported having made a screening decision; at posttest 47% reported this to be the case ( p = .39). Significant improvements were observed between pre- and posttest on scores of knowledge, decision self-efficacy, and decisional conflict. Men were also more likely to want an active role in decision making after using the tool. These results suggest that use of a computer-tailored decision aid is a promising strategy to promote IDM for CaP screening among African American men.

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U.S. Coast Guard Federal on Scene Coordinator Role in Vessel Salvage1

International Oil Spill Conference Proceedings ◽

10.7901/2169-3358-2003-1-167 ◽

2003 ◽

Vol 2003 (1) ◽

pp. 167-173

Author(s):

Michael R. Moore ◽

Thomas C. Miller ◽

George L. Boone ◽

Rendall B. Farley

Keyword(s):

Decision Making ◽

Marine Environment ◽

Coast Guard ◽

Informed Decision ◽

Contingency Planning ◽

Informed Decision Making ◽

Incident Command ◽

Unified Command

ABSTRACT Salvage operations must be conducted with the utmost concern for the safety of personnel, as well as protection of the marine environment, and property. Due to the highly dynamic circumstances involved in salvage operations, there is no standard or foolproof method for responding to a casualty. Therefore, contingency planning and pre-established relationships with industry become indispensable to ensure that informed decision making, maximum responder cooperation and optimum asset coordination. Inherent in contingency planning is having an understanding that the role of the Captain of the Port (COTP) / Federal On-Scene Coordinator (FOSC) during a salvage response is multifaceted. While the COTP/FOSC has federal responsibilities to protect people, property, and the environment, it is achieved only through close coordination of multiple responding agencies, the response/salvage community and their resources. This successful coordination is greatly facilitated through an understanding of FOSC roles and proper use of the Incident Command/Unified Command (ICS/UC) System. This paper also describes the assets and authorities available to the COTP/FOSC during a salvage response, the triggers and overriding issues that would initiate full or partial federalization.

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Informed decision making: a tool to aid the decision making process of sourcing responsible growing media throughout the UK supply chain

Acta Horticulturae ◽

10.17660/actahortic.2017.1168.13 ◽

2017 ◽

pp. 93-100 ◽

Cited By ~ 1

Author(s):

P.D. Alexander ◽

J.H.C. Stuart ◽

N.C. Bragg

Keyword(s):

Decision Making ◽

Supply Chain ◽

Informed Decision ◽

Decision Making Process ◽

Informed Decision Making ◽

Growing Media ◽

The Uk

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Developing a decision aid to facilitate informed decision making about invasive mechanical ventilation and lung transplantation among adults with cystic fibrosis: lessons learned from usability testing (Preprint)

JMIR Human Factors ◽

10.2196/21270 ◽

2020 ◽

Author(s):

Katherine L. Dauber-Decker ◽

Melissa Basile ◽

D'Arcy King ◽

Jennifer Polo ◽

Karina Calise ◽

...

Keyword(s):

Cystic Fibrosis ◽

Decision Making ◽

Mechanical Ventilation ◽

Lung Transplantation ◽

Decision Aid ◽

Invasive Mechanical Ventilation ◽

Usability Testing ◽

Lessons Learned ◽

Informed Decision ◽

Informed Decision Making

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Prostate cancer care in Canada: Informed decision-making, patterns of care, and treatment trends.

Journal of Clinical Oncology ◽

10.1200/jco.2016.34.7_suppl.289 ◽

2016 ◽

Vol 34 (7_suppl) ◽

pp. 289-289

Author(s):

Kim Tran ◽

Rami Rahal ◽

Carolyn Sandoval ◽

Geoff Porter ◽

Sharon Fung ◽

...

Keyword(s):

Decision Making ◽

Treatment Decision ◽

Treatment Patterns ◽

Informed Decision ◽

Decision Making Process ◽

Informed Decision Making ◽

Treatment Decision Making ◽

Trends Over Time ◽

Treatment Trends ◽

Over Time

289 Background: Because treatment options for localized prostate cancer (PCa) have similar survival outcomes but varying side effects, it is important that patients are meaningfully involved in the decision-making process to ensure the chosen treatment aligns with their needs, wants and preferences. Here, we describe PCa patients’ experience with informed decision-making as well as treatment patterns and trends over time. Methods: Focus groups were conducted with 47 men treated for PCa across Canada to understand their cancer journey experience. Thematic analysis was conducted. A subset of this data on informed decision-making is described. Men (≥ 35 years) diagnosed with localized, low-risk PCa from 2011-2013 were identified using data from six provincial cancer registries. Treatment data were identified by linking hospital/cancer centre data with registry data. Descriptive statistics were generated to describe treatment patterns and trends. Results: Focus group participants expressed a desire to be involved in the treatment decision-making process. While many participants felt completely informed about the treatment choices available to them, others felt they had not been properly engaged in the treatment decision-making process. Some participants felt they had opted for surgery or radiation therapy (RT) without full knowledge of the trade-offs between potential benefits and side effects. Others felt they may have made different decisions about their care had they been more informed. From registry data, in 2013 surgery was the most common primary treatment for men with low-risk PCa ranging from 12.0% in New Brunswick to 41.7% in Nova Scotia. RT was the second most common ranging from 6.4% in New Brunswick to 18.3% in Saskatchewan. Varying majorities of men had no record of surgical or radiation treatment, a proxy for active surveillance. Treatment trends over time suggest an increase in the use of non-active treatment approaches from 60.7% in 2011 to 69.9% in 2013. Conclusions: System performance indicators yield useful information about oncology practice patterns and trends. This information is enhanced when combined with patient level information on how men felt about decision-making around their PCa care.

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