Effectiveness and implementation of SHared decision-making supported by OUTcome information among patients with breast cancer, stroke and advanced kidney disease: SHOUT study protocol of multiple interrupted time series

被引：14

作者：

Hackert, Mariska Quirina Nikita ^{[1
]}

Ankersmid, Jet W. ^{[1
,2
]}

Engels, Noel ^{[1
,3
]}

Prick, Janine C. M. ^{[1
,4
]}

Teerenstra, Steven ^{[5
]}

Siesling, Sabine ^{[2
,6
]}

Drossaert, Constance H. C. ^{[7
]}

Strobbe, Luc J. A. ^{[8
]}

van Riet, Yvonne E. A. ^{[9
]}

van den Dorpel, Rene M. A. ^{[3
]}

Bos, Willem Jan W. ^{[10
,11
]}

van der Nat, Paul B. ^{[12
,13
]}

Van den Berg-Vos, Renske M. ^{[4
,14
]}

van Schaik, Sander M. ^{[4
]}

Garvelink, Mirjam M. ^{[12
]}

van der Wees, Philip J. ^{[13
,15
]}

Van Uden-Kraan, Cornelia F. ^{[1
]}

机构：

[1] Santeon Hosp Grp, Utrecht, Netherlands

[2] Univ Twente, Tech Med Ctr, Hlth Technol & Serv Res, Enschede, Netherlands

[3] Maasstad Hosp, Internal Med, Rotterdam, Netherlands

[4] OLVG, Neurol, Amsterdam, Netherlands

[5] Radboud Univ Nijmegen Med Ctr, Radboud Inst Hlth Sci, Sect Biostat, Hlth Evidence, Nijmegen, Netherlands

[6] Netherlands Comprehens Canc Org, Res & Dev, Utrecht, Netherlands

[7] Univ Twente, Psychol Hlth & Technol, Enschede, Netherlands

[8] Canisius Wilhelmina Hosp, Surg Oncol, Nijmegen, Netherlands

[9] Catharine Hosp, Surg Oncol, Eindhoven, Netherlands

[10] St Antonius Hosp, Internal Med, Nieuwegein, Netherlands

[11] Leiden Univ, Internal Med, Med Ctr, Leiden, Netherlands

[12] St Antonius Hosp, Value Based Hlth Care, Nieuwegein, Netherlands

[13] Radboud Univ Nijmegen Med Ctr, Sci Ctr Qual Healthcare IQ Healthcare, Radboud Inst Hlth Sci, Nijmegen, Netherlands

[14] Amsterdam UMC Locat AMC, Neurol, Amsterdam, Netherlands

[15] Radboud Univ Nijmegen Med Ctr, Rehabil, Radboud Inst Hlth Sci, Nijmegen, Netherlands

来源：

BMJ OPEN | 2022年 / 12卷 / 08期

关键词：

Stroke; Chronic renal failure; Breast surgery; MEDICAL EDUCATION & TRAINING; PSYCHOMETRIC PROPERTIES; VALIDATION; COLLABORATE; SCALE; AID;

D O I：

10.1136/bmjopen-2021-055324

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction Within the value-based healthcare framework, outcome data can be used to inform patients about (treatment) options, and empower them to make shared decisions with their health care professional. To facilitate shared decision-making (SDM) supported by outcome data, a multicomponent intervention has been designed, including patient decision aids on the organisation of post-treatment surveillance (breast cancer); discharge location (stroke) and treatment modality (advanced kidney disease), and training on SDM for health care professionals. The SHared decision-making supported by OUTcome information (SHOUT) study will examine the effectiveness of the intervention and its implementation in clinical practice. Methods and analysis Multiple interrupted time series will be used to stepwise implement the intervention. Patients diagnosed with either breast cancer (N=630), stroke (N=630) or advanced kidney disease (N=473) will be included. Measurements will be performed at baseline, three (stroke), six and twelve (breast cancer and advanced kidney disease) months. Trends on outcomes will be measured over a period of 20 months. The primary outcome will be patients' perceived level of involvement in decision-making. Secondary outcomes regarding effectiveness will include patient-reported SDM, decisional conflict, role in decision-making, knowledge, quality of life, preferred and chosen care, satisfaction with the intervention, healthcare utilisation and health outcomes. Outcomes regarding implementation will include the implementation rate and a questionnaire on the health care professionals' perspective on the implementation process. Ethics and dissemination The Medical research Ethics Committees United in Nieuwegein, the Netherlands, has confirmed that the Medical Research Involving Human Subjects Act does not apply to this study. Bureau Onderzoek & Innovatie of Santeon, the Netherlands, approved this study. The results will contribute to insight in and knowledge on the use of outcome data for SDM, and can stimulate sustainable implementation of SDM.

引用

页数：12

共 53 条

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