TY - JOUR
T1 - Developing an Educational and Decision Support Tool for Stage I Lung Cancer Using Decision Science
AU - Housten, Ashley J.
AU - Kozower, Benjamin D.
AU - Engelhardt, Kathryn E.
AU - Robinson, Clifford
AU - Puri, Varun
AU - Samson, Pamela
AU - Cooksey, Krista
AU - Politi, Mary C.
N1 - Funding Information:
This paper and decision aid development were funded by The Center for Collaborative Care Decisions, which is supported by The Foundation for Barnes-Jewish Hospital (award #5799) and the Department of Surgery’s Surgery and Public Health Research (SPHeRe) Collaborative.
Publisher Copyright:
© 2023 The Society of Thoracic Surgeons
PY - 2023/2
Y1 - 2023/2
N2 - Background: Guidelines recommend shared decision-making about treatment options for high-risk, operable stage I lung cancer. Patient decision aids can facilitate shared decision-making; however, their development, implementation, and evaluation in routine clinical practice presents numerous challenges and opportunities. Methods: The purpose of this review is to reflect on the process of tool development; identify the challenges associated with meeting the needs of patients, clinicians from multiple disciplines, and institutional workflow during implementation; and propose recommendations for future clinicians who wish to develop, refine, or implement similar tools into routine care. Results: In this review, we: (1) discuss guidelines for decision aid development; (2) describe how we applied those to create an education and decision support tool for patients with clinical stage I lung cancer deciding between radiation therapy and surgical resection; and (3) highlight challenges in implementing and evaluating the tool. Conclusions: We provide recommendations for those seeking to develop, refine, or implement similar tools into routine care.
AB - Background: Guidelines recommend shared decision-making about treatment options for high-risk, operable stage I lung cancer. Patient decision aids can facilitate shared decision-making; however, their development, implementation, and evaluation in routine clinical practice presents numerous challenges and opportunities. Methods: The purpose of this review is to reflect on the process of tool development; identify the challenges associated with meeting the needs of patients, clinicians from multiple disciplines, and institutional workflow during implementation; and propose recommendations for future clinicians who wish to develop, refine, or implement similar tools into routine care. Results: In this review, we: (1) discuss guidelines for decision aid development; (2) describe how we applied those to create an education and decision support tool for patients with clinical stage I lung cancer deciding between radiation therapy and surgical resection; and (3) highlight challenges in implementing and evaluating the tool. Conclusions: We provide recommendations for those seeking to develop, refine, or implement similar tools into routine care.
UR - http://www.scopus.com/inward/record.url?scp=85146004903&partnerID=8YFLogxK
U2 - 10.1016/j.athoracsur.2022.07.019
DO - 10.1016/j.athoracsur.2022.07.019
M3 - Review article
C2 - 35926640
AN - SCOPUS:85146004903
SN - 0003-4975
VL - 115
SP - 299
EP - 308
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 2
ER -