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Providing Balanced Information about Options in Patient Decision Aids: An Update from the International Patient Decision Aid Standards

Author

Listed:
  • Richard W. Martin

    (Michigan State University, College of Human Medicine, Grand Rapids, MI, USA)

  • Stina BrogÃ¥rd Andersen

    (Department of Clinical Development, Odense University Hospital, Odense, Denmark
    Center for Shared Decision Making, Lillebaelt Hospital–University Hospital of Southern Denmark, Vejle, Denmark
    Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark)

  • Mary Ann O’Brien

    (Department of Family and Community Medicine, University of Toronto, Toronto, Canada)

  • Paulina Bravo

    (School of Nursing, Pontificia Universidad Católica de Chile, Santiago, Chile
    Millennium Nucleus Center Authority and Power Asymmetries)

  • Tammy Hoffmann

    (Institute for Evidence-Based Healthcare, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia)

  • Karina Olling

    (Center for Shared Decision Making, Lillebaelt Hospital–University Hospital of Southern Denmark, Vejle, Denmark)

  • Heather L. Shepherd

    (University of Sydney, Faculty of Science, Psycho-Oncology Co-operative Research Group (PoCoG), School of Psychology, Sydney, Australia)

  • Kathrina Dankl

    (Design School Kolding, Lab for Social Design, Kolding, Denmark)

  • Dawn Stacey

    (School of Nursing, University of Ottawa, Clinical Epidemiology Program
    Ottawa Hospital Research Institute, Ottawa, Ontario, Canada)

  • Karina Dahl Steffensen

    (Center for Shared Decision Making, Lillebaelt Hospital–University Hospital of Southern Denmark, Vejle, Denmark
    Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
    Department of Clinical Oncology, Lillebaelt Hospital–University Hospital of Southern Denmark, Vejle, Denmark)

Abstract

Background The objective of this International Patient Decision Aids Standard (IPDAS) review is to update and synthesize theoretical and empirical evidence on how balanced information can be presented and measured in patient decision aids (PtDAs). Methods A multidisciplinary team conducted a scoping review using 2 search strategies in multiple electronic databases evaluating the ways investigators defined and measured the balance of information provided about options in PtDAs. The first strategy combined a search informed by the Cochrane Review of the Effectiveness of Decision Aids with a search on balanced information. The second strategy repeated the search published in the 2013 IPDAS update on balanced presentation. Results Of 2450 unique citations reviewed, the full text of 168 articles was screened for eligibility. Sixty-four articles were included in the review, of which 13 provided definitions of balanced presentation, 8 evaluated mechanisms that may introduce bias, and 42 quantitatively measured balanced with methods consistent with the IPDAS criteria in PtDAs. The revised definition of balanced information is, “Objective, complete, salient, transparent, evidence-informed, and unbiased presentation of text and visual information about the condition and all relevant options (with important elements including the features, benefits, harms and procedures of those options) in a way that does not favor one option over another and enables individuals to focus attention on important elements and process this information.†Conclusions Developers can increase the balance of information in PtDAs by informing their structure and design elements using the IPDAS checklist. We suggest that new PtDA components pertaining to balance be evaluated for cognitive bias with experimental methods as well by objectively evaluating patients’ and content experts’ beliefs from multiple perspectives.

Suggested Citation

  • Richard W. Martin & Stina BrogÃ¥rd Andersen & Mary Ann O’Brien & Paulina Bravo & Tammy Hoffmann & Karina Olling & Heather L. Shepherd & Kathrina Dankl & Dawn Stacey & Karina Dahl Steffensen, 2021. "Providing Balanced Information about Options in Patient Decision Aids: An Update from the International Patient Decision Aid Standards," Medical Decision Making, , vol. 41(7), pages 780-800, October.
    • Handle: RePEc:sae:medema:v:41:y:2021:i:7:p:780-800
    DOI: 10.1177/0272989X211021397
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    References listed on IDEAS

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    1. Yulia Gendler & Ayala Blau, 2024. "Exploring Cultural and Religious Effects on HPV Vaccination Decision Making Using a Web-Based Decision Aid: A Quasi-experimental Study," Medical Decision Making, , vol. 44(4), pages 426-436, May.
    2. Dawn Stacey & Robert J. Volk, 2021. "The International Patient Decision Aid Standards (IPDAS) Collaboration: Evidence Update 2.0," Medical Decision Making, , vol. 41(7), pages 729-733, October.

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