Development of a decision aid for atrial fibrillation who are considering antithrombotic therapy
- PMID: 11089716
- PMCID: PMC1495607
- DOI: 10.1046/j.1525-1497.2000.90909.x
Development of a decision aid for atrial fibrillation who are considering antithrombotic therapy
Abstract
With patients demanding a greater role in the clinical decision-making process, many researchers are developing and disseminating decision aids for various medical conditions. In this article, we outline the essential elements in the development and evaluation of a decision aid to help patients with atrial fibrillation choose, in consultation with their physicians, appropriate antithrombotic therapy (warfarin, aspirin, or no therapy) to prevent stroke. We also outline possible future directions regarding the implementation and evaluation of this decision aid. This information should enable clinicians to better understand the role that decision aids may have in their interactions with patients.
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Comment in
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Tell it like it is: patients as partners in medical decision making.J Gen Intern Med. 2000 Oct;15(10):752-4. doi: 10.1046/j.1525-1497.2000.00815.x. J Gen Intern Med. 2000. PMID: 11089720 Free PMC article. No abstract available.
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References
-
- O'connor AM, Fiset V, Rostom A, et al. Systematic review of approaches to support people's decision making about health treatments or screening. 1999. Cochrane Collaboration Review.
-
- Spunt BS, Deyo RA, Taylor VM, Leek KM, Goldberg HI, Mulley AG. An interactive videodisc program for low back pain patients. Health Educ Res. 1996;11:535–41. - PubMed
-
- O'connor AM, Tugwell P, Wells G, et al. Randomized trial of a portable, self-administered decision aid for post-menopausal women considering long-term preventive hormone therapy. Med Decis Making. 1998;18:295–303. - PubMed
-
- Levine MN, Gafni A, Markham B, MacFarlane D. A bedside decision instrument to elicit a patient's preference concerning adjuvant chemotherapy for breast cancer. Ann Intern Med. 1992;117:53–8. - PubMed
-
- Wolf PA, Abbott RD, Kannel WB. Atrial fibrillation as an independent risk factor for stroke: the Framingham study. Stroke. 1991;22:983–8. - PubMed
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