Center Associate Professor Dr. Karen Kelly-Blake is co-author of a research article in the July 2019 issue of the American Journal of Preventive Medicine. The multi-institution research team includes lead author Dr. Masahito Jimbo of the University of Michigan.
“Interactivity in a Decision Aid: Findings From a Decision Aid to Technologically Enhance Shared Decision Making RCT” reports on a study that used a randomized control trial to compare the effect of a web-based decision aid that addressed colorectal cancer screening. They concluded that the interactive decision aid did not improve the outcome compared to the non-interactive decision aid.
The full text is available online via Science Direct (MSU Library or other institutional access may be required to view this article).
Ending Medical Self-Regulation: Does Less Physician Control Improve Patient Safety and Protect Patient Rights?
Medicine has long been one of the most self-regulating of all professions. In the 1970s, the new field of bioethics was designed to challenge this prevailing system. As Senator Ted Kennedy explained at the founding of Georgetown’s Kennedy Institute of Ethics, “Human life is too precious and the decisions regarding it too important to leave to any one group of specialists.” Still, even fifty years later, medicine remains largely self-regulating. And patients have suffered. In this presentation, Professor Pope will discuss recent initiatives to constrain the scope of physician discretion and how these initiatives improve patient safety and protect patient rights. He will place particular emphasis on the growing transition from traditional informed consent to shared decision-making with patient decision aids.
Join us for Dr. Pope’s lecture on Wednesday, October 10, 2018 from noon until 1 pm in person or online.
Thaddeus Mason Pope, JD, PhD, is Director of the Health Law Institute and Professor of Law and at Mitchell Hamline School of Law in Saint Paul, Minnesota. He is also: (1) Adjunct Professor with the Australian Centre for Health Law Research at Queensland University of Technology; (2) Adjunct Associate Professor with the Alden March Bioethics Institute at Albany Medical College; and (3) Visiting Professor of Medical Jurisprudence at St. Georges University. Professor Pope has over 140 publications in: leading medical journals, law reviews, bar journals, nursing journals, bioethics journals, and book chapters. He coauthors the definitive treatise The Right to Die: The Law of End-of-Life Decisionmaking. And he runs the Medical Futility Blog (with over three million page views).
In person: This lecture will take place in E4 Fee Hall on MSU’s East Lansing campus. Feel free to bring your lunch! Beverages and light snacks will be provided.
Online: Here are some instructions for your first time joining the webinar, or if you have attended or viewed them before, go to the meeting!
Can’t make it? All webinars are recorded! Visit our archive of recorded lectures. To receive reminders before each webinar, please subscribe to our mailing list.
On February 12, 2015, Center Assistant Professor Dr. Karen Kelly-Blake presented a poster, “African-American Patients’ Perception of Health Information Technology Use in their Doctor’s Office: A Qualitative Analysis of Telephone Interviews,” at the 2015 Conference for the National Association of African American Studies & Affiliates in Baton Rouge, LA.
The study is a qualitative analysis of semi-structured phone interviews with 12 African American patients (6 female; 6 male) participating in the Decision Aid to Technologically Enhance Shared Decision Making (DATES) (Jimbo, PI, R01CA52413) study to explore their perceptions and concerns about the use and acceptability of health information technology (HIT) use in healthcare settings. Preliminary interview analysis identified three common themes in patient comments concerning the use of HIT in their particular health care setting: 1) concern about security and privacy; 2) increased and immediate access to provider; and 3) improved capacity to share medical information with other doctors. Participants liked the accessibility to nurses and doctors that HIT provided. They mentioned concerns about potential security and privacy issues, but these concerns did not abate their enthusiasm for making use of the available technology. Based on this study, it is too early to make firm recommendations about how to best implement HIT to address health care disparities as health care organizations adopt, expand, and tailor their HIT systems. However, appropriate implementation strategies will need to include patient input and experience as HIT in clinical settings become the mandated norm.
Read more about the NIH-funded study on the Center’s website.
A new article by Center faculty Karen Kelly-Blake and Margaret Holmes-Rovner, along with other contributing authors, was published in BMC Medical Informatics and Decision Making.
The article describes the results of cognitive interviews to refine the “Making Choices(C)” Decision Aid (DA) for shared decision-making (SDM) about stress testing in patients with stable coronary artery disease (CAD). Cognitive interviews appear to contribute critical information from the patient perspective to the overall systematic development process for designing decision aids.
Read “Refining a brief decision aid in stable CAD: cognitive interviews.”
Akshay Srikanth presented the following poster at the Annual Meeting of the Michigan State Medical Society, which was held October 23-25, 2013 in Troy, MI.
“Evaluation of the use of a decision aid during diagnosis visits in early stage prostate cancer.”
Poster by Srikanth A, Kahn VC, Rovner DR, Greenwell A, Ellsworth E, Harder M, Holmes-Rovner M.
This poster evaluated the relevance of an informational decision aid during diagnosis visits in early state prostate cancer by using tape-recorded clinical encounters. Results show that a decision aid is significant during diagnosis visits through the number of times it was referenced by both the patient and physician. Additionally results show the decision aid was referenced most often in the context of treatment options and was used most often to learn more or validate something during the discussion. A decision aid can be used in cases of early stage prostate cancer to help patients make a more informed decision and may facilitate during the shared decision making process.
Akshay Srikanth is a second year College of Human Medicine student. He is working with Center faculty member Margaret Holmes-Rovner on an ongoing AHRQ (Agency for Healthcare Research and Quality) funded research project titled “Clinical Communication Following a Decision Aid.”