Publication

Decision aids to help older people make health decisions: a systematic review and meta-analysis

van Weert, J. C. M., van Munster, B. C., Sanders, R., Spijker, R., Hooft, L. & Jansen, J., 21-Apr-2016, In : BMC Medical Informatics and Decision Making. 16, 20 p., 45.

Research output: Contribution to journalReview articleAcademicpeer-review

APA

van Weert, J. C. M., van Munster, B. C., Sanders, R., Spijker, R., Hooft, L., & Jansen, J. (2016). Decision aids to help older people make health decisions: a systematic review and meta-analysis. BMC Medical Informatics and Decision Making, 16, [45]. https://doi.org/10.1186/s12911-016-0281-8

Author

van Weert, Julia C. M. ; van Munster, Barbara C. ; Sanders, Remco ; Spijker, Rene ; Hooft, Lotty ; Jansen, Jesse. / Decision aids to help older people make health decisions : a systematic review and meta-analysis. In: BMC Medical Informatics and Decision Making. 2016 ; Vol. 16.

Harvard

van Weert, JCM, van Munster, BC, Sanders, R, Spijker, R, Hooft, L & Jansen, J 2016, 'Decision aids to help older people make health decisions: a systematic review and meta-analysis', BMC Medical Informatics and Decision Making, vol. 16, 45. https://doi.org/10.1186/s12911-016-0281-8

Standard

Decision aids to help older people make health decisions : a systematic review and meta-analysis. / van Weert, Julia C. M.; van Munster, Barbara C.; Sanders, Remco; Spijker, Rene; Hooft, Lotty; Jansen, Jesse.

In: BMC Medical Informatics and Decision Making, Vol. 16, 45, 21.04.2016.

Research output: Contribution to journalReview articleAcademicpeer-review

Vancouver

van Weert JCM, van Munster BC, Sanders R, Spijker R, Hooft L, Jansen J. Decision aids to help older people make health decisions: a systematic review and meta-analysis. BMC Medical Informatics and Decision Making. 2016 Apr 21;16. 45. https://doi.org/10.1186/s12911-016-0281-8


BibTeX

@article{1d5f8b0cfb2843fbb1ef1e94df509e27,
title = "Decision aids to help older people make health decisions: a systematic review and meta-analysis",
abstract = "Background: Decision aids have been overall successful in improving the quality of health decision making. However, it is unclear whether the impact of the results of using decision aids also apply to older people (aged 65+). We sought to systematically review randomized controlled trials (RCTs) and clinical controlled trials (CCTs) evaluating the efficacy of decision aids as compared to usual care or alternative intervention(s) for older adults facing treatment, screening or care decisions.Methods: A systematic search of (1) a Cochrane review of decision aids and (2) MEDLINE, Embase, PsycINFO, Cochrane library central registry of studies and Cinahl. We included published RCTs/CCTs of interventions designed to improve shared decision making (SDM) by older adults (aged 65+) and RCTs/CCTs that analysed the effect of the intervention in a subgroup with a mean age of 65+. Based on the International Patient Decision aid Standards (IPDAS), the primary outcomes were attributes of the decision and the decision process. Other behavioral, health, and health system effects were considered as secondary outcomes. If data could be pooled, a meta-analysis was conducted. Data for which meta-analysis was not possible were synthesized qualitatively.Results: The search strategy yielded 11,034 references. After abstract and full text screening, 22 papers were included. Decision aids performed better than control resp. usual care interventions by increasing knowledge and accurate risk perception in older people (decision attributes). With regard to decision process attributes, decision aids resulted in lower decisional conflict and more patient participation.Conclusions: This review shows promising results on the effectiveness of decision aids for older adults. Decision aids improve older adults' knowledge, increase their risk perception, decrease decisional conflict and seem to enhance participation in SDM. It must however be noted that the body of literature on the effectiveness of decision aids for older adults is still in its infancy. Only one decision aid was specifically developed for older adults, and the mean age in most studies was between 65 and 70, indicating that the oldest-old were not included. Future research should expand on the design, application and evaluation of decision aids for older, more vulnerable adults.",
keywords = "Medical decision making, Shared decision making, Decision aid, Decision support tool age-differences, Gerontology, Communication, Health education, Informed choice, RANDOMIZED CONTROLLED-TRIAL, ATRIAL-FIBRILLATION, PROSTATE-CANCER, PATIENT, CHOICE, INFORMATION, PREFERENCES, INTERVENTIONS, FRAMEWORK, IMPROVE",
author = "{van Weert}, {Julia C. M.} and {van Munster}, {Barbara C.} and Remco Sanders and Rene Spijker and Lotty Hooft and Jesse Jansen",
year = "2016",
month = "4",
day = "21",
doi = "10.1186/s12911-016-0281-8",
language = "English",
volume = "16",
journal = "BMC Medical Informatics and Decision Making",
issn = "1472-6947",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Decision aids to help older people make health decisions

T2 - a systematic review and meta-analysis

AU - van Weert, Julia C. M.

AU - van Munster, Barbara C.

AU - Sanders, Remco

AU - Spijker, Rene

AU - Hooft, Lotty

AU - Jansen, Jesse

PY - 2016/4/21

Y1 - 2016/4/21

N2 - Background: Decision aids have been overall successful in improving the quality of health decision making. However, it is unclear whether the impact of the results of using decision aids also apply to older people (aged 65+). We sought to systematically review randomized controlled trials (RCTs) and clinical controlled trials (CCTs) evaluating the efficacy of decision aids as compared to usual care or alternative intervention(s) for older adults facing treatment, screening or care decisions.Methods: A systematic search of (1) a Cochrane review of decision aids and (2) MEDLINE, Embase, PsycINFO, Cochrane library central registry of studies and Cinahl. We included published RCTs/CCTs of interventions designed to improve shared decision making (SDM) by older adults (aged 65+) and RCTs/CCTs that analysed the effect of the intervention in a subgroup with a mean age of 65+. Based on the International Patient Decision aid Standards (IPDAS), the primary outcomes were attributes of the decision and the decision process. Other behavioral, health, and health system effects were considered as secondary outcomes. If data could be pooled, a meta-analysis was conducted. Data for which meta-analysis was not possible were synthesized qualitatively.Results: The search strategy yielded 11,034 references. After abstract and full text screening, 22 papers were included. Decision aids performed better than control resp. usual care interventions by increasing knowledge and accurate risk perception in older people (decision attributes). With regard to decision process attributes, decision aids resulted in lower decisional conflict and more patient participation.Conclusions: This review shows promising results on the effectiveness of decision aids for older adults. Decision aids improve older adults' knowledge, increase their risk perception, decrease decisional conflict and seem to enhance participation in SDM. It must however be noted that the body of literature on the effectiveness of decision aids for older adults is still in its infancy. Only one decision aid was specifically developed for older adults, and the mean age in most studies was between 65 and 70, indicating that the oldest-old were not included. Future research should expand on the design, application and evaluation of decision aids for older, more vulnerable adults.

AB - Background: Decision aids have been overall successful in improving the quality of health decision making. However, it is unclear whether the impact of the results of using decision aids also apply to older people (aged 65+). We sought to systematically review randomized controlled trials (RCTs) and clinical controlled trials (CCTs) evaluating the efficacy of decision aids as compared to usual care or alternative intervention(s) for older adults facing treatment, screening or care decisions.Methods: A systematic search of (1) a Cochrane review of decision aids and (2) MEDLINE, Embase, PsycINFO, Cochrane library central registry of studies and Cinahl. We included published RCTs/CCTs of interventions designed to improve shared decision making (SDM) by older adults (aged 65+) and RCTs/CCTs that analysed the effect of the intervention in a subgroup with a mean age of 65+. Based on the International Patient Decision aid Standards (IPDAS), the primary outcomes were attributes of the decision and the decision process. Other behavioral, health, and health system effects were considered as secondary outcomes. If data could be pooled, a meta-analysis was conducted. Data for which meta-analysis was not possible were synthesized qualitatively.Results: The search strategy yielded 11,034 references. After abstract and full text screening, 22 papers were included. Decision aids performed better than control resp. usual care interventions by increasing knowledge and accurate risk perception in older people (decision attributes). With regard to decision process attributes, decision aids resulted in lower decisional conflict and more patient participation.Conclusions: This review shows promising results on the effectiveness of decision aids for older adults. Decision aids improve older adults' knowledge, increase their risk perception, decrease decisional conflict and seem to enhance participation in SDM. It must however be noted that the body of literature on the effectiveness of decision aids for older adults is still in its infancy. Only one decision aid was specifically developed for older adults, and the mean age in most studies was between 65 and 70, indicating that the oldest-old were not included. Future research should expand on the design, application and evaluation of decision aids for older, more vulnerable adults.

KW - Medical decision making

KW - Shared decision making

KW - Decision aid

KW - Decision support tool age-differences

KW - Gerontology

KW - Communication

KW - Health education

KW - Informed choice

KW - RANDOMIZED CONTROLLED-TRIAL

KW - ATRIAL-FIBRILLATION

KW - PROSTATE-CANCER

KW - PATIENT

KW - CHOICE

KW - INFORMATION

KW - PREFERENCES

KW - INTERVENTIONS

KW - FRAMEWORK

KW - IMPROVE

U2 - 10.1186/s12911-016-0281-8

DO - 10.1186/s12911-016-0281-8

M3 - Review article

VL - 16

JO - BMC Medical Informatics and Decision Making

JF - BMC Medical Informatics and Decision Making

SN - 1472-6947

M1 - 45

ER -

ID: 40976338