You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Quality of Life and Shared Decision Making II1 Apr 2016PD17-06 DOES EMPLOYING A DECISION AID IMPROVE PATIENT EDUCATION AND PERCEPTION OF QUALITY OF CARE John S. Banerji, Erika M. Wolff, April E. Slee, Sydney Akapame, Kathryn Dahl, Evan T. Auerbach, John D. Massman III, Michael C. Soung, Kim R. Pittenger, and John M. Corman John S. BanerjiJohn S. Banerji More articles by this author , Erika M. WolffErika M. Wolff More articles by this author , April E. SleeApril E. Slee More articles by this author , Sydney AkapameSydney Akapame More articles by this author , Kathryn DahlKathryn Dahl More articles by this author , Evan T. AuerbachEvan T. Auerbach More articles by this author , John D. Massman IIIJohn D. Massman III More articles by this author , Michael C. SoungMichael C. Soung More articles by this author , Kim R. PittengerKim R. Pittenger More articles by this author , and John M. CormanJohn M. Corman More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1171AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Most organizations recommend that physicians involve patients in the decision to pursue prostate cancer screening through shared decision-making (SDM). However, there are challenges in implementing SDM, such as time, training, and reimbursement. One alternative to SDM is to provide a decision aid (DA). In this study, we evaluate whether providing a DA with or without SDM improves the perception of the quality of care and enhances patients’ prostate cancer knowledge. METHODS Patients were randomized to one of three arms during primary care visits: standard of care (SOC), DA, or DA plus SDM. Patients were mailed follow-up questionnaires. Outcomes included perception of quality of care, knowledge of prostate cancer screening, and the decision to pursue screening. Statistical analyses included ANOVA models for continuous outcomes and logistic regression models for binary outcomes. RESULTS A total of 329 patients were enrolled. Patients in the DA arm were significantly less likely to report that their provider encouraged them to talk about their health questions compared to those in the SOC arm (72%, 71/97, vs. 87%, 78/88, respectively, p=0.014). However, the addition of SDM to DA did not significantly impact their perception of this interaction (78%, 70/88, vs. 87%, 78/88, respectively, p=0.400). Interestingly, DA alone did not improve prostate knowledge compared to SOC (4.5/- 1.7 vs. 4.5+/- 1.7, respectively, p=0.929). However, when SDM was added to the DA, the mean knowledge score increased significantly compared to SOC (5.1±1.7 vs. 4.5±1.7, respectively, p=0.030). In addition, patients in the DA+SDM arm were significantly more likely to report talking about having a procedure with their provider compared to the DA alone arm (33%, 30/88, vs. 16%, 16/96, respectively, p=0.011). As it relates to prostate cancer screening, 4% in the SOC arm underwent PSA screening within 1 day compared to 29% in DA alone arm (p=0.017) and 19% in the DA+SDM arm (p=0.128). CONCLUSIONS Providing patients a DA without a personal interaction diminishes the patient's perception of the quality of care. In addition, providing a DA results in patients undergoing PSA-based screening without understanding the consequences of such screening. Particularly with complex issues such as the decision to pursue PSA-based prostate cancer screening, tools cannot substitute for direct interaction with a trusted provider. Instead, a DA should be used to facilitate the shared decision making process, which is critical for improving patient knowledge and understanding. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e400-e401 Advertisement Copyright & Permissions© 2016MetricsAuthor Information John S. Banerji More articles by this author Erika M. Wolff More articles by this author April E. Slee More articles by this author Sydney Akapame More articles by this author Kathryn Dahl More articles by this author Evan T. Auerbach More articles by this author John D. Massman III More articles by this author Michael C. Soung More articles by this author Kim R. Pittenger More articles by this author John M. Corman More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...