2024
The UPFRONT project: tailored implementation and evaluation of a patient decision aid to support shared decision-making about management of symptomatic uterine fibroids
Forcino R, Durand M, Schubbe D, Engel J, Banks E, Laughlin-Tommaso S, Foster T, Madden T, Anchan R, Politi M, Lindholm A, Gargiulo R, Seshan M, Tomaino M, Zhang J, Acquilano S, Akinfe S, Sharma A, Aarts J, Elwyn G. The UPFRONT project: tailored implementation and evaluation of a patient decision aid to support shared decision-making about management of symptomatic uterine fibroids. Implementation Science 2024, 19: 75. PMID: 39501337, PMCID: PMC11536971, DOI: 10.1186/s13012-024-01404-5.Peer-Reviewed Original ResearchConceptsPatient decision aidsDecision aidClinician trainingSymptomatic uterine fibroidsDecision aid implementationVisit audio-recordingsImplementing decision aidsDecision-making scoresDecision aid useUterine fibroidsDecision-making experiencesIntention-to-treat resultsAid useAssessment of organizational readinessClinician surveyManagement of symptomatic uterine fibroidsOPTION-5Collaboration scoresDecision-makingIntention-to-treatEvaluate implementationPatient reportsAudio-recordedOrganizational readinessImplementation strategies
2019
Implementation of the uterine fibroids Option Grid patient decision aids across five organizational settings: a randomized stepped-wedge study protocol
Scalia P, Durand M, Forcino R, Schubbe D, Barr P, O’Brien N, O’Malley A, Foster T, Politi M, Laughlin-Tommaso S, Banks E, Madden T, Anchan R, Aarts J, Velentgas P, Balls-Berry J, Bacon C, Adams-Foster M, Mulligan C, Venable S, Cochran N, Elwyn G. Implementation of the uterine fibroids Option Grid patient decision aids across five organizational settings: a randomized stepped-wedge study protocol. Implementation Science 2019, 14: 88. PMID: 31477140, PMCID: PMC6721118, DOI: 10.1186/s13012-019-0933-z.Peer-Reviewed Original ResearchConceptsPatient decision aidOption GridUterine fibroidsNormalization Process TheoryOutcome measuresMulti-component implementation strategyHeavy menstrual bleedingPrimary outcome measureMultiple treatment optionsYears of ageQuantitative outcome measuresBackgroundUterine fibroidsEligible patientsPelvic painPostmenopausal patientsPregnancy complicationsRecurrent symptomsDifferent time pointsMenstrual bleedingRoutine careTreatment optionsFemale sexStudy protocolClinician characteristicsTreatment decisions