Ruth E Pel-Littel, Bianca M Buurman, Mirella M Minkman, Wilma J M Scholte Op Reimer, Jos W R Twisk, Julia C M van Weert
The influence of health literacy, anxiety and education on shared decision making and decisional conflict in older adults, and the mediating role of patient participation: A video observational study
Patient education and counseling
clinical decision support cds systems patient specific evidence delivered clinicians via electronic health record ehr right time right format potential improve patient outcomes unfortunately outcomes cds research mixed potential cause lies testing many cds implemented practice without sufficient testing potentially leading patient harm testing conducted research focused evidence provide little attention impact cds display format eg textual graphical user adequately powered randomized control trial 220 hospital based registered nurses compare 4 randomly assigned cds format groups text text table text graphs tailored subjects graph literacy score effects decision time simulated patient outcomes recruit using state based professional registries allows access participants multiple institutions across nation use online survey software redcap efficient study workflow including screening informed consent documentation preexperiment demographic data collection including graph literacy questionnaire used randomization cds prototype accessed via web app simulationbased experiment conducted remotely subjects local computer using videoconferencing software also included 6 post intervention surveys assess cognitive workload usability numeracy format preference cds utilization rationale cds interpretation methods replicable scalable testing health information technologies potential improve safety effectiveness technologies across disciplines