James G. Dolan|Peter J. Veazie|Ann J. Russ
Development and initial evaluation of a treatment decision dashboard
University of Rochester|University of Rochester|University of Rochester
many healthcare decisions multiple alternatives available different combinations advantages disadvantages across several important dimensions complexity current healthcare decisions thus presents significant barrier informed decision making key element patientcentered careinteractive decision dashboards developed facilitate decision making management field marked similarly complicated choices dashboards utilize data visualization techniques reduce cognitive effort needed evaluate decision alternatives nonlinear flow information enables users review information selfdirected fashion theoretically features facilitate informed decision making increasing user engagement understanding decision hand sought determine interactive decision dashboard format successfully adapted create clinically realistic prototype patient decision aid suitable evaluation refinementwe created computerized interactive clinical decision dashboard performed pilot test clinical feasibility acceptability using multimethod analysis dashboard summarized information effectiveness risks side effects drugdrug interactions outofpocket costs ease use nine analgesic treatment options knee osteoarthritis outcome evaluations included observations study participants utilized dashboard questionnaires assess usability acceptability decisional conflict openended qualitative analysisthe study sample consisted 25 volunteers 7 men 18 women average age 51 years mean time spent interacting dashboard 46 minutes mean evaluation scores scales ranging 1 low 7 high mechanical ease use 61 cognitive ease use 62 emotional difficulty 27 decisionaiding effectiveness 59 clarification values 65 reduction decisional uncertainty 61 provision decisionrelated information 60 qualitative findings similarly positiveinteractive decision dashboards adapted clinical use potential foster informed decision making additional research warranted rigorously test effectiveness efficiency patient decision dashboards supporting informed decision making aspects patientcentered care including shared decision making