The Evaluation of Decision Support Tools Needs to Be Preference Context-Sensitive.

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ID: 48604
2019
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Ranked #52 of 170 articles by views in Studies in health technology and informatics

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Abstract
Individuals have different preferences in how they wish to relate to healthcare professionals such as doctors. Given choice, they also have preferences in relation to the type and location of support they want for their health and healthcare decisions. We argue that preference-based clusters within this heterogeneity constitute different contexts and that evaluations of decision aids should be context-sensitive in this respect. We draw attention to two distinct preference-based clusters: individuals with a preference for 'intermediative' decision support as a patient, implemented in a largely qualitative deliberative model, on the one hand, and for 'apomediative' decision support as a person, implemented in a largely quantitative multi-criteria decision analytic model, on the other. For convenience, we refer to the latter as Person Decision Support Tools (PDSTs), leaving Patient Decision Aids (PDAs) for its former, conventional use. Seeking to establish proof of method, we present an online PDST that can help individuals establish which of these two types of decision support they would find optimal. It is based on nine key attributes on which PDAs and PDSTs can be contrasted. Within population heterogeneity, preference clusters should be identified, and acknowledged and respected as contexts relevant to the evaluation of decision support tools.
Reference Key
dowie2019thestudies Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Dowie, Jack;Kaltoft, Mette Kjer;
Journal Studies in health technology and informatics
Year 2019
DOI
10.3233/SHTI190157
URL
Keywords
preferences shared decision making patient decision aid apomediation decision quality intermediation person decision support tool

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