SUMMARY Family carers report high levels of decisional conflict when deciding whether their relative with dementia can continue to be cared for in their own home. We tested, in a feasibility randomised controlled trial, the first decision aid (the DECIDE manual) aiming to reduce such conflict. Twenty family carers received the DECIDE intervention, and 21 received usual treatment. The interventi...

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality Life and Shared Decision Making I (PD03)1 Sep 2021PD03-09 DO PATIENTS EXPERIENCE DECISIONAL CONFLICT IN CHOOSING TREATMENT FOR KIDNEY STONES? Lamont Wilkins, Manoj Monga, Kathryn Martinez, Donald Fedrigon, Sri Sivalingam WilkinsLamont Wilkins More articles by this author , MongaManoj Monga MartinezKathryn Mart...

OBJECTIVES To determine the effects of two computer based decision aids on decisional conflict and mode of delivery among pregnant women with a previous caesarean section. DESIGN Randomised trial, conducted from May 2004 to August 2006. SETTING Four maternity units in south west England, and Scotland. PARTICIPANTS 742 pregnant women with one previous lower segment caesarean section and de...

BACKGROUND Despite growing recognition that shared decision making (SDM) is central for patient-centred primary care, adoption by physicians remains limited in routine practice. OBJECTIVE To examine the characteristics of physicians, patients and consultations associated with primary care physicians' SDM behaviours during routine care. METHODS A multicentre cross-sectional survey study was ...

Objective To determine whether a decision aid on benign prostatic hypertrophy influences decision making, health outcomes, and resource use. Design Randomised controlled trial. Setting 33 general practices in the United Kingdom. Participants 112 men with benign prostatic hypertrophy. Intervention Patients’ decision aid consisting of an interactive multimedia programme with booklet and printed s...

OBJECTIVE To determine whether a decision aid on benign prostatic hypertrophy influences decision making, health outcomes, and resource use. DESIGN Randomised controlled trial. SETTING 33 general practices in the United Kingdom. PARTICIPANTS 112 men with benign prostatic hypertrophy. INTERVENTION Patients' decision aid consisting of an interactive multimedia programme with booklet and p...

Almost all real-life decisions entail attribute conflict; every serious choice alternative is better than its competitors on some attribute dimensions but worse on others. In pre-decisional "coherence shifting," the decision maker gradually softens that conflict psychologically to the point where one alternative is seen as dominant over its competitors, or nearly so. Specifically, weaknesses of...

Research has shown that people's abilities to develop and act from a coherent sense of self are facilitated by satisfaction of the basic psychological needs for competence, relatedness, and autonomy. The present study utilized functional near infrared spectroscopy (fNIRS) to examine the effect of need satisfaction on activity in the medial prefrontal cortex (MPFC), a key region in processing in...