{"id":3134,"date":"2017-06-01T17:07:18","date_gmt":"2017-06-01T16:07:18","guid":{"rendered":"http:\/\/www.thinkkidneys.nhs.uk\/ckd\/?page_id=3134"},"modified":"2017-10-02T12:04:28","modified_gmt":"2017-10-02T11:04:28","slug":"patient-decision-aids","status":"publish","type":"page","link":"https:\/\/www.thinkkidneys.nhs.uk\/ckd\/tools-for-change\/patient-decision-aids\/","title":{"rendered":"Patient Decision Aids"},"content":{"rendered":"<p>The following is a\u00a0recommended intervention identified\u00a0by the TP-CKD programme for implementation with both staff and patients, to test the following question:<\/p>\n<blockquote><p>Can the use of intervention tools\u00a0help to improve the knowledge, skills and confidence of patients with kidney disease to enable fuller participation in the management of their own health?<\/p><\/blockquote>\n<p>To explore other interventions identified by the programme, visit our <a href=\"https:\/\/www.thinkkidneys.nhs.uk\/ckd\/tools-for-change\/\">Interventions Toolkit Home Page<\/a><\/p>\n<h2><strong>Patient Decision Aids<\/strong><\/h2>\n<p><strong>Patient Decision Aids (PDAs)<\/strong> are information resources specifically designed to help people make\u00a0decisions about difficult healthcare options. They help people to think about why one option may be better for them than another, increasing their awareness and understanding of the potential risks and benefits of different choices and the likely outcomes. They facilitate shared decision-making. They are intended to complement, not replace, the information and advice given by clinicians.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-3454 \" src=\"http:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/decision-aids-300x271.jpg\" alt=\"\" width=\"157\" height=\"142\" srcset=\"https:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/decision-aids-300x271.jpg 300w, https:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/decision-aids-93x84.jpg 93w, https:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/decision-aids.jpg 399w\" sizes=\"auto, (max-width: 157px) 100vw, 157px\" \/><\/p>\n<p>In essence the Decision Aid consists of five steps which guide patients through the process:<\/p>\n<ol>\n<li><strong>Introduction<\/strong> \u2013 provides information about the health problem, treatment options and decisions which need to be made<\/li>\n<li><strong>Comparing options<\/strong> &#8211; accurate information on the similarities and differences between treatment options<\/li>\n<li><strong>Views of the individual<\/strong> \u2013 establishing an individual\u2019s preconceptions about\u00a0 treatment options in relation to their specific circumstances<\/li>\n<li><strong>Trade-offs<\/strong> \u2013 helping the individual think through trading-off the advantages and disadvantages of each option<\/li>\n<li><strong>Decision<\/strong> \u2013 supporting the individual in choosing the best treatment option for them<\/li>\n<\/ol>\n<p><strong>What are the Benefits?<\/strong><\/p>\n<p>There is good evidence that PDAs improve people\u2019s knowledge regarding options, and reduce their decisional conflict related to feeling uninformed and unclear about their personal values. PDAs may also stimulate people to take a more active role in decision making, and improve accurate risk perception (Stacey et al 2014).<\/p>\n<p><strong>How can Patient Decision Aids be used?<\/strong><\/p>\n<p>There are a number of types of PDAs available.<\/p>\n<ul>\n<li>The <a href=\"http:\/\/www.yodda.leeds.ac.uk\/Survey\/Introduction\"><strong>Yorkshire Dialysis Decision Aid (YoDDA)<\/strong><\/a> is produced as a booklet \u2013 the Dialysis Decision Aid Booklet. It can be downloaded or ordered from <a href=\"https:\/\/www.kidneyresearchuk.org\/DialysisDecisionAid\">Kidney Research UK<\/a>. Many patients share it with family members<strong><em>\u2026\u2026\u2026I\u2019d have to give it ten out of ten. It\u2019s answered a lot of me questions\u2026there\u2019s lots of things that it\u2019s told me there that I think I\u2019ve put it down just to be me, and it isn\u2019t, it\u2019s part of the illness<\/em><\/strong><\/li>\n<li>The <strong><a href=\"http:\/\/sdm.rightcare.nhs.uk\">National Patient Decision Aid for established renal failure<\/a> (NHS Right Care)<\/strong> is an online PDA which patients can work through by themselves or supported by family and friends.\u00a0\u00a0 Shared Decision Making sheets are shorter versions which present the treatment options<\/li>\n<li><strong>Discussion maps<\/strong> are illustrated patient-friendly maps, showing decision points and commonly encountered experiences. The kidney map is used with patients who are expected to need renal replacement therapy in the following 12 months. Discussions usually take place in a small group (five to eight people), allowing participants the space and time to interact. A trained facilitator, often an experienced patient, supports and guides the group through the conversation<\/li>\n<li><a href=\"http:\/\/optiongrid.org\/\"><strong>Option Grids<\/strong><\/a> are one page evidence-based decision aids that present a menu of treatment options and compare their potential benefits and risks. They are designed to be used during a consultation to help patients explore options and choose the best course of action for them<\/li>\n<\/ul>\n<p><strong>Useful Links and Resources<\/strong><\/p>\n<p><strong><em>General<\/em><\/strong><\/p>\n<p>The Health Foundations MAGIC programme\u2019s professionals and patients favoured quick and easy-to-use tools such as options grids or brief decision aids. <a href=\"http:\/\/www.health.org.uk\/node\/184\">http:\/\/www.health.org.uk\/node\/184<\/a><\/p>\n<p><strong><em>Patient decision aids<\/em><\/strong><\/p>\n<p><a href=\"http:\/\/patient.info\/decision-aids\">What are Decision Aids<\/a>[16]<\/p>\n<p><a href=\"http:\/\/www.yodda.leeds.ac.uk\/Survey\/Introduction\"><strong><em>Yorkshire Dialysis Decision Aid (YODDA)<\/em><\/strong>\u00a0<\/a><\/p>\n<p><a href=\"http:\/\/sdm.rightcare.nhs.uk\"><strong><em>National Patient Decision Aid for established renal failure: NHS Right Care<\/em><\/strong><\/a><\/p>\n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24470076\"><strong><em>Stacey et al<\/em><\/strong>. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev. 2014 Jan 28;(1):CD00143<\/a><\/p>\n<p><strong><em>Discussion Maps<\/em><\/strong><\/p>\n<p><strong>Palmer N and Pringle E<\/strong>. Discussion Maps. British Journal of Renal Medicine 2013: 18 Suppl.1;15-17<\/p>\n<p><strong><em>\u00a0<\/em><\/strong><a href=\"http:\/\/www.kidney.org.uk\/about-us\/conference\/roadshow-2012\/\">http:\/\/www.kidney.org.uk\/about-us\/conference\/roadshow-2012\/<\/a><\/p>\n<p><a href=\"http:\/\/www.parkinsons.org.uk\/content\/self-management-programme-path-through-parkinsons\">Parkinson\u2019s self- management programme<\/a><\/p>\n<p><strong><em>Option Grids<\/em><\/strong><\/p>\n<p><a href=\"http:\/\/optiongrid.org\/\">http:\/\/optiongrid.org\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The following is a\u00a0recommended intervention identified\u00a0by the TP-CKD programme for implementation with both staff and patients, to test the following question: Can the use of intervention tools\u00a0help to improve the knowledge, skills and confidence of patients with kidney disease to enable fuller participation in the management of their own health? To explore other interventions identified by the programme, visit our Interventions Toolkit Home Page Patient Decision&#8230;<\/p>\n","protected":false},"author":130,"featured_media":0,"parent":3148,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-3134","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Patient Decision Aids - Chronic Kidney Disease<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.thinkkidneys.nhs.uk\/ckd\/tools-for-change\/patient-decision-aids\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patient Decision Aids - Chronic Kidney Disease\" \/>\n<meta property=\"og:description\" content=\"The following is a\u00a0recommended intervention identified\u00a0by the TP-CKD programme for implementation with both staff and patients, to test the following question: Can the use of intervention tools\u00a0help to improve the knowledge, skills and confidence of patients with kidney disease to enable fuller participation in the management of their own health? 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