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Shared Decision Making Tools for People Facing Stroke Prevention Strategies in Atrial Fibrillation: A Systematic Review and Environmental Scan.

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dc.contributor.author Torres Roldan, Victor D.
dc.contributor.author Brand-McCarthy, Sarah R.
dc.contributor.author Ponce, Oscar J.
dc.contributor.author Belluzzo, Tereza
dc.contributor.author Urtecho, Meritxell
dc.contributor.author Espinoza Suarez, Nataly R.
dc.contributor.author Toloza, Freddy J. K.
dc.contributor.author Thota, Anjali D.
dc.contributor.author Organick, Paige W.
dc.contributor.author Barrera, Francisco
dc.contributor.author Liu-Sanchez, Carolina
dc.contributor.author Jaladi, Soumya
dc.contributor.author Prokop, Larry
dc.contributor.author Ozanne, Elissa M.
dc.contributor.author Fagerlin, Angela
dc.contributor.author Hargraves, Ian G.
dc.contributor.author Noseworthy, Peter A.
dc.contributor.author Montori, Victor M.
dc.contributor.author Brito, Juan P.
dc.date.accessioned 2021-05-18T21:44:17Z
dc.date.available 2021-05-18T21:44:17Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9402
dc.description.abstract OBJECTIVE: Shared decision making (SDM) tools can help implement guideline recommendations for patients with atrial fibrillation (AF) considering stroke prevention strategies. We sought to characterize all available SDM tools for this purpose and examine their quality and clinical impact. METHODS: We searched through multiple bibliographic databases, social media, and an SDM tool repository from inception to May 2020 and contacted authors of identified SDM tools. Eligible tools had to offer information about warfarin and ≥1 direct oral anticoagulant. We extracted tool characteristics, assessed their adherence to the International Patient Decision Aids Standards, and obtained information about their efficacy in promoting SDM. RESULTS: We found 14 SDM tools. Most tools provided up-to-date information about the options, but very few included practical considerations (e.g., out-of-pocket cost). Five of these SDM tools, all used by patients prior to the encounter, were tested in trials at high risk of bias and were found to produce small improvements in patient knowledge and reductions in decisional conflict. CONCLUSION: Several SDM tools for stroke prevention in AF are available, but whether they promote high-quality SDM is yet to be known. The implementation of guidelines for SDM in this context requires user-centered development and evaluation of SDM tools that can effectively promote high-quality SDM and improve stroke prevention in patients with AF en_US
dc.language.iso eng
dc.publisher SAGE Publications
dc.relation.ispartofseries Medical Decision Making
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject anticoagulation en_US
dc.subject atrial fibrillation en_US
dc.subject cardiovascular prevention en_US
dc.subject decision aids en_US
dc.subject shared decision making en_US
dc.title Shared Decision Making Tools for People Facing Stroke Prevention Strategies in Atrial Fibrillation: A Systematic Review and Environmental Scan. en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1177/0272989X211005655
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.02
dc.relation.issn 1552-681X


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