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Decisional conflict

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https://www.readbyqxmd.com/read/28230397/weighted-integration-suggests-that-visual-and-tactile-signals-provide-independent-estimates-about-duration
#1
Danny M Ball, Derek H Arnold, Kielan Yarrow
Humans might possess either a single (amodal) internal clock or multiple clocks for different sensory modalities. Sensitivity could be improved by the provision of multiple signals. Such improvements can be predicted quantitatively, assuming estimates are combined by summation, a process described as optimal when summation is weighted in accordance with the variance associated with each of the initially independent estimates. This possibility was assessed for visual and tactile information regarding temporal intervals...
February 23, 2017: Journal of Experimental Psychology. Human Perception and Performance
https://www.readbyqxmd.com/read/28228452/does-the-use-of-a-decision-aid-improve-decision-making-in-prosthetic-heart-valve-selection-a-multicenter-randomized-trial
#2
Nelleke M Korteland, Yunus Ahmed, David R Koolbergen, Marjan Brouwer, Frederiek de Heer, Jolanda Kluin, Eline F Bruggemans, Robert J M Klautz, Anne M Stiggelbout, Jeroen J J Bucx, Jolien W Roos-Hesselink, Peter Polak, Thanasie Markou, Inge van den Broek, Rene Ligthart, Ad J J C Bogers, Johanna J M Takkenberg
BACKGROUND: A Dutch online patient decision aid to support prosthetic heart valve selection was recently developed. A multicenter randomized controlled trial was conducted to assess whether use of the patient decision aid results in optimization of shared decision making in prosthetic heart valve selection. METHODS AND RESULTS: In a 5-center randomized controlled trial, patients were allocated to receive either standard preoperative care (control group) or additional access to the patient decision aid (intervention group)...
February 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28199178/response-to-comment-on-decisional-conflict-regret-and-the-burden-of-rational-decision-making
#3
Andrew Vickers
No abstract text is available yet for this article.
February 1, 2017: Medical Decision Making: An International Journal of the Society for Medical Decision Making
https://www.readbyqxmd.com/read/28199177/comment-on-decisional-conflict-regret-and-the-burden-of-rational-decision-making
#4
Anita D Misra-Hebert, Michael W Kattan
No abstract text is available yet for this article.
February 1, 2017: Medical Decision Making: An International Journal of the Society for Medical Decision Making
https://www.readbyqxmd.com/read/28195020/the-elasticity-of-preferences
#5
Dan Simon, Stephen A Spiller
We explore how preferences for attributes are constructed when people choose between multiattribute options. As found in prior research, we observed that while people make decisions, their preferences for the attributes in question shift to support the emerging choice, thus enabling confident decisions. The novelty of the studies reported here is that participants repeated the same task 6 to 8 weeks later. We found that between tasks, preferences returned to near their original levels, only to shift again to support the second choice, regardless of which choice participants made...
December 2016: Psychological Science
https://www.readbyqxmd.com/read/28168332/a-rapid-systematic-review-of-outcomes-studies-in-genetic-counseling
#6
REVIEW
Lisa Madlensky, Angela M Trepanier, Deborah Cragun, Barbara Lerner, Kristen M Shannon, Heather Zierhut
As healthcare reimbursement is increasingly tied to value-of-service, it is critical for the genetic counselor (GC) profession to demonstrate the value added by GCs through outcomes research. We conducted a rapid systematic literature review to identify outcomes of genetic counseling. Web of Science (including PubMed) and CINAHL databases were systematically searched to identify articles meeting the following criteria: 1) measures were assessed before and after genetic counseling (pre-post design) or comparisons were made between a GC group vs...
February 6, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28153937/beliefs-and-attitudes-to-bowel-cancer-screening-in-patients-with-ckd-a-semistructured-interview-study
#7
Laura J James, Germaine Wong, Jonathan C Craig, Angela Ju, Narelle Williams, Wai H Lim, Nicholas Cross, Allison Tong
BACKGROUND AND OBJECTIVES: Bowel cancer is a leading cause of cancer-related death in people with CKD. Shared decision making regarding cancer screening is particularly complex in CKD and requires an understanding of patients' values and priorities, which remain largely unknown. Our study aimed to describe the beliefs and attitudes to bowel cancer screening in patients with CKD. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Face to face, semistructured interviews were conducted from April of 2014 to December of 2015 with 38 participants ages 39-78 years old with CKD stages 3-5, on dialysis, or transplant recipients from four renal units in Australia and New Zealand...
February 2, 2017: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/28143529/individualized-patient-decision-aid-for-immunosuppressive-drugs-in-women-with-lupus-nephritis-study-protocol-of-a-randomized-controlled-trial
#8
Jasvinder A Singh, Nipam Shah, Candace Green
BACKGROUND: Systemic Lupus erythematosus (SLE), also commonly referred to as lupus, is a rare, but sometimes, fatal disease, that primarily affects young women. Lupus nephritis, a common manifestation of lupus, is more common and more devastating in patients of minority race/ethnicity. Patients have negative views of immunosuppressive drugs for lupus nephritis due to a concern about side effects and under-appreciation of its benefit. We designed a study to assess the effectiveness of individualized, computerized patient decision-aid for immunosuppressive drugs for lupus nephritis compared to a standard pamphlet for patient decision-making...
January 31, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28138917/a-review-of-shared-decision-making-and-patient-decision-aids-in-radiation-oncology
#9
REVIEW
Kristina Demas Woodhouse, Katie Tremont, Anil Vachani, Marilyn M Schapira, Neha Vapiwala, Charles B Simone, Abigail T Berman
Cancer treatment decisions are complex and may be challenging for patients, as multiple treatment options can often be reasonably considered. As a result, decisional support tools have been developed to assist patients in the decision-making process. A commonly used intervention to facilitate shared decision-making is a decision aid, which provides evidence-based outcomes information and guides patients towards choosing the treatment option that best aligns with their preferences and values. To ensure high quality, systematic frameworks and standards have been proposed for the development of an optimal aid for decision making...
January 30, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28122849/a-qualitative-study-exploring-why-individuals-opt-out-of-lung-cancer-screening
#10
Lisa Carter-Harris, Susan Brandzel, Karen J Wernli, Joshua A Roth, Diana S M Buist
BACKGROUND: Lung cancer screening with annual low-dose computed tomography is relatively new for long-term smokers in the USA supported by a US Preventive Services Task Force Grade B recommendation. As screening programs are more widely implemented nationally and providers engage patients about lung cancer screening, it is critical to understand behaviour among high-risk smokers who opt out to improve shared decision-making processes for lung cancer screening. OBJECTIVE: The purpose of this study was to explore the reasons for screening-eligible patients' decisions to opt out of screening after receiving a provider recommendation...
January 24, 2017: Family Practice
https://www.readbyqxmd.com/read/28116989/patient-reflections-on-decision-making-for-laryngeal-cancer-treatment
#11
Andrew G Shuman, Knoll Larkin, Dorothy Thomas, Frank L Palmer, Joseph J Fins, Shrujal S Baxi, Nancy Lee, Jatin P Shah, Angela Fagerlin, Snehal G Patel
Objective To describe the reflections of patients treated for laryngeal cancer with regard to treatment-related decision making. Study Design Cross-sectional survey-based pilot study. Setting Single-institution tertiary care cancer center. Subjects/Methods Adults with laryngeal carcinoma were eligible to participate (N = 57; 46% treated surgically, 54% nonsurgically). Validated surveys measuring decisional conflict and regret explored patients' reflections on their preferences and priorities regarding treatment-related decision making for laryngeal cancer and how patient-reported functional outcomes, professional referral patterns, and desired provider input influenced these reflections...
February 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28108189/the-longitudinal-impact-of-an-internet-safety-decision-aid-for-abused-women
#12
Nancy E Glass, Nancy A Perrin, Ginger C Hanson, Tina L Bloom, Jill T Messing, Amber S Clough, Jacquelyn C Campbell, Andrea C Gielen, James Case, Karen B Eden
INTRODUCTION: Women experiencing intimate partner violence (IPV) navigate complex, dangerous decisions. Tailored safety information and safety planning, typically provided by domestic violence service providers, can prevent repeat IPV exposure and associated adverse health outcomes; however, few abused women access these services. The Internet represents a potentially innovative way to connect abused women with tailored safety planning resources and information. The purpose of this study was to compare safety and mental health outcomes at baseline, 6 months, and 12 months among abused women randomized to: (1) a tailored, Internet-based safety decision aid; or (2) control website (typical safety information available online)...
January 17, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28107540/impact-of-adding-a-decision-aid-to-patient-education-in-adults-with-asthma-a-randomized-clinical-trial
#13
Myriam E Gagné, France Légaré, Jocelyne Moisan, Louis-Philippe Boulet
BACKGROUND: Not providing adequate patient education interventions to asthma patients remains a major care gap. To help asthma patients and caregivers discuss inhaled controller medication use, our team has previously developed a decision aid (DA). We sought to assess whether adding this DA to education interventions improved knowledge, decisional conflict, and asthma control among adults with asthma. METHODS: A parallel clinical trial (NCT02516449). We recruited adults with asthma, aged 18 to 65 years, prescribed inhaled controller medication to optimize asthma control...
2017: PloS One
https://www.readbyqxmd.com/read/28107332/reducing-patient-uncertainty-implementation-of-a-shared-decision-making-process-enhances-treatment-quality-and-provider-communication
#14
Annika Gustafson
Patients with cancer can experience uncertainty when making treatment decisions. When unaddressed, patient uncertainty can result in decisional conflict and decisional regret. Providers can assist in decreasing these factors by involving patients in the decision-making process. Patients who agree to participate should be informed about their diagnosis, prognosis, and treatment options, including the benefits, the risks and harms, or the option of no treatment. Providers also can help patients to clarify their values, which reveal patient preferences and inform tailoring of care for each patient...
1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28092422/international-consensus-principles-for-ethical-wildlife-control
#15
Sara Dubois, Nicole Fenwick, Erin A Ryan, Liv Baker, Sandra E Baker, Ngaio J Beausoleil, Scott Carter, Barbara Cartwright, Federico Costa, Chris Draper, John Griffin, Adam Grogan, Gregg Howald, Bidda Jones, Kate E Littin, Amanda T Lombard, David J Mellor, Daniel Ramp, Catherine A Schuppli, David Fraser
Human-wildlife conflicts are commonly addressed by excluding, relocating, or lethally controlling animals with the goal of preserving public health and safety, protecting property, or conserving other valued wildlife. However, declining wildlife populations, a lack of efficacy of control methods in achieving desired outcomes, and changes in how people value animals have triggered widespread acknowledgment of the need for ethical and evidence-based approaches to managing such conflicts. We explored international perspectives on and experiences with human-wildlife conflicts to develop principles for ethical wildlife control...
January 16, 2017: Conservation Biology: the Journal of the Society for Conservation Biology
https://www.readbyqxmd.com/read/28073972/awareness-and-attitude-regarding-reproductive-options-of-persons-carrying-a-brca-mutation-and-their-partners
#16
J J G Gietel-Habets, C E M de Die-Smulders, I A P Derks-Smeets, A Tibben, V C G Tjan-Heijnen, R van Golde, E Gomez-Garcia, C M Kets, L A D M van Osch
STUDY QUESTION: To what extent are BRCA mutation carriers and their partners in the Netherlands aware about preimplantation genetic diagnosis (PGD) and prenatal diagnosis (PND) as reproductive options and what is their attitude towards these options? SUMMARY ANSWER: Awareness of PGD (66%) and PND (61%) among BRCA mutation carriers and their partners is relatively high and 80% and 26%, respectively, of BRCA carriers and their partners find offering PGD and PND for hereditary breast and ovarian cancer (HBOC) acceptable...
January 9, 2017: Human Reproduction
https://www.readbyqxmd.com/read/28054737/perceived-needs-for-the-information-communication-technology-ict-based-personalized-health-management-program-and-association-among-information-provision-health-related-quality-of-life-hrqol-and-decisional-conflict-in-cancer-patients
#17
Jin Ah Sim, Yoon Jung Chang, Aesun Shin, Dong-Young Noh, Wonshik Han, Han-Kwang Yang, Young Whan Kim, Young Tae Kim, Seoung-Yong Jeong, Jung-Hwan Yoon, Yoon Jun Kim, Daesuk Heo, Tae-You Kim, Do-Youn Oh, Hong-Gyun Wu, Hak Jae Kim, Eui Kyu Chie, Keon Wook Kang, Ju Han Kim, Young Ho Yun
OBJECTIVE: The use of information communication technology (ICT) based tailored health management program, can have significant health impacts for cancer patients. Information provision, health-related quality of life (HRQOL) and decision conflicts, were analyzed for their relationship with need for an ICT-based personalized health management program in Korean cancer survivors. METHODS: The health program needs of 625 cancer survivors from two Korean hospitals were analyzed in this cross-sectional study...
January 5, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28001305/an-entertainment-education-colorectal-cancer-screening-decision-aid-for-african-american-patients-a-randomized-controlled-trial
#18
Aubri S Hoffman, Lisa M Lowenstein, Geetanjali R Kamath, Ashley J Housten, Viola B Leal, Suzanne K Linder, Maria L Jibaja-Weiss, Gottumukkala S Raju, Robert J Volk
BACKGROUND: Colorectal cancer screening rates for African American patients remain suboptimal. Patient decision aids designed with an entertainment-education approach have been shown to improve saliency and foster informed decision making. The purpose of this study was to assess whether an entertainment-education decision aid tailored for African American patients improved patients' decision making, attitudes, intentions, or colorectal cancer screening behavior. METHODS: Eighty-nine participants were randomized to view 1) a patient decision aid video containing culturally tailored information about colorectal cancer screening options and theory-based support in decision making presented in an entertainment-education format or 2) an attention control video about hypertension that contained similarly detailed information...
December 21, 2016: Cancer
https://www.readbyqxmd.com/read/27999559/will-i-regret-it-anticipated-negative-emotions-modulate-choices-in-moral-dilemmas
#19
Carolina Pletti, Lorella Lotto, Alessandra Tasso, Michela Sarlo
We tested if post-decisional emotions of regret, guilt, shame, anger, and disgust can account for individuals' choices in moral dilemmas depicting the choice of letting some people die (non-utilitarian option) or sacrificing one person to save them (utilitarian option). We collected participants' choices and post-decisional emotional ratings for each option using Footbridge-type dilemmas, in which the sacrifice of one person is the means to save more people, and Trolley-type dilemmas, in which the sacrifice is only a side effect...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27992773/larger-between-task-crosstalk-in-children-than-in-adults-behavioral-results-from-the-backward-crosstalk-paradigm-and-a-diffusion-model-analysis
#20
Markus Janczyk, Juliane Büschelberger, Oliver Herbort
In dual-task settings, one can find influences from Task 2 processing even on Task 1 performance, an effect referred to as the backward crosstalk effect (BCE). The size of the BCE has been taken as an index of how well Task 1 processing can be shielded against concurrently ongoing Task 2 processes. In the current study, we compared the size of the BCE between adults and a group of 5- and 6-year-old children. First, the BCE turned out to be larger in children than in adults. Second, both groups exhibited a comparable adjustment of behavior in response to just experienced conflict; in both groups, the BCE was smaller following conflict trials than following no-conflict trials...
March 2017: Journal of Experimental Child Psychology
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