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Decisional conflict

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https://www.readbyqxmd.com/read/28092422/international-consensus-principles-for-ethical-wildlife-control
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/27971559/adding-a-decision-aid-to-asthma-education-impact-on-decisional-conflict-and-appropriate-medication-usage
#7
M Gagné, F Légaré, J Moisan, L Boulet
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27930764/decision-making-quality-in-parents-considering-adenotonsillectomy-or-tympanostomy-tube-insertion-for-their-children
#8
Paul Hong, Erin Maguire, Mary Purcell, Krista C Ritchie, Jill Chorney
Importance: Shared decision making is a process in which clinicians and patients make health care decisions in a collaborative manner using the most up-to-date evidence, while considering patient values and preferences. Shared decision making is thought to have a positive influence on the decision-making process in medicine. Objective: To describe the level of decisional conflict and decisional regret experienced by parents considering surgery for their children and to determine relations among decisional conflict, decisional regret, and shared decision making...
December 8, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27911489/palliative-care-interventions-in-advanced-dementia
#9
REVIEW
Edel Murphy, Katherine Froggatt, Sheelah Connolly, Eamon O'Shea, Elizabeth L Sampson, Dympna Casey, Declan Devane
BACKGROUND: Dementia is a chronic, progressive and ultimately fatal neurodegenerative disease. Advanced dementia is characterised by profound cognitive impairment, inability to communicate verbally and complete functional dependence. Usual care of people with advanced dementia is not underpinned universally by a palliative approach. Palliative care has focused traditionally on care of people with cancer but for more than a decade, there have been increased calls worldwide to extend palliative care services to include all people with life-limiting illnesses in need of specialist care, including people with dementia...
2, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27906588/fertility-preservation-in-pediatric-and-adolescent-oncology-patients-the-decision-making-process-of-parents
#10
Nancy Li, Yasmin Jayasinghe, Matthew A Kemertzis, Paddy Moore, Michelle Peate
PURPOSE: Decisions surrounding fertility preservation (FP) in children, adolescents, and adults can be difficult due to the distress of a cancer diagnosis, time constraints for decision-making, and lack of efficacy data. This review examines the decision-making process of oncology patients and their parents (if patients are in the pediatric or adolescent population) to better understand experiences of decisional conflict and regret. METHODS: Two electronic databases, Embase and Pubmed, were searched using the terms (Decision-making OR Conflict (Psychology) OR Decision regret) AND (Freezing OR Oocyte OR Ovarian tissue OR Semen preservation OR Fertility preservation OR Cryopreservation) AND (Neoplasms OR Cancer OR Chemotherapy OR Drug therapy OR Radiotherapy)...
December 1, 2016: Journal of Adolescent and Young Adult Oncology
https://www.readbyqxmd.com/read/27899744/decisional-conflict-regret-and-the-burden-of-rational-decision-making
#11
EDITORIAL
Andrew J Vickers
No abstract text is available yet for this article.
January 2017: Medical Decision Making: An International Journal of the Society for Medical Decision Making
https://www.readbyqxmd.com/read/27899103/time-to-event-versus-ten-year-absolute-risk-in-cardiovascular-risk-prevention-does-it-make-a-difference-results-from-the-optimizing-risk-communication-optrisk-randomized-controlled-trial
#12
Charles Christian Adarkwah, Nikita Jegan, Monika Heinzel-Gutenbrunner, Felicitas Kühne, Uwe Siebert, Uwe Popert, Norbert Donner-Banzhoff, Sarah Kürwitz
BACKGROUND: The concept of shared-decision-making is a well-established approach to increase the participation of patients in medical decisions. Using lifetime risk or time-to-event (TTE) formats has been increasingly suggested as they might have advantages, e.g. in younger patients, to better show consequences of unhealthy behaviour. In this study, the most-popular ten-year risk illustration in the decision-aid-software arriba(TM) (emoticons), is compared within a randomised trial to a new-developed TTE illustration, which is based on a Markov model...
November 29, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27876440/cannabis-alcohol-use-psychological-distress-and-decision-making-style
#13
James G Phillips, Rowan P Ogeil
INTRODUCTION: There have been suggestions of hypofrontality in cannabis users. To understand cannabis-related differences in decisional processes, Janis and Mann's conflict model of decision making was applied to recreational cannabis smokers who varied in their alcohol use and level of psychological distress. METHOD: An online sample of recreational substance users (114 male, 119 female) completed the Melbourne Decision Making Questionnaire, the Alcohol Use Disorders Identification Test (AUDIT), Kessler's Psychological Distress Scale (K10), and the Severity of Dependence Scale (SDS) for cannabis...
November 23, 2016: Journal of Clinical and Experimental Neuropsychology
https://www.readbyqxmd.com/read/27848252/feasibility-and-effects-of-a-decision-aid-about-fertility-preservation
#14
Mirjam M Garvelink, Moniek M Ter Kuile, Leoni A Louwé, Carina G J M Hilders, Anne M Stiggelbout
This paper reports on the feasibility and preliminary effects of a decision aid (DA) about female fertility preservation (FP). We conducted a pilot multicentre randomized controlled trial of women with breast cancer aged 18-40 who were randomized to brochures or the DA. Over 18 months, 62 women were eligible, of which 42 were invited by their healthcare provider (74%) to participate in the study. A total of 36 women signed up for participation and 26 (72%) were randomized to brochures (n = 13) or the DA (n = 13)...
November 16, 2016: Human Fertility: Journal of the British Fertility Society
https://www.readbyqxmd.com/read/27847849/assessment-of-decisional-conflict-about-the-treatment-of-trigger-finger-comparing-patients-and-physicians
#15
Michiel G J S Hageman, Anne-Carolin Döring, Silke A Spit, Thierry G Guitton, David Ring
BACKGROUND: As an early step in the development of a decision aid for idiopathic trigger finger (TF) we were interested in the level of decisional conflict experienced by patients and hand surgeons. This study tested the null hypothesis that there is no difference in decisional conflict between patients with one or more idiopathic trigger fingers and hand surgeons. Secondary analyses address the differences between patients and surgeons regarding the influence of the DCS-subcategories on the level of decisional conflict, as well as the influence of patient and physician demographics, the level of self-efficacy, and satisfaction with care on decisional conflict...
October 2016: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/27832752/more-primary-care-patients-regret-health-decisions-if-they-experienced-decisional-conflict-in-the-consultation-a-secondary-analysis-of-a-multicenter-descriptive-study
#16
Maria-Margarita Becerra-Perez, Matthew Menear, Stephane Turcotte, Michel Labrecque, France Légaré
BACKGROUND: We sought to estimate the extent of decision regret among primary care patients and identify risk factors associated with regret. METHODS: Secondary analysis of an observational descriptive study conducted in two Canadian provinces. Unique patient-physician dyads were recruited from 17 primary care clinics and data on patient, physician and consultation characteristics were collected before, during and immediately after consultations, as well as two weeks post-consultation, when patients completed the Decision Regret Scale (DRS)...
November 10, 2016: BMC Family Practice
https://www.readbyqxmd.com/read/27803090/percutaneous-coronary-intervention-choice-decision-aid-for-stable-coronary-artery-disease-a-randomized-trial
#17
Megan Coylewright, Sara Dick, Becky Zmolek, Jason Askelin, Edward Hawkins, Megan Branda, Jonathan W Inselman, Claudia Zeballos-Palacios, Nilay D Shah, Erik P Hess, Annie LeBlanc, Victor M Montori, Henry H Ting
BACKGROUND: Percutaneous coronary intervention (PCI) for stable coronary artery disease does not reduce the risk of death and myocardial infarction compared with optimal medical therapy (OMT), but many patients think otherwise. PCI Choice, a decision aid (DA), was designed for use during the clinical visit and includes information on quality of life and mortality outcomes for PCI with OMT versus OMT alone for stable coronary artery disease. METHODS AND RESULT: We conducted a randomized trial to assess the impact of the PCI Choice DA compared with usual care when there is a choice between PCI and optimal medical therapy...
November 1, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27765378/a-systematic-review-of-effectiveness-of-decision-aids-to-assist-older-patients-at-the-end-of-life
#18
Magnolia Cardona-Morrell, Gustavo Benfatti-Olivato, Jesse Jansen, Robin M Turner, Diana Fajardo-Pulido, Ken Hillman
OBJECTIVE: To describe the range of decision aids (DAs) available to enable informed choice for older patients at the end of life and assess their effectiveness or acceptability. METHODS: Search strategy covered PubMed, Scopus, Ovid MEDLINE, EMBASE, EBM Reviews, CINAHL and PsycInfo between 1995 and 2015. The quality criteria framework endorsed by the International Patient Decision Aids Standards (IPDAS) was used to assess usefulness. RESULTS: Seventeen DA interventions for patients, their surrogates or health professionals were included...
October 11, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27752808/prophylactic-total-gastrectomy-a-prospective-cohort-study-of-long-term-impact-on-quality-of-life
#19
Jennifer Muir, Melyssa Aronson, Mary-Jane Esplen, Aaron Pollett, Carol J Swallow
BACKGROUND: Hereditary diffuse gastric cancer (HDGC) syndrome is caused by germline mutations in the CDH1 gene and carries a lifetime gastric cancer risk of approximately 70 % in men and 56 % in women. Current consensus guidelines recommend that people of age ≥20 who harbor a CDH1 mutation undergo prophylactic total gastrectomy (PTG). However, the decision to proceed with a major visceral resection for prophylactic reasons may be difficult, especially since long-term outcomes are not well defined...
October 17, 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27749390/high-levels-of-decisional-conflict-and-decision-regret-when-making-decisions-about-biologics
#20
Ellen A Lipstein, Daniel J Lovell, Lee A Denson, Sandra C Kim, Charles Spencer, Richard F Ittenbach, Maria T Britto
OBJECTIVES: The aim of the study was to understand the association between parents' perceptions of the decision process and the decision outcomes in decisions about the use of biologics in pediatric chronic conditions. METHODS: We mailed surveys to parents of children with inflammatory bowel disease or juvenile idiopathic arthritis who had started treatment with biologics in the prior 2 years and were treated at either of 2 children's hospitals. The survey included measures of the decision process, including decision control and physician engagement, and decision outcomes, including conflict and regret...
December 2016: Journal of Pediatric Gastroenterology and Nutrition
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