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Structured Abstract
Objective:
To develop tools that can facilitate uptake of evidence synthesis reports by health systems.
Data Source:
We used a published evidence report on anxiety in children. We conducted a non-systematic review of Pubmed, searched the Internet and interviewed experts and other stakeholders for literature on factors essential for treatment decision-making.
Methods:
We followed a dual approach in which we developed two tools, one for the health system (based on the Evidence to Decision Framework) and the second for the clinical encounter (a shared decision-making tool). The tools provided contextual and implementation information for stakeholders.
Results:
A health system decision aid (DA) was produced as a hard copy and provided information on which patients are candidate for treatment, values and preferences, costs and resources, acceptability, impact on health equity, feasibility, drug dosing, psychotherapies other than cognitive behavioral therapy, remission rates and prognosis of anxiety in children. Health system stakeholders found the DA useful and generalizable to other conditions. The encounter DA was produced as cards containing information on issues that drive treatment decisions (effect on symptoms, effect on function, treatment burden, side effects and cost). Patients and parents prioritized the cards and chose the order in which these issues were discussed with clinician. The encounter DA was found to be helpful by patients, parents and clinicians.
Conclusion:
A dual approach addressing health system stakeholders as well as clinicians and patients can provide practical information beyond what is traditionally contained in evidence synthesis reports. This approach is likely feasible and may facilitate uptake of evidence reports by health systems.
Contents
Suggested citation:
Morrow A.S., Whiteside, S.P., Sim, L., Brito, J.P., Wang, Z., Murad, M.H., EPC Pilot Project: A Dual Approach to Facilitate Health Systems Uptake of Evidence Synthesis Reports. Anxiety in Children. Methods Research Report. (Prepared by the Mayo Clinic Evidence-based Practice Center under Contract No. 290-2015-00013-I.) AHRQ Publication No.No. 18-EHC021-EF. Rockville, MD: Agency for Healthcare Research and Quality. October 2018. Posted final reports are located on the Effective Health Care Program search page. DOI: https://doi.org/10.23970/AHRQEPCMETHENGAGEANXIETY.
This report is based on research conducted by the Mayo Clinic Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No.290-2015-00013-I). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
None of the investigators have any affiliations or financial involvement that conflicts with the material presented in this report.
The information in this report is intended to help health care decisionmakers—patients and clinicians, health system leaders, and policymakers, among others—make well-informed decisions and thereby improve the quality of health care services. This report is not intended to be a substitute for the application of clinical judgment. Anyone who makes decisions concerning the provision of clinical care should consider this report in the same way as any medical reference and in conjunction with all other pertinent information, i.e., in the context of available resources and circumstances presented by individual patients.
This report is made available to the public under the terms of a licensing agreement between the author and the Agency for Healthcare Research and Quality. This report may be used and reprinted without permission except those copyrighted materials that are clearly noted in the report. Further reproduction of those copyrighted materials is prohibited without the express permission of copyright holders.
AHRQ or U.S. Department of Health and Human Services endorsement of any derivative products that may be developed from this report, such as clinical practice guidelines, other quality enhancement tools, or reimbursement or coverage policies, may not be stated or implied.
Persons using assistive technology may not be able to fully access information in this report. For assistance contact vog.shh.qrha@CPE.
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