Abstract：
BACKGROUND:The Personal Patient Profile-Prostate (P3P), a web-based decision aid, was demonstrated to reduce decisional conflict in English-speaking men with localized prostate cancer early after initial diagnosis. The purpose of this study was to explore and enhance usability and cultural appropriateness of a Spanish P3P by Latino men with a diagnosis of prostate cancer. METHODS:P3P was translated to Spanish and back-translated by three native Spanish-speaking translators working independently. Spanish-speaking Latino men with a diagnosis of localized prostate cancer, who had made treatment decisions in the past 24 months, were recruited from two urban clinical care sites. Individual cognitive interviews were conducted by two bilingual research assistants as each participant used the Spanish P3P. Notes of user behavior, feedback, and answers to direct questions about comprehension, usability and perceived usefulness were analyzed and categorized. RESULTS:Seven participants with a range of education levels identified 25 unique usability issues in navigation, content comprehension and completeness, sociocultural appropriateness, and methodology. Revisions were prioritized to refine the usability and cultural and linguistic appropriateness of the decision aid. CONCLUSIONS:Usability issues were discovered that are potential barriers to effective decision support. Successful use of decision aids requires adaptation and testing beyond translation. Our findings led to revisions further refining the usability and linguistic and cultural appropriateness of Spanish P3P.
journal_name
BMC Med Inform Decis Makjournal_title
BMC medical informatics and decision makingauthors
Berry DL,Halpenny B,Bosco JLF,Bruyere J Jr,Sanda MGdoi
10.1186/s12911-015-0180-4subject
Has Abstractpub_date
2015-07-24 00:00:00pages
56issn
1472-6947pii
10.1186/s12911-015-0180-4journal_volume
15pub_type
杂志文章abstract：:After publication of this supplement article [1], it is requested the grant ID in the Funding section should be corrected from NSF grant IIS-7811367 to NSF grant IIS-1902617. ...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章,已发布勘误
doi：10.1186/s12911-020-1096-1
更新日期：2020-04-28 00:00:00
abstract：BACKGROUND:Mobile phone technology has demonstrated the potential to improve health service delivery, but there is little guidance to inform decisions about acquiring and implementing mHealth technology at scale in health systems. Using the case of community-based health services (CBS) in South Africa, we apply a frame...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-12-123
更新日期：2012-11-05 00:00:00
abstract：BACKGROUND:Dual processing theory of human cognition postulates that reasoning and decision-making can be described as a function of both an intuitive, experiential, affective system (system I) and/or an analytical, deliberative (system II) processing system. To date no formal descriptive model of medical decision-maki...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-12-94
更新日期：2012-09-03 00:00:00
abstract：BACKGROUND:Clear communication about the possible outcomes of proposed medical interventions is an integral part of medical care. Despite its importance, there have been few studies comparing different formats for presenting probabilistic information to patients, especially when small probabilities are involved. The pu...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-8-14
更新日期：2008-04-10 00:00:00
abstract：BACKGROUND:Antimicrobial prophylaxis is an evidence-proven strategy for reducing procedure-related infections; however, measuring this key quality metric typically requires manual review, due to the way antimicrobial prophylaxis is documented in the electronic medical record (EMR). Our objective was to electronically m...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-020-1031-5
更新日期：2020-01-30 00:00:00
abstract：BACKGROUND:Little research has examined how physicians choose medical devices for treating individual patients to reveal if interventions are needed to support decision-making and reduce device-associated morbidity and mortality. This study explored factors that influence choice of implantable device from among availab...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-017-0577-3
更新日期：2017-12-22 00:00:00
abstract：BACKGROUND:Although fecal hemoglobin concentration (f-Hb) was highly associated with the risk of colorectal neoplasms, current studies on this subject are hampered by skewedness of the data and the ordinal property of f-Hb has not been well studied yet. Our aim was to develop a quantile-based method to estimate adjuste...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-019-0812-1
更新日期：2019-05-02 00:00:00
abstract：BACKGROUND:A main element of patient-centred care, Patient Decision Aids (PtDAs) facilitate shared decision-making (SDM). A recent update of the International Patient Decision Aids Standards (IPDAS) emphasised patient involvement during PtDA development, but omitted a methodology for doing so. This article reports on t...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-017-0433-5
更新日期：2017-04-26 00:00:00
abstract：BACKGROUND:Adverse drug events (ADEs) often occur as a result of drug-drug interactions (DDIs). The use of data mining for detecting effects of drug combinations on ADE has attracted growing attention and interest, however, most studies focused on analyzing pairwise DDIs. Recent efforts have been made to explore the di...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-020-1053-z
更新日期：2020-03-18 00:00:00
abstract：BACKGROUND:We aimed to develop a real-time nosocomial infection surveillance system (RT-NISS) to monitor all nosocomial infections (NIs) and outbreaks in a Chinese comprehensive hospital to better prevent and control NIs. METHODS:The screening algorithm used in RT-NISS included microbiological reports, antibiotic usag...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-14-9
更新日期：2014-01-29 00:00:00
abstract：BACKGROUND:The increasing use of common data elements (CDEs) in numerous research projects and clinical applications has made it imperative to create an effective classification scheme for the efficient management of these data elements. We applied high-level integrative modeling of entire clinical documents from real-...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-019-0877-x
更新日期：2019-08-20 00:00:00
abstract：BACKGROUND:Preconception care may be an efficacious tool to reduce risk factors for adverse pregnancy outcomes that are associated with lifestyles and health status before pregnancy. We conducted a web-based cohort study in Italian women planning a pregnancy to assess whether a tailored web intervention may change know...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-14-33
更新日期：2014-04-15 00:00:00
abstract：BACKGROUND:Patients with a prolonged intensive care unit (ICU) length of stay account for a disproportionate amount of resource use. Early identification of patients at risk for a prolonged length of stay can lead to quality enhancements that reduce ICU stay. This study developed and validated a model that identifies p...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-10-27
更新日期：2010-05-13 00:00:00
abstract：BACKGROUND:Identifying subtypes of complex diseases such as cancer is the very first step toward developing highly customized therapeutics on such diseases, as their origins significantly vary even with similar physiological characteristics. There have been many studies to recognize subtypes of various cancer based on ...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-016-0295-2
更新日期：2016-07-18 00:00:00
abstract：BACKGROUND:The admission, discharge and transfer (ADT) module is used in the hospital information system (HIS) for the purposes of managing appointments, patient admission, daily control of hospital beds, planning surgery procedures, keeping up-to-date on patient discharges, and registering patient transfers within or ...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-019-0893-x
更新日期：2019-08-24 00:00:00
abstract：BACKGROUND:In the complex domain of medical decision making, reasoning under uncertainty can benefit from supporting tools. Automated decision support tools often build upon mathematical models, such as Bayesian networks. These networks require probabilities which often have to be assessed by experts in the domain of a...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-7-13
更新日期：2007-06-11 00:00:00
abstract：BACKGROUND:Longitudinal, patient-centered care represents a challenge for general practitioners (GPs), and in this context, reminder systems can offer targeted support. This study aimed to identify details of such reminders: (1) contents of care addressed, (2) their mode of display in the electronic health record (EHR)...
journal_title：BMC medical informatics and decision making
pub_type： 临床试验,杂志文章
doi：10.1186/s12911-016-0387-z
更新日期：2016-11-24 00:00:00
abstract：BACKGROUND:We describe the results of cognitive interviews to refine the "Making Choices©" Decision Aid (DA) for shared decision-making (SDM) about stress testing in patients with stable coronary artery disease (CAD). METHODS:We conducted a systematic development process to design a DA consistent with International Pa...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-14-10
更新日期：2014-02-13 00:00:00
abstract：BACKGROUND:Cancer-related fatigue is a distressing symptom experienced by many after cancer treatment. An exploratory randomised controlled trial was conducted to test proof of concept of RESTORE: a web-based tool to enhance self-efficacy to manage cancer-related fatigue. This paper reports findings from a qualitative ...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12911-015-0214-y
更新日期：2015-11-14 00:00:00
abstract：BACKGROUND:Blood cultures are often performed to detect patients who has a serious illness without infections and patients with bloodstream infections. Early positive blood culture prediction is important, as bloodstream infections may cause inflammation of the body, even organ failure or death. However, existing work ...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-020-1113-4
更新日期：2020-07-09 00:00:00
abstract：BACKGROUND:Clinical notes such as discharge summaries have a semi- or unstructured format. These documents contain information about diseases, treatments, drugs, etc. Extracting meaningful information from them becomes challenging due to their narrative format. In this context, we aimed to compare the automatic extract...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-018-0654-2
更新日期：2018-09-14 00:00:00
abstract：BACKGROUND:Whether early detection and treatment of prostate cancer (PCa) will reduce disease-related mortality remains uncertain. As a result, tools are needed to facilitate informed decision making. While there have been several decision aids (DAs) developed and tested, very few have included an exercise to help men ...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章,随机对照试验
doi：10.1186/1472-6947-10-12
更新日期：2010-03-03 00:00:00
abstract：BACKGROUND:Data mining can be utilized to automate analysis of substantial amounts of data produced in many organizations. However, data mining produces large numbers of rules and patterns, many of which are not useful. Existing methods for pruning uninteresting patterns have only begun to automate the knowledge acquis...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-6-13
更新日期：2006-03-07 00:00:00
abstract：BACKGROUND:Shared decision-making (SDM) is considered a key component of high quality cancer care and may be supported by patient decision aids (PtDAs). Many patients, however, face multiple social disadvantages that may influence their ability to fully participate in SDM or to use PtDAs; additionally, these social dis...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-016-0303-6
更新日期：2016-06-06 00:00:00
abstract：BACKGROUND:Many healthcare databases have been routinely collected over the past decades, to support clinical practice and administrative services. However, their secondary use for research is often hindered by restricted governance rules. Furthermore, health research studies typically involve many participants with co...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-019-0844-6
更新日期：2019-07-02 00:00:00
abstract：BACKGROUND:Medication events in clinical settings are significant threats to patient safety. Analyzing and learning from the medication event reports is an important way to prevent the recurrence of these events. Currently, the analysis of medication event reports is ineffective and requires heavy workloads for clinici...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-018-0687-6
更新日期：2018-12-07 00:00:00
abstract：BACKGROUND:A large body of work in the clinical guidelines field has identified requirements for guideline systems, but there are formidable challenges in translating such requirements into production-quality systems that can be used in routine patient care. Detailed analysis of requirements from an implementation pers...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-12-16
更新日期：2012-03-09 00:00:00
abstract：BACKGROUND:Colorectal cancer incidence and mortality have been increasing in China and as one of the most important health problems facing the nation. Adequate dissemination of correct information about colorectal cancer could help in reducing cancer-related morbidity and mortality. This study aims to assess the comple...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-018-0711-x
更新日期：2018-12-04 00:00:00
abstract：BACKGROUND:Systematic review (SR) of randomized controlled trials (RCT) is the gold standard for informing treatment choice. Decision analyses (DA) also play an important role in informing health care decisions. It is unknown how often the results of DA and matching SR of RCTs are in concordance. We assessed whether th...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章,评审
doi：10.1186/1472-6947-14-57
更新日期：2014-07-15 00:00:00
abstract：BACKGROUND:The use of measurement instruments has become a major issue in physical therapy, but their use in daily practice is rare. The aim of this paper is to describe adherence to standardized assessments by physical therapists using a complexity-based model for categorizing rehabilitation (CMCR) at the Clínica Alem...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/s12911-018-0590-1
更新日期：2018-03-12 00:00:00
