Since its founding in 2009, the Collaborative’s research base has continued to grow in size and scope. Option Grid™ decision aids are evaluated across countries and contexts, with studies currently taking place in the US, UK, Germany, Poland and the Netherlands.
Research to date indicates that Option Grid™ decision aids:
1. Facilitate shared decision making in clinical encounters,
2. Have minimal effect on encounter length,
3. Lead to increases in patient knowledge.
If you're using Option Grid™ decision aids in your research, please let us know- we'd love to hear about it.
Findings Thus Far
Osteoarthitis treatments: A UK trial demonstrated that the osteoarthritis Option Grid™ decision aid supported shared decision making in clinical encounters. Using the decision aid led to increases in patient knowledge and did not extend the duration of clinical encounters (Published; Elwyn et al. Patient Education and Counseling 2015).
Circumcision or not? A study of the neonatal circumcision Option Grid™ decision aid showed that clinicians can achieve shared decision making with patients after a brief orientation. Patients were not burdened by using the tools and encounter durations were not extended (Published; Fay et al. Patient Education and Counseling 2015 ).
Picture Option Grid™decision aid: A community-based research study brought together experts, community members and patients to create a Picture Option Grid™ decision aid for early stage breast cancer. The tool proved to be accessible, acceptable and user-friendly for low-SES patient populations (Published; Durand et al. BMJ Open 2016).
Simulations: An evaluation of Option Grid™ decision aids in simulated clinical encounters found that the tools facilitated decision making. Clinicians agreed that Option Grid decision aids helped frame conversations with patients and provided important cues to guide the discussion (Published; Tsulukidze et al. Patient Education and Counseling 2015).
Promotes conversations: A review article highlighted the tool’s ability to stimulate conversation between clinicians and patients (Published; Greenhalgh British Journal of General Practice 2013).
Implementation in the NHS: A range of Option Grid™ decision aids were used as part of a quality improvement project at the NHS. Clinicians involved in the MAGIC program reported that Option Grid™ decision aids simplified information delivery, helped patients visualize options, and standardized treatment choices for healthcare professionals (Published; Elwyn et al. Patient Education and Counseling 2012).
Documented competing interest policy: A qualitative analysis of twelve decision aid producers described the Option Grid Collaborative's robust policies for identifying, evaluating, and managing competing interests. The Collaborative was found to be one of few organizations with a documented competing interest policy and disclosure form (Published; Elwyn et al. BMJ Open 2016)
Use with interpreters: A qualitative study explored the complexities of implementing Option Grid™ decision aids in clinical consultations with language interpreters. The study is among the first to assess shared decision-making in consultations with language barriers (In Press, Wood et al. Patient Education and Counseling 2016).