The Option GridTM
decision aids

Research Overview

Updated Infographic

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

Resized Marie Anne

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). 

Research in Progress

Shama Hands

United States 

Case studies of use of Option Grid™ decision aids in Albany, NY and Minneapolis, MN

  • Co-Principal Investigators: Marie-Anne Durand, Glyn Elwyn, and Stuart Grande, Dartmouth College
  • Aim: To evaluate the spontaneous implementation and use of Option Grid™ decision aids in established clinical practices.
  • Contact: Marie-Anne Durand


Development of an Option Grid™ decision aid for pelvic organ prolapse

  •  Principal Investigator: Kris Strohbehn, Dartmouth College
  • Aim: To develop and evaluate an Option Grid™ decision aid for pelvic organ prolapse treatment, based on patient’s concerns and preferences.
  • Contact: Kris Strohbehn, Annemijn Aarts


Feasibility study of an Option Grid™ decision aid for depression

  • Principal Investigator: Paul Barr, Dartmouth College
  • Aim: To pilot routine use of an Option Grid™ decision aid for depression in primary care settings.
  • Contact: Paul Barr 


Comparative effectiveness of encounter decision aids for early-stage breast cancer across socioeconomic strata

  • Principal Investigator: Marie-Anne Durand, Dartmouth College
  • Aim: To explore how Option Grid™ and Picture Option Grid™ decision aids can support high quality decision-making in low SES women with early stage breast cancer.
  • Contact: Marie-Anne Durand


Patients' perceptions of an Option Grid™ decision aid for antipsychotic medication 

  • Principal Investigator: Yaara Zisman-Ilani, Dartmouth College
  • Aim: To asses patients' attitudes towards an Option Grid™ decision aid for continuing, adjusting, or stopping antipsychotic medications in clinical settings in New York City. 
  • Contact: Yaara Zisman-Ilani


Poland

Piloting Option Grid™ decision aids and CollaboRATE tools in Warsaw, Poland 

  • Principal Investigator: Glyn Elwyn, Dartmouth College 
  • Sponsor: Bupa/LUX MED 
  • Aim: To evaluate the impact of Option Grid™ decision aids and CollaboRATE on patient engagement and medical decision making in routine clinical settings in Poland. 
  • Contact: Marie-Anne Durand


Germany

Evaluating Option Grid™ decision aids to support shared decision making in breast cancer treatment

  • Principal Investigator: Isabelle Scholl
  • Sponsor: Faculty of Medicine of the University of Hamburg
  • Aim: 1) To translate and adapt two Option Grid™ decision aids for breast cancer treatments into German, 2) To evaluate patient and physician acceptance of Option Grid™ decision aids, and 3) To assess integration of Option Grid™ decision aids into German clinical care settings and determine additional needs.
  • Contact: Isabelle Scholl


The Netherlands

Implementation and evaluation of an Option Grid™ decision aid for women experiencing heavy periods

  • Principal Investigator: Annemijn Aarts, Radboud University Medical Center
  • Aim: To implement and evaluate the efficacy of an Option Grid™ decision aid for women experiencing heavy periods. 
  • Contact: Annemijn Aarts, Tina Foster 


United Kingdom

Bridging the Age Gap in Breast Cancer: Improving Outcomes in Older Women

  • Principal Investigator: Lynda Wyld, NIHR
  • Aim: 1) To determine the information and decision support needs of older women facing treatment choices for early breast cancer, and 2) To develop and evaluate a package of decision support tools for older women with early breast cancer as part of a cluster randomized trial. 
  • Contact: Kate Lifford


Developing an Option Grid™ decision aid for reconstructive surgery following mastectomy

  • Principal Investigator: Carrie Flanagan, Institute of Nursing and Health Research, Ulster University
  • Aim: To design, deliver and evaluate an Option Grid™ decision aid for women facing surgical options as part of their breast cancer treatment.
  • Contact: Carrie Flanagan


Cataract Surgery: Measuring and predicting patient-level vision related health benefits and harms

  • Co-Principal Investigators: Natalie Joseph-Williams, Cardiff University, and Glyn Elwyn, Dartmouth College
  • Sponsor: NIHR
  • Aim: To develop and test an Option Grid™ decision aid for cataract surgery employing individualised risk calculators for predicted self-reported visual benefits and risks of harm from surgery.
  • Contact: John Sparrow, NIHR Cataract Research Programme 


Development of an Option Grid™ decision aid for adult audiology services

  • Principal Investigator: Helen Pryce, University of Aston
  • Aim: To develop an Option Grid™ decision aid for people with hearing loss, and to promote shared decision making in adult audiology services.
  • Sponsor: British Society of Audiology
  • Contact: Marie-Anne Durand


Assessing clinician’s use of an Option Grid™ decision aid for knee osteoarthritis: a TOGA sub-study

  • Principal Investigator: Fiona Wood, Cardiff University
  • Aim: To elucidate clinician’s views on using an Option Grid™ decision aid for knee osteoarthritis in clinical consultations. A qualitative sub-study of the TOGA trial.
  • Contact: Fiona Wood


Facilitating shared decision making in tinnitus care: developing a tinnitus Option Grid™ decision aid

  • Principal Investigator: Helen Pryce, University of Aston
  • Aim: 1) To assess people’s preferences in tinnitus treatments, and to determine the information necessary to make treatment decisions, 2) To develop an Option Grid™ decision aid for tinnitus treatment. 
  • Sponsor: British Tinnitus Association
  • Contact: Helen Pryce