15250-m-cuypers

162 Chapter 8 Table 4. Comparison of clinicians’ experiences versus expectations of DA use DA group experience (n=29) Control group expectations (n=26) p value 1 Procedural (1=completely disagree – 5=completely agree) (mean, SD) The DA is (would be) practical in use 3.8 (0.5) 3.5 (0.9) .10 The DA makes (would make) it easier to discuss treatment options with patients 3.4 (0.6) 3.7 (0.7) .11 The DA fits (should be part of ) guidelines and procedures 4.0 (0.3) 3.1 (1.0) <.001 Time constraint (n, %) Shorter consultations 1 (4) 2 (8) .76 Equally long consultations 25 (86) 22 (84) Longer consultations 3 (10) 2 (8) Information goals (1=completely disagree – 5=completely agree) (mean, SD) Comparing treatment alternatives 4.0 (0.4) 3.7 (0.7) .08 Provide insight in treatment pros and cons 4.1 (0.5) 3.9 (0.6) .24 Patients actually using the DA 3.7 (0.5) 3.6 (0.6) .34 Patient outcomes (1=completely disagree – 5=completely agree) (mean, SD) Reduce uncertainty about treatment choice 3.7 (0.6) 3.9 (0.5) .43 Increase satisfaction with information received 3.8 (0.5) 3.7 (0.6) .24 Clarify patient preferences 3.8 (0.5) 3.8 (0.6) .93 1 Based on comparison between both study arms, according to applied t-test or chi-square test 4. DISCUSSION AND CONCLUSION 4.1 Discussion To increase understanding of health care providers’opinions about DA use and standard information routines, this study surveyed health care providers who were involved in a cluster RCT that compared a novel online Pca treatment DA to standard information routines. Care providers who were randomized to the trial’s DA group and used the DA in clinical practice, were positive about the DA content and recommended continued use after the trial. Time was not expected nor perceived as a barrier for DA use by care providers from both groups. In the control group we found health care providers to be equally satisfied with standard information routines, although they acknowledged that satisfaction might be lower for patients and the amount of information provided to patients could be too much.