15250-m-cuypers

165 Care providers evaluation of DA and usual information 8 coincided with explaining the trial as well, which could be experienced as an additional burden by health care providers. Moreover, when health care providers distributed a low number of DAs this could be because they were unsupportive of DA use or because of low involvement with the trial. Potentially, those less involved health care providers could also have been less likely to fill out the questionnaire for this study. This holds the risk that the opinion of these health care providers are underrepresented in this study. 4.2 Conclusions Health care providers who implemented the DA in clinical practice supported content and usability. Expectations on the effects of DA use were mainly related to improved information practices and less often to other patient outcomes. This could point at unawareness among care providers about common DA effects. More training and feedback on DA usage could be needed to educate care providers about possible DA effects. Importantly, this study disconfirmed time constraints as a barrier for further implementation. Healthcareproviders reportedhigh satisfactionwithusual information, in particular hospital specific and own oral information, and fear of providing too much information. Distributing a DA through an external source could therefore be an implementation barrier. A single optimal mode of DA delivery was not identified in this study, both urologists and (oncology) nurses feel suited to distribute DAs to patients.