15250-m-cuypers

172 Chapter 9 ABSTRACT Implementation of patients decision aids (DAs) in routine clinical care is generally low. This study evaluated uptake and usage of a novel Dutchweb-based prostate cancer (Pca) treatment DA within the Prostate Cancer Patient Centered Care trial (PCPCC). From an estimated total patient sample 1,006 patients, 351 received a DA (35% implementation rate; hospital ranges 16-84%). After receipt of the DA, most patients accessed the DA, utilized most functions, although not completely, and discussed the DA summary in a subsequent consultation with their care provider. Including nurses for dissemination of DAs seemed to positively affect DA uptake. Once received, patients seemed able to use the DA and engage in SDM as intended, however, DA uptake and complete usage of all DA components should be further improved. Prior to the diagnosis consultation, handing out of the DA should be prepared.