15250-m-cuypers

190 Chapter 10 ABSTRACT Objectives: To assess implementation rates after multi-regional implementation of three different prostate cancer treatment decision aids (DA) in The Netherlands and patient-perceived barriers and facilitators to use a DA. Patients and Methods: In total, 33 hospitals were asked to implement a DA in their routine care and to participate in this implementation study. Implementation rates for each DA were calculated per hospital. After treatment choice, patients (n=1,033) completed a survey on pre-formulated barriers and facilitators to use a DA. Results: Overall implementation of the DAs in all hospitals was 40%. For each DA, implementation varied largely between hospitals from incidental (<10% of eligible patients receiving a DA) to high rates of implementation (>80%). All three DAs were evaluated positively by patients, although the concise and paper DAs yielded higher satisfaction scores compared to an elaborate online DA. Overall, patients were most satisfied when they received the DA within a week after diagnosis. The pre-formulated barriers to DA usage were experienced by less than 10% of the patients, and most patients confirmed the pre-formulated facilitators. Conclusion: Overall implementation rate of the DAs in clinical routine was 40% and a wide variation in uptake across hospitals was observed for each DA. Most patients were satisfied with the DA they received. Sustained implementation of DAs in clinical routine requires further encouragement and attention.