Oops, you're using an old version of your browser so some of the features on this page may not be displaying properly.

MINIMAL Requirements: Google Chrome 24+Mozilla Firefox 20+Internet Explorer 11Opera 15–18Apple Safari 7SeaMonkey 2.15-2.23

Poster display session

4685 - Implementation, participation and satisfaction rates of a web-based decision support tool for patients with metastatic colorectal cancer

Date

09 Sep 2017

Session

Poster display session

Presenters

Lotte Keikes

Citation

Annals of Oncology (2017) 28 (suppl_5): v158-v208. 10.1093/annonc/mdx393

Authors

L. Keikes1, R. The2, K. Karssen2, A. Mels3, J. De Vos-geelen4, J.W.B. de Groot5, M. Koopman6, M.G.H. van Oijen1

Author affiliations

  • 1 Medical Oncology, Academic Medical Center, 1105AZ - Amsterdam/NL
  • 2 Research, Zorgkeuzelab, Delft/NL
  • 3 Research, Dutch Digestive Foundation, 3818LE - Amersfoort/NL
  • 4 Medical Oncology, Maastricht University Medical Center (MUMC), 6202 AZ - Maastricht/NL
  • 5 Medical Oncology, Isala, Zwolle/NL
  • 6 Medical Oncology, University Medical Center Utrecht, 3508 GA - Utrecht/NL
More

Resources

Abstract 4685

Background

The use of decision support tools facilitates shared decision-making, but effective implementation of these tools with adequate patient and provider participation is challenging. Our study aims to effectively implement a newly developed patient-centred decision support tool for patients with metastatic colorectal cancer with sufficient patients’ and providers’ participation and satisfaction.

Methods

We conducted a patients’ and oncologists’ needs assessment and developed a decision support tool consisting of a consultation tool and web-based information about treatment options. Between July 2016 (launch) and February 2017, we measured patient participation with log in rates and time spent by online tracking and calculated participation sum scores (low, intermediate and high). Patient satisfaction was voluntarily obtained during online support. We measured oncologist participation in 11 centers by the number of oncologists that handed out at least 1 consultation tool. Satisfaction was measured by structured interviews and a survey.

Results

Implementation rates differed between 3 and 72 handed out (median 23) consultation tools per centre with a median patients’ log in rate of 57% (range 39-83%). The majority of patients (68%) had an intermediate high or high participation sum score. The median time spent during online support was highest for questions about patients’ perspective (5 mins) and colorectal cancer information (4 mins). Patient satisfaction was 76%. Oncologists’ participation per centre ranged from 25 to 100%. The average rating of the decision support tool was 7.8 (scale 1 to 10) by participating oncologists and 7.3 by other healthcare providers. Several thresholds for implementation were a negative attitude towards shared decision-making and oncologists’ fixed treatment preferences.

Conclusions

Implementation of our decision support tool succeeded and patient and oncologist satisfaction was above average. Patients’ log in rates differed considerably between participating hospitals while patient online participation was generally high. The most important faced challenge remains to overcome providers’ negative attitude towards shared decision-making.

Clinical trial identification

Legal entity responsible for the study

Academic Medical Center - University of Amsterdam

Funding

Dutch Digestive Foundation

Disclosure

All authors have declared no conflicts of interest.

This site uses cookies. Some of these cookies are essential, while others help us improve your experience by providing insights into how the site is being used.

For more detailed information on the cookies we use, please check our Privacy Policy.

Customise settings
  • Necessary cookies enable core functionality. The website cannot function properly without these cookies, and you can only disable them by changing your browser preferences.