title: Promoting decision aid use in primary care using a staff member for delivery.
abstract: OBJECTIVE
  To determine the feasibility and effectiveness of in-clinic decision aid distribution using a care assistant.
  
  
  METHODS
  We identified potentially eligible patients scheduled for upcoming appointments in our General Internal Medicine Clinic (n=1229). Patients were deemed eligible for two decision aids: prostate cancer screening and/or weight loss surgery. Patients were approached to view the decision aid in-clinic. Our primary measures were the proportion of decision aids distributed to eligible patients, and the proportion of decision aids viewed.
  
  
  RESULTS
  Among 913 patients who attended their scheduled appointments, 58% (n=525) were approached and eligibility was assessed by the staff member. Among the 471 who remained eligible, 57% (n=268) viewed at least a portion of the target decision aid. The mean viewing time for patients who watched less than the complete decision aid was 13 min.
  
  
  CONCLUSIONS
  In clinic viewing of decision aids may be a feasible and effective distribution method in primary care.
  
  
  CONCLUSIONS
  In clinic distribution requires an electronic health information system to identify potentially eligible patients, and a staff member dedicated to DA distribution. Brief decision aids (less than 10 min) are needed so patients can complete their use prior to the visit to facilitate patient-physician decision making.
authors.affiliation: Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599, USA.
authors.forename: Kylee M
authors.initials: KM
authors.lastname: Miller
authors.forename: Alison
authors.initials: A
authors.lastname: Brenner
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Griffith
authors.forename: Michael P
authors.initials: MP
authors.lastname: Pignone
authors.forename: Carmen L
authors.initials: CL
authors.lastname: Lewis
mesh_terms: D000368:Aged; D003657:Decision Making; D003661:Decision Support Techniques; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006293:Health Promotion; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000601:surgery; D010353:Patient Education as Topic / Q000379:methods*; D010358:Patient Participation; D010865:Pilot Projects; D011237:Predictive Value of Tests; D011320:Primary Health Care / Q000379:methods*; D011471:Prostatic Neoplasms / Q000175:diagnosis; D015203:Reproducibility of Results; D013997:Time Factors; D014741:Video Recording