An overview and discussion of the Patient-Centered Outcomes Research Institute's decision aid portfolio.
Decision aids (DAs) help patients make informed healthcare decisions in a manner consistent with their values and preferences. Despite their promise, DAs developed with public research dollars are not being implemented and adopted in real-world patient care settings at a rate consistent with which they are being developed. To appraise the sum of the parts of the portfolio and create a strategic imperative surrounding future funding, the Patient-Centered Outcomes Research Institute (PCORI) tasked the Duke Evidence Synthesis Group with evaluating its DA portfolio. This paper describes PCORI's portfolio of DAs according to the Duke Evidence Synthesis Group's analysis in the context of PCORI's mission and the field of decision science. The results revealed a diversity within PCORI's portfolio of funded DA projects. Findings support the movement toward more rigorous DA development, assessment and maintenance. PCORI's funding priorities related to DAs are clarified and comparative questions of interest are posed.
Patient-Centered Outcomes Research Institute, Washington, DC, USA.
Christopher C
CC
Gayer
Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA.|Duke Evidence Synthesis Group, Duke Clinical Research Institute, Durham, NC, USA.|Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Matthew J
MJ
Crowley
Patient-Centered Outcomes Research Institute, Washington, DC, USA.
William F
WF
Lawrence
Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA.|Duke Evidence Synthesis Group, Duke Clinical Research Institute, Durham, NC, USA.|Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Jennifer M
JM
Gierisch
Patient-Centered Outcomes Research Institute, Washington, DC, USA.
Bridget
B
Gaglio
Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA.|Duke Evidence Synthesis Group, Duke Clinical Research Institute, Durham, NC, USA.|Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
John W
JW
Williams
Duke Evidence Synthesis Group, Duke Clinical Research Institute, Durham, NC, USA.|Department of Obstetrics & Gynecology, Duke University School of Medicine, Durham, NC, USA.
Evan R
ER
Myers
Duke Evidence Synthesis Group, Duke Clinical Research Institute, Durham, NC, USA.
Amy
A
Kendrick
Patient-Centered Outcomes Research Institute, Washington, DC, USA.
Jean
J
Slutsky
Duke Evidence Synthesis Group, Duke Clinical Research Institute, Durham, NC, USA.|Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Gillian D
GD
Sanders
D000047:Academies and Institutes; D003661:Decision Support Techniques; D003695:Delivery of Health Care; D005376:Financial Management; D006801:Humans; D063868:Patient Outcome Assessment
decision aids; decision science; implementation