Implementing patient decision aids into general practice clinical decision support systems: Feasibility study in cardiovascular disease prevention

Samuel Cornell, Jenny Doust, Mark Morgan, Kim Greaves, Anna L. Hawkes, Carl de Wet, Denise O'Connor, Carissa Bonner

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

Objective: Patient decision aids (DA) facilitate shared decision making, but implementation remains a challenge. This study tested the feasibility of integrating a cardiovascular disease (CVD) prevention DA into general practice software. Methods: We developed a desktop computer application (app) to auto-populate a CVD prevention DA from general practice medical records. 4 practices received monthly practice reports from July-Nov 2021, and 2 practices use the app with limited engagement. CVD risk assessment data and app use were monitored. Results: The proportion of eligible patients with complete CVD risk assessment data ranged from 59 to 94%. Monthly app use ranged from 0 to 285 sessions by 13 individual practice staff including GPs and nurses, with staff using the app an average of 67 sessions during the study period. High users in the 5-month study period continued to use the app for 10 months. Low use was attributed to reduced staff capacity during COVID-19 and technical issues. Conclusion: High users sustained interest in the app, but additional strategies are required for low users. The study will inform implementation plans for new guidelines. Innovation: This study showed it is feasible to integrate patient decision aids with Australian general practice software, despite the challenges of COVID-19 at the time of the study.

Original languageEnglish
Article number100140
Number of pages10
JournalPEC Innovation
Volume2
DOIs
Publication statusPublished - Dec 2023

Keywords

  • Cardiovascular disease
  • Clinical decision support system
  • Decision aid
  • Feasibility
  • General practice
  • Implementation
  • Prevention

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