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Research

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History of scientific research on the Decision Box

We have designed the site you are currently viewing and the decision support tools presented, for the purpose of studying them during research projects. Even if some of the displayed Decision Boxes are outdated, we keep them on this site to allow you to see them and appreciate their various formats.

2011: A Decision Box for health care professionals

The first decision box template was based on the "Drug Facts Box", a tool developed by Drs. Lisa Schwartz and Steven Woloshin of Dartmouth University. The Drug Facts Box aims to facilitate consumer access to evidence on the effects of drugs and has been inspired by Nutrition Facts Tables displayed on food packaging.

A first study evaluated this template with patients and physicians. Two publications present this research:

2014: An improved version to facilitate implementation

An improved version of the Decision Box was designed based on the results of the first project. We then created 8 Decision Boxes using this enhanced template, in both French and English. A research project then studied the barriers and facilitators to using Decision Boxes in clinical practice. More specifically, we described the factors influencing implementation that arose from the Decision Boxes themselves, the primary health care team and the practice environment in the following publications:

2016: Distinct Decision Box versions for clinicans and for patients

In the previous two projects, health professionals have distributed Decision Boxes to their patients, despite the fact that they were intended for their own training. Therefore, we have started to develop separate versions for health care professionals and for patients. For this purpose, we have asked patients and health care professionals to advise us in adapting the Decision Box to meet their respective needs. This work is described in the following publications:

2019: A single Decision Box for both the patients and health care professionals, in printable and web-based versions

Inspired by the comments received during the previous study, several graphic designers joined the team to enhance the new Decision Box template by incorporating images and icons for easy reading. We also asked the opinion of health professionals to improve this version, since we are asking them to use the Decision Box during their consultations. Lastly, we also designed an interactive version of the Decision Box (which you are currently viewing !).

The current study will show whether access to the Decision Boxes in printable and interactive versions can foster the adoption of shared decision-making in family medicine clinics in three Canadian provinces, namely Quebec, Ontario and Alberta.