Table 3 Clinicians’ report of the value of decision boxes for practice: ratings based on the Information Assessment Method (IAM)
IAM items | Ratings (%) |
|---|---|
Cognitive impact of the information | |
Their practice will be changed and improved | 54% (268/496) |
Counselling approach | 76% (203/268) |
Disease prevention or health education | 51% (137/268) |
Therapeutic approach | 33% (87/268) |
Diagnostic approach | 16% (43/268) |
They learned something new | 52% (258/496) |
They are motivated to learn more | 32% (157/496) |
They were reminded of something they already knew | 23% (114/496) |
They are reassured | 18% (88/496) |
This information confirmed current practice | 13% (63/496) |
There is a problem with the presentation of this information | 15% (76/496) |
Poorly written | 25% (19/76) |
Too technical | 25% (19/76) |
Not enough information | 18% (14/76) |
Too much information | 17% (13/76) |
They are dissatisfied | 6% (30/496) |
They disagree with the content of this information | 2% (10/496) |
This information is potentially harmful | 1% (5/496) |
Relevance | |
The information is totally or partially relevant for at least one of their patients | 96% (472/489; 7 missing) |
Information use (for participants who reported the information to be totally or partially relevant) | |
They will use this information for a specific patient | 40% (190/472) |
To discuss with patient or with other health professionals | 65% (123/190) |
To change the way they manage a patient | 24% (45/190) |
To justify a choice | 24% (45/190) |
To be more certain about the management of a patient | 19% (37/190) |
To better understand a particular issue related to a patient | 12% (23/190) |
To persuade a patient or other health professionals to make a change | 8% (15/190) |
To decide how to manage a patient | 8% (16/190) |
Expected benefits of the information (for participants who reported that they will use this information for a specific patient) | |
They expect patient health benefits as a result of applying this information | 89% (166/186; 4 missing) |
Allows the patient to make a decision that is more in line with his/her personal circumstances, values, and preferences | 72% (120/166) |
Helps to avoid unnecessary or inappropriate treatment, diagnostic procedures, preventive interventions, or a referral for this patient | 38% (63/166) |
Helps reduce the patient’s uncertainty about the best decision to make | 28% (47/166) |