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Table 3 Clinicians’ report of the value of decision boxes for practice: ratings based on the Information Assessment Method (IAM)

From: Evidence summaries (decision boxes) to prepare clinicians for shared decision-making with patients: a mixed methods implementation study

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)
 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)
  1. IAM is a checklist, and users are instructed to check all the items that apply (answers are not mutually exclusive).