KTA action cycle step | Strategies |
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Monitor knowledge use | • Monitor distribution of paper copies of the DA and the number of online downloads of the DA • Monitor distribution of posters and brochures to clinical settings province-wide • Track the number of professionals completing the online and in-person training on SDM and DAs • Video recordings of patient-physician encounters to examine the adoption and fidelity of DA use |
Evaluate outcomes | • Surveys to assess participants’ behavioral intention to use DAs or engage in SDM • Regularly measure SDM outcomes such as knowledge, decisional conflict, decision regret, knowledge, involvement of partner, and satisfaction among women making prenatal screening decisions |
Sustain knowledge use | • Engage policymakers to integrate DA into provincial prenatal screening program • Engage key stakeholders in implementation plan • Make DA freely available in multiple formats and through multiple platforms • Provide low-cost online training programs throughout the provincial healthcare education system • Train for decision coaches in each clinical setting • Embed measures/indicators in clinical and information systems |