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  • Impact of Decision Aids to Enhance Shared Decision Making for Diabetes (DAD) Rochester, Minn.

    The purpose of this study is to determine the impact of patient decision aids compared to usual care on measures of patient involvement in decision-making, diabetes care processes, medication adherence, glycemic and cardiovascular risk factor control, and use of resources in nonurban practices in the Midwestern United States.

  • Impact of Physical and Relational Proximity between Clinicians on the Integration of Shared Decision Making in Practices Rochester, Minn.

    The overall objective of this project is to identify the clinician network and analyze the impact of network relationships on use of decision aids. Specifically, will aim to evaluate the impact of (i) physical closeness of clinicians, (ii) advice seeking behavior between clinicians, (iii) clinician closeness to clinical champions, and (iv) impact of a change in clinic champion at the practice on the use of decision aids.

  • Instrument for Patient Capacity Assessment (ICAN): Development and Prototyping La Crosse, Wis.

    The purpose of this study is to better understand what patients with chronic conditions feel should be discussed in appointments with doctors by watching and listening to patients discuss it during a support group. 

  • Knowledge and Evaluation Research (KER)- Unit Research Registry Rochester, Minn.

    The purpose of this registry is to develop a database of patient experience that can be used for internal research, education, and training that improves the care of patients.

  • Oral Anticoagulants for Atrial Fibrillation Decision Aid - Anticoagulation Therapy Choice Austin, Minn., Rochester, Minn.

    The objective of this project is to develop and evaluate an anticoagulation therapy decision aid for patients with non valvular atrial fibrillation.

  • Patient Revolution Project Tools: Care Conversation Workshop Rochester, Minn.

    The objective of this project is to provide space for participants to collectively reflect on previous conversations with their clinicians as well as outline and practice a conversation they would like to bring to their clinician in the future.

  • Patient Revolution Project Tools: Reflection Tool Rochester, Minn.

    The objective of this project is to capture stories as well as develop and evaluate communication tools for the clinical encounter that encourage patients to introduce information from their lives that they believe to be relevant to their lives and ability to enact self-care.

  • Patient-centered Dissemination of Evidence-based Medicine: Share EBM Rochester, Minn.

    The active strategy for dissemination and implementation of Share Evidence Based Medicine (EBM) will yield greater reach of clinicians, be adopted by the practices more readily, and a greater uptake of use amongst encounters will be seen.

    The Institute for Clinical Systems Improvement (ICSI) is a nonprofit organization with expertise in large-scale practice improvement at the state and national level. Largely funded by health organizations in Minnesota, ICSI has a sustainable model to translate evidence into practice, through clinical practice guidelines, shared decision making, and practice redesign. A partnership between these two organizations (ICSI and Mayo Clinic) may lead to a sustainable and innovative approach to the dissemination of evidence-based health information at the point of care.

    The objective of the current study is therefore to leverage the expertise of these two organizations to compare the impact of an active to a passive dissemination and implementation strategy of the ShareEBM toolkit. The aim of the study is to disseminate evidence-based information through the use of decision aids during encounters. The overall purpose of the qualitative evaluation is to understand why decision aids were used more or less in certain practices and what factors contributed to or hindered this uptake.

  • Patients Knowledge Regarding the Risks and Benefits of Parathyroidectomy in the Setting of Mild Primary Hyperparathyroidism Rochester, Minn.

    The purpose of this study is to evaluate the patients’ knowledge regarding the risks and benefits of parathyroidectomy in the setting of mild primary hyperparathyroidism.

  • Reducing Diagnostic Error Through Shared Decision Making Rochester, Minn.

    The purpose of this study is to determine whether a diagnostic reconciliation conversation aid can assist a shared decision making conversation between patients and clinicians to reach a consensual diagnostic plan of care and confirm that patients and clinicians have the same understanding of its goals, nature (including patient experience), and downstream consequences (including implications for further testing and treatment).

  • Shared Decision Making in Graves Disease - Graves Disease (GD) Choice Rochester, Minn.

    The investigators' decision aid for patients with GD, GD Choice, will be the result of a user-centered participatory action research involving) synthesis of the best available evidence from the literature and real-world registry experience, ii) input and involvement of patients, clinicians and other stakeholders, iii) direct observation of encounters and iv) extensive field-testing. The goal is to create a decision aid that will be rigorously evidence-based, clear and complete, able to be used by clinicians with minimal training time, while satisfying extant standards for rigorous high-quality shared decision making tools.

  • Shared Decision Making in Patients with Asymptomatic/Mild Primary Hyperparathyroidism Rochester, Minn.

    The purpose of this study is to develop and evaluate a treatment decision aid for patients with asymptomatic primary hyperparathyroidism.

  • Shared Decision Making in Patients with Diabetes – Decision Aid Development Rochester, Minn.

    This research study is being done to develop educational materials that will help patients and clinicians talk about diabetes treatment and management options.

  • The Statin Choice Implementation Project: Phase 1 (SCIP1) Rochester, Minn.

    This study is designed to answer a key question in the field of implementation science. Specifically, it seeks to determine if a proposed model for the implementation and scale-up of healthcare innovations (the AIDED model) is effective and useful. To fully evaluate the potential of this model, the investigators will conduct a multi-year study comprising 3 phases. This proposal represents the first of these phases.

  • The Work of Being a Diabetic Patient: A Mixed Methods Characterization of the Work of Being a Patient with Diabetes Mellitus Using Real-Time Data Collection via a Smartphone Application Rochester, Minn.

    This mixed methods study aims to answer the question: "What is the work of being a patient with type 2 diabetes mellitus?" .

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