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3. Discussion
In this section, we reflect on the value of the boosting framework in the context of
personal health choices and SDM and on the maturity of the boosting framework in this
context.
Generally speaking, the use of theory and frameworks in the design and evaluation
of health informatics interventions aimed at supporting health choices and SDM comes
with certain advantages compared to building health informatics interventions based on
common sense. First, theories and frameworks are more consistent with the state-of-the
art scientific knowledge and facts, in this case mainly from the field of decision-making
psychology, than common sense. This makes theory-based design more likely to result
in effective interventions. Moreover, a theoretical framework, such as the boosting
framework, can be developed into a more explicit process theory tailored to the field of
personal health choices and SDM, from which testable assumptions can be derived. By
empirically testing these assumptions, the theory matures, with adaptions based on
empirical findings where necessary, which can in turn yield new testable assumptions.
Currently, the boosting framework does not yet provide a full-blown process model
with detailed “how-to” information describing how research evidence can be translated
into practical health informatics solutions. Rather, we believe the boosting framework
helps to explicate some guiding principles for future research, from which testable
assumptions can be derived. To find the most promising avenues for future research, we
should start with the end in mind and stay focused on the ultimate aim: Helping patients
and caregivers to make well-informed medical decisions that align with what matters
most from the patient’s personal perspective [31]. Table 1 provides some examples to
illustrate the potential of the boosting framework in the SDM context.
Table 1. Health Informatics in SDM: Guiding principles and testable assumptions derived from the boosting
framework.
Guiding Principle Testable Assumptions Empirical Evidence
Competences can help
people make better
decisions; boosts can exist
of making information
easier to understand; or
training (more difficult)
skills (1) Presenting risk information in natural
frequencies improves understanding
(2) Adding illustrations, animations and
videos to text-based information
improves understanding
(3) Training social skills will smoothen
interaction between patient and health
care provider Partly available
Decisions based on
acquired competences
increase people’s
autonomy (1) Decisions based on boosts increase
autonomy
(2) More adherence to patient preferences,
(3) More well-being (specifically in the long
run) More research needed
Competences can be used
across different patient
populations, situations and
time (1) People can acquire decision-making
competences relevant to SDM through
formal education
(2) Healthcare providers can acquire generic
SDM competences in professional
education More research needed
M.deVriesetal. /FosteringSharedDecisionMakingwithHealth Informatics Interventions 119
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Buch Applied Interdisciplinary Theory in Health Informatics - Knowledge Base for Practitioners"
Applied Interdisciplinary Theory in Health Informatics
Knowledge Base for Practitioners
- Titel
- Applied Interdisciplinary Theory in Health Informatics
- Untertitel
- Knowledge Base for Practitioners
- Autoren
- Philip Scott
- Nicolette de Keizer
- Andrew Georgiou
- Verlag
- IOS Press BV
- Ort
- Amsterdam
- Datum
- 2019
- Sprache
- englisch
- Lizenz
- CC BY-NC 4.0
- ISBN
- 978-1-61499-991-1
- Abmessungen
- 16.0 x 24.0 cm
- Seiten
- 242
- Kategorie
- Informatik