Searching for diabetes decision aids and related background information

Searching for diabetes decision aids and related background information
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DOI:
10.1111/j.1464-5491.2006.01917.x
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发表时间:
2006-08-01
期刊:
影响因子:
3.5
通讯作者:
Muehlhauser, I.
Muehlhauser, I.
中科院分区:
医学3区
文献类型:
--
作者:
Lenz, M.;Kasper, J.;Muehlhauser, I.

文献摘要

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患者决策辅助工具(DA)是旨在帮助患者做出明智决定的干预措施。援助安排是复杂的干预措施,包括若干积极的组成部分,每一部分对援助的正常运作都至关重要。因此,对DA的批判性评估需要获得描述其开发每个阶段的增量评估的信息,包括有关理论资金、开发过程、疗效试验和长期实施的信息。我们探讨了传统的数据库搜索策略识别这些信息的可行性。我们的研究进行了只有在该领域的糖尿病care.Methods的“库存现有的患者决策援助”,MEDLINE(PubMed)和万维网被用来确定DA相关的糖尿病career.Methods。为了跟踪每个发展阶段的信息,DA的参考文献列表,作者的主页,MEDLINE,EMBASE,PsycINFO,CINAHL,和科克伦数据库进行了系统检索。对有关其发展的出版物的搜索产生了3000多个结果,其中只有10个提到了13个DA中的至少一个。没有额外的背景信息被发现在主页上的authentics.Conclusions传统的数据库搜索策略不允许提取有关的信息在发展阶段的DA。为了促进DA的关键评价,我们建议创建一个电子数据库,提供有关可用DA的信息,连同相关的背景文献,或将这样一个系统纳入现有的数据库。
Aims Patient decision aids (DAs) are interventions designed to help patients making informed decisions. DAs are complex interventions comprising a number of active components each essential to the proper functioning of the aid. Critical appraisal of DAs therefore requires access to information describing the incremental assessment of each stage in their development, including information about the theoretical funding, development processes, efficacy trials and long-term implementation. We explored the feasibility of identifying such information with conventional database search strategies. Our study was conducted only in the field of diabetes care.Methods The 'Inventory of Existing Patient Decision Aids', MEDLINE (PubMed) and the World Wide Web were used to identify DAs relevant for diabetes care. For tracking information concerning each developmental stage, the reference lists of the DAs, home pages of the authors, MEDLINE, EMBASE, PsycINFO, CINAHL, and the Cochrane database were searched systematically.Results A total of 13 DAs relevant for diabetes care were identified. The search for publications concerning their development yielded more than 3000 results, only 10 of which referred to at least one of the 13 DAs. No additional background information was found on the home pages of the authors.Conclusions Conventional database search strategies do not allow the extraction of information about the stages in development of a DA. To facilitate critical appraisal of DAs, we propose the creation of an electronic database which provides information about available DAs, together with the relevant background literature, or to incorporate such a system into existing databases.