Glyn Elwyn

Summary

Publications

  1. doi request reprint Using a 'talk' model of shared decision making to propose an observation-based measure: Observer OPTION 5 Item
    Glyn Elwyn
    The Dartmouth Center for Health Care Delivery Science, Dartmouth College, USA Cochrane Institute for Primary Care and Public Health, Cardiff University, UK Electronic address
    Patient Educ Couns 93:265-71. 2013
  2. pmc Patchy 'coherence': using normalization process theory to evaluate a multi-faceted shared decision making implementation program (MAGIC)
    Amy Lloyd
    Institute of Primary Care and Public Health, Cardiff University School of Medicine, Heath Park, Cardiff, CF, 14 4YS, UK
    Implement Sci 8:102. 2013
  3. doi request reprint Developing CollaboRATE: a fast and frugal patient-reported measure of shared decision making in clinical encounters
    Glyn Elwyn
    The Dartmouth Center for Health Care Delivery Science, Dartmouth College, Hanover, NH 03755, USA
    Patient Educ Couns 93:102-7. 2013
  4. doi request reprint Option Grids: shared decision making made easier
    Glyn Elwyn
    Institute of Primary Care and Public Health, School of Medicine, Cardiff University, Heath Park, UK
    Patient Educ Couns 90:207-12. 2013
  5. pmc Shared decision making: a model for clinical practice
    Glyn Elwyn
    Cochrane Institute of Primary Care and Public Health, Neuadd Meirionydd, Cardiff University, Heath Park, Cardiff, UK, CF14 4XN
    J Gen Intern Med 27:1361-7. 2012
  6. pmc A single-blind randomised controlled trial of the effects of a web-based decision aid on self-testing for cholesterol and diabetes. Study protocol
    Martine H P Ickenroth
    Caphri, School for Public Health and Primary Care, Department of General Practice, Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands
    BMC Public Health 12:6. 2012
  7. doi request reprint Exploring the requirements for a decision aid on familial breast cancer in the UK context: a qualitative study with patients referred to a cancer genetics service
    Rachel Iredale
    Institute of Medical Genetics, Cardiff University School of Medicine, Cardiff, UK
    J Eval Clin Pract 14:110-5. 2008
  8. pmc Supporting informed decision making for prostate specific antigen (PSA) testing on the web: an online randomized controlled trial
    Rhodri Evans
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, United Kingdom
    J Med Internet Res 12:e27. 2010
  9. ncbi request reprint Increasing readiness to decide and strengthening behavioral intentions: evaluating the impact of a web-based patient decision aid for breast cancer treatment options (BresDex: www.bresdex.com)
    Stephanie Sivell
    Marie Curie Palliative Care Research Centre, Wales Cancer Trials Unit, School of Medicine, Cardiff University, Cardiff, UK
    Patient Educ Couns 88:209-17. 2012
  10. pmc Toward a model for field-testing patient decision-support technologies: a qualitative field-testing study
    Rhodri Evans
    Department of Primary Care and Public Health, Cardiff University, Cardiff, Wales, UK
    J Med Internet Res 9:e21. 2007

Detail Information

Publications72

  1. doi request reprint Using a 'talk' model of shared decision making to propose an observation-based measure: Observer OPTION 5 Item
    Glyn Elwyn
    The Dartmouth Center for Health Care Delivery Science, Dartmouth College, USA Cochrane Institute for Primary Care and Public Health, Cardiff University, UK Electronic address
    Patient Educ Couns 93:265-71. 2013
    ..To propose a revised Observer OPTION measure of shared decision making...
  2. pmc Patchy 'coherence': using normalization process theory to evaluate a multi-faceted shared decision making implementation program (MAGIC)
    Amy Lloyd
    Institute of Primary Care and Public Health, Cardiff University School of Medicine, Heath Park, Cardiff, CF, 14 4YS, UK
    Implement Sci 8:102. 2013
    ..In this paper, we investigate healthcare professionals' perspectives on implementing shared decision making during the MAGIC program, to examine the work required to implement shared decision making and to inform future efforts...
  3. doi request reprint Developing CollaboRATE: a fast and frugal patient-reported measure of shared decision making in clinical encounters
    Glyn Elwyn
    The Dartmouth Center for Health Care Delivery Science, Dartmouth College, Hanover, NH 03755, USA
    Patient Educ Couns 93:102-7. 2013
    ..The aim of the study was to report the development of CollaboRATE, brief patient-reported measure of shared decision making...
  4. doi request reprint Option Grids: shared decision making made easier
    Glyn Elwyn
    Institute of Primary Care and Public Health, School of Medicine, Cardiff University, Heath Park, UK
    Patient Educ Couns 90:207-12. 2013
    ..To date, most evidence about 'patient decision aids' has been based on tools with high content levels, designed for patients to use independently, either before or after visits...
  5. pmc Shared decision making: a model for clinical practice
    Glyn Elwyn
    Cochrane Institute of Primary Care and Public Health, Neuadd Meirionydd, Cardiff University, Heath Park, Cardiff, UK, CF14 4XN
    J Gen Intern Med 27:1361-7. 2012
    ....
  6. pmc A single-blind randomised controlled trial of the effects of a web-based decision aid on self-testing for cholesterol and diabetes. Study protocol
    Martine H P Ickenroth
    Caphri, School for Public Health and Primary Care, Department of General Practice, Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands
    BMC Public Health 12:6. 2012
    ..The aim of this study is to evaluate the effect of the online decision aid on knowledge on self-testing, informed choice, ambivalence and psychosocial determinants...
  7. doi request reprint Exploring the requirements for a decision aid on familial breast cancer in the UK context: a qualitative study with patients referred to a cancer genetics service
    Rachel Iredale
    Institute of Medical Genetics, Cardiff University School of Medicine, Cardiff, UK
    J Eval Clin Pract 14:110-5. 2008
    ..These are largely aimed at the North American market. However, no decision aids concerning familial breast cancer exist in the UK...
  8. pmc Supporting informed decision making for prostate specific antigen (PSA) testing on the web: an online randomized controlled trial
    Rhodri Evans
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, United Kingdom
    J Med Internet Res 12:e27. 2010
    ..The Web-based PSA decision aid, Prosdex, was developed as part of the UK Prostate Cancer Risk Management Programme in order to help men make such informed decisions...
  9. ncbi request reprint Increasing readiness to decide and strengthening behavioral intentions: evaluating the impact of a web-based patient decision aid for breast cancer treatment options (BresDex: www.bresdex.com)
    Stephanie Sivell
    Marie Curie Palliative Care Research Centre, Wales Cancer Trials Unit, School of Medicine, Cardiff University, Cardiff, UK
    Patient Educ Couns 88:209-17. 2012
    ..To undertake a quantitative evaluation of a theory-based, interactive online decision aid (BresDex) to support women choosing surgery for early breast cancer (Stage I and II), based on observations of its use in practice...
  10. pmc Toward a model for field-testing patient decision-support technologies: a qualitative field-testing study
    Rhodri Evans
    Department of Primary Care and Public Health, Cardiff University, Cardiff, Wales, UK
    J Med Internet Res 9:e21. 2007
    ..We incorporated field-testing into the development of a Web-based, prostate-specific antigen PDST called Prosdex, which was commissioned as part of the UK Prostate Cancer Risk Management Programme...
  11. pmc A randomised controlled trial of the effects of a web-based PSA decision aid, Prosdex. Protocol
    Rhodri Evans
    Department of Primary Care and Public Health, Cardiff University, Wales, UK
    BMC Fam Pract 8:58. 2007
    ..In addition, a mathematical simulation model of the effects of Prosdex will be developed...
  12. doi request reprint Detecting deterioration in patients with chronic disease using telemonitoring: navigating the 'trough of disillusionment'
    Glyn Elwyn
    Department of Primary Care and Public Health, Clinical Epidemiology Interdisciplinary Research Group, Cardiff University, Cardiff, UK
    J Eval Clin Pract 18:896-903. 2012
    ....
  13. doi request reprint How to develop web-based decision support interventions for patients: a process map
    Glyn Elwyn
    Decision Laboratory, Clinical Epidemiology Interdisciplinary Research Group, Department of Primary Care and Public Health, Cardiff University, Heath Park, Cardiff CF14 4YS, UK
    Patient Educ Couns 82:260-5. 2011
    ..We propose a systematic process map for others to consider as they develop web-based, perhaps multimedia, decision support interventions and to examine the future challenges faced by developers...
  14. doi request reprint Dyadic OPTION: Measuring perceptions of shared decision-making in practice
    Emma Melbourne
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4YS
    Patient Educ Couns 83:55-7. 2011
    ..It is proposed that the conflicts are due to the nature of assessment, with current assessments from the perspective of an outside observer...
  15. ncbi request reprint How risk is perceived, constructed and interpreted by clients in clinical genetics, and the effects on decision making: systematic review
    Stephanie Sivell
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, 2nd Floor, Neuadd Meirionydd, Heath Park, Cardiff, CF14 4YS, UK
    J Genet Couns 17:30-63. 2008
    ....
  16. doi request reprint Theory-based design and field-testing of an intervention to support women choosing surgery for breast cancer: BresDex
    Stephanie Sivell
    Marie Curie Palliative Care Research Group, Wales Cancer Trials Unit, School of Medicine, Cardiff University, Cardiff, UK
    Patient Educ Couns 86:179-88. 2012
    ..Design and undertake usability and field-testing evaluation of a theory-guided decision aid (BresDex) in supporting women choosing surgery for early breast cancer...
  17. ncbi request reprint Decision aids for familial breast cancer: exploring women's views using focus groups
    Frances Rapport
    School of Medicine, Centre for Health Information, Research and Evaluation CHIRAL, Swansea University, Singleton Park, Swansea, UK
    Health Expect 9:232-44. 2006
    ..Information currently includes leaflets and computerized decision aids, offering interactive interfaces to clarify complex choices...
  18. pmc Supporting informed decision making online in 20 minutes: an observational web-log study of a PSA test decision aid
    Natalie Joseph-Williams
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, United Kingdom
    J Med Internet Res 12:e15. 2010
    ..We know what decision aids achieve in randomized controlled trials (RCTs), but we still know very little about how they are used and how this relates to the informed decision making outcome measures...
  19. ncbi request reprint Assessing organisational development in European primary care using a group-based method: a feasibility study of the Maturity Matrix
    Adrian Edwards
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, UK
    Int J Health Care Qual Assur 23:8-21. 2010
    ..The aim of this study is to assess the Maturity Matrix as a tool and an organisational development measure in European family practice settings...
  20. pmc Developing a facilitation model to promote organisational development in primary care practices
    Melody Rhydderch
    Centre for Health Sciences Research, Neuadd Meirionydd, Heath Park, CF14 4YS, Cardiff, UK
    BMC Fam Pract 7:38. 2006
    ..A qualitative study based on transcript analysis was adopted...
  21. doi request reprint Designing and implementing telemonitoring for early detection of deterioration in chronic disease: defining the requirements
    Susan C Peirce
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, UK
    Health Informatics J 17:173-90. 2011
    ..User-centred design and genuine interdisciplinary approaches are needed to create solutions that are fit for purpose, sustainable and address the real needs of patients, clinicians and healthcare organisations...
  22. doi request reprint Investing in deliberation: a definition and classification of decision support interventions for people facing difficult health decisions
    Glyn Elwyn
    Clinical Epidemiology Interdisciplinary Research Group, Department of Primary Care and Public Health, Cardiff University, Heath Park, UK
    Med Decis Making 30:701-11. 2010
    ..The interest in decision support interventions for patients heralds a transformation in clinical practice although many important areas remain unresolved...
  23. doi request reprint What are effective strategies to communicate cardiovascular risk information to patients? A systematic review
    Cherry Ann Waldron
    Department of Primary Care and Public Health, Cardiff University, Heath Park, UK
    Patient Educ Couns 82:169-81. 2011
    ..To compare different interventions used to communicate cardiovascular risk and assess their impact on patient related outcomes...
  24. ncbi request reprint Prominent strategy but rare in practice: shared decision-making and patient decision support technologies in the UK
    Rhodri Evans
    Department of Primary Care and Public Health, Cardiff University, Cardiff, Wales, UK
    Z Arztl Fortbild Qualitatssich 101:247-53. 2007
    ..3 euro National Programme for IT. The legislative framework in the UK is conducive to the implementation of shared decision-making, and there is a growing body of research literature, albeit focused on PDSTs...
  25. doi request reprint Interactive patient decision aids for women facing genetic testing for familial breast cancer: a systematic web and literature review
    Lisa Williams
    Department of General Practice, Centre for Health Sciences Research, School of Medicine, Cardiff University, Cardiff, UK
    J Eval Clin Pract 14:70-4. 2008
    ..A systematic review to identify and appraise interactive decision aids that are designed for consumer use, in the field of hereditary breast cancer and genetic testing...
  26. ncbi request reprint Advocating mandatory patient 'autonomy' in healthcare: adverse reactions and side effects
    Myfanwy Davies
    Department of Primary Care and Public Health, Cardiff University, Neuadd Meirionnydd, Heath Park, Cardiff CF14 4XN, UK
    Health Care Anal 16:315-28. 2008
    ..Until constraints on individual choice can be understood and addressed, we advocate the model of optional autonomy used in shared decision making and make recommendations for practice, policy, education and research...
  27. ncbi request reprint Inside the black box of shared decision making: distinguishing between the process of involvement and who makes the decision
    Adrian Edwards
    Department of General Practice, Centre for Health Sciences Research, Cardiff University, Cardiff, UK
    Health Expect 9:307-20. 2006
    ..Shared decision making has practical implications for everyday health care. However, it stems from largely theoretical frameworks and is not widely implemented in routine practice...
  28. doi request reprint Facilitating organisational development using a group-based formative assessment and benchmarking method: design and implementation of the International Family Practice Maturity Matrix
    Glyn Elwyn
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Neuadd Meirionnydd, Heath Park, Cardiff CF14 4YS, UK
    Qual Saf Health Care 19:e48. 2010
    ..No attempt at all has been made to achieve a method which would be capable of providing comparisons--and the stimulus for further improvement--at an international level...
  29. ncbi request reprint Attitudes of genetic clinicians in Wales to the future development of cancer genetics services
    Rachel Iredale
    Institute of Medical Genetics, School of Medicine, Cardiff University, Heath Park, Cardiff, UK
    J Eval Clin Pract 13:86-9. 2007
    ..Cancer genetics is one of the fastest-growing areas of clinical genetics and it is imperative to identify how services should be organized and delivered in the future...
  30. pmc Influencing referral practice using feedback of adherence to NICE guidelines: a quality improvement report for dyspepsia
    Glyn Elwyn
    Department of General Practice, Centre for Health Sciences Research, Cardiff University, Cardiff, UK
    Qual Saf Health Care 16:67-70. 2007
    ..Rising demand and increasing waiting times for upper gastrointestinal endoscopy (gastroscopy)...
  31. pmc "It's a maybe test": men's experiences of prostate specific antigen testing in primary care
    Rhodri Evans
    Department of Primary Care and Public Health, Cardiff University, Neuadd Meirionydd, Heath Park, Cardiff
    Br J Gen Pract 57:303-10. 2007
    ..It is not known whether this policy is actually adhered to in primary care. Furthermore, little is known of the experiences of men who face this decision...
  32. doi request reprint The importance and complexity of regret in the measurement of 'good' decisions: a systematic review and a content analysis of existing assessment instruments
    Natalie Joseph-Williams
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, Cardiff, UK
    Health Expect 14:59-83. 2011
    ..However, recent research has highlighted the complexity of regret. Given its relevance to shared decision making, it is important to understand its conceptualization and the instruments used to measure it...
  33. pmc Unmeasured improvement work: the lack of routinely collected, service-related data in NHS endoscopy units in England involved in "modernisation"
    Kymberley Thorne
    School of Medicine, Swansea University, Swansea, UK
    BMC Health Serv Res 8:20. 2008
    ..The availability of routinely collected service-related endoscopy data from NHS endoscopy units has never been quantified...
  34. ncbi request reprint Process and outcome in communication of genetic information within families: a systematic review
    Clara L Gaff
    Institute of Medical Genetics, Cardiff University, Cardiff, UK
    Eur J Hum Genet 15:999-1011. 2007
    ..Currently, there is insufficient information to inform the development of theoretically and empirically based practice to foster 'good' communication. The implications for future research are discussed...
  35. pmc Experiencing patient-experience surveys: a qualitative study of the accounts of GPs
    Adrian Edwards
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Wales, UK
    Br J Gen Pract 61:157-66. 2011
    ..Despite policy and financial support for patient-experience surveys as feedback to modify clinical practice, their benefits and other effects remain unclear...
  36. pmc Assessing the quality of decision support technologies using the International Patient Decision Aid Standards instrument (IPDASi)
    Glyn Elwyn
    Department of Primary Care and Public Health, School of Medicine and the School of Psychology, Cardiff University, Cardiff, United Kingdom
    PLoS ONE 4:e4705. 2009
    ..To describe the development, validation and inter-rater reliability of an instrument to measure the quality of patient decision support technologies (decision aids)...
  37. pmc Setting up a Paediatric Rapid Access Outpatient Unit: views of general practice teams
    Lisa Williams
    Department of Paediatrics, School of Medicine, Cardiff University, The Children s Hospital for Wales, Heath Park, Cardiff, CF14 4XW, UK
    BMC Fam Pract 9:54. 2008
    ..There are no qualitative data on the views of primary care practitioners regarding these types of facilities. The aim of the study was to explore the opinions of primary care practitioners regarding a newly established RAOU...
  38. doi request reprint An independent evaluation of the modernization of NHS endoscopy services in England: data poverty and no improvement
    Kymberley Thorne
    Centre for Health Information, Research and Evaluation CHIRAL, School of Medicine, Swansea University, Singleton Park, Swansea, UK
    J Eval Clin Pract 16:693-9. 2010
    ..We independently evaluated the MES programme by comparing routinely collected, service-related endoscopy data from sites that participated in the MES programme and sites that did not...
  39. doi request reprint Understanding surgery choices for breast cancer: how might the Theory of Planned Behaviour and the Common Sense Model contribute to decision support interventions?
    Stephanie Sivell
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, Wales, UK
    Health Expect 14:6-19. 2011
    ....
  40. doi request reprint What constitutes consent when parents and daughters have different views about having the HPV vaccine: qualitative interviews with stakeholders
    Fiona Wood
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Neuadd Meirionnydd, Heath Park, Cardiff CF14 4XN, Wales, UK
    J Med Ethics 37:466-71. 2011
    ..We examine whether the vaccine should be given when there is a difference of opinion between daughters and parents or guardians...
  41. doi request reprint The Psychometric Properties of CollaboRATE: A Fast and Frugal Patient-Reported Measure of the Shared Decision-Making Process
    Paul James Barr
    The Dartmouth Center for Health Care Delivery Science, Dartmouth College, Hanover, NH, United States
    J Med Internet Res 16:e2. 2014
    ..In consultation with patients, we developed CollaboRATE, a 3-item measure of the SDM process...
  42. pmc Impact of case management by advanced practice nurses in primary care on unplanned hospital admissions: a controlled intervention study
    Dyfed W Huws
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Neuadd Meirionnydd, Heath Park, Cardiff, CF14 4YS, UK
    BMC Health Serv Res 8:115. 2008
    ..We aimed to study the effect of advanced practice nurse case management on unplanned medical and geriatric hospital admission rates in patients 50 years and over, and on admission risk in a 'higher risk' sub-group of patients in the UK...
  43. ncbi request reprint The OPTION scale: measuring the extent that clinicians involve patients in decision-making tasks
    Glyn Elwyn
    Primary Care Group, School of Medicine, University of Wales Swansea, Swansea, UK
    Health Expect 8:34-42. 2005
    ..The OPTION instrument assesses to what degree clinicians involve patients in decision making...
  44. ncbi request reprint Can promoting patient decision making be exclusionary? Moral expectations and cultural difference in the narratives of UK maternity clinicians
    Myfanwy Davies
    Cardiff University, Cardiff, UK
    Commun Med 6:39-48. 2009
    ..We will demonstrate these attributes to be those of passivity and non-rationality which entail some negative moral judgements and which have a complex relationship to gender and power..
  45. ncbi request reprint The problematic of decision-sharing: deconstructing 'cholesterol' in a clinical encounter
    Richard Gwyn
    Health Communication Research Centre, School of English, Communication and Philosophy, Cardiff University, Cardiff, UK
    Health Expect 6:242-54. 2003
    ....
  46. ncbi request reprint Case management by nurses in primary care: analysis of 73 'success stories'
    Glyn Elwyn
    Department of Primary Care and Public Health, Cardiff University, Cardiff, Wales, UK
    Qual Prim Care 16:75-82. 2008
    ..There is interest as to whether case management reduces unplanned patient admission to hospital. However, very little is known about how the intervention is delivered and what the most salient outcome measures are...
  47. doi request reprint The design of patient decision support interventions: addressing the theory-practice gap
    Glyn Elwyn
    Clinical Epidemiology Interdisciplinary Research Group, Department of Primary Care and Public Health, School of Medicine, Cardiff University, Heath Park, Cardiff, UK
    J Eval Clin Pract 17:565-74. 2011
    ..The aim of this work was to address this theory-practice gap and to examine how a range of selected decision-making theories could inform the design and evaluation of decision support interventions...
  48. doi request reprint Decision making and coping in healthcare: the Coping in Deliberation (CODE) framework
    Jana Witt
    Institute of Primary Care and Public Health, Cardiff University, UK
    Patient Educ Couns 88:256-61. 2012
    ..To develop a framework of decision making and coping in healthcare that describes the twin processes of appraisal and coping faced by patients making preference-sensitive healthcare decisions...
  49. doi request reprint Information and decision support needs of parents considering amniocentesis: interviews with pregnant women and health professionals
    Marie Anne Durand
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, UK
    Health Expect 13:125-38. 2010
    ..Our aim was to clarify and categorize information and decision support needs of pregnant women deciding about amniocentesis...
  50. ncbi request reprint Snapshots and snippets: general practitioners' reflections on professional space
    Frances Rapport
    Swansea University, School of Medicine, Grove Building, Singleton Park, Swansea SA2 8PP, UK
    Health Place 13:532-44. 2007
    ..Whilst some appear helpless in the face of change, others are making their presence felt through embodied, personalized or authorial spaces...
  51. pmc Identifying future models for delivering genetic services: a nominal group study in primary care
    Glyn Elwyn
    Centre for Health Sciences Research, Cardiff University, 56 Park Place, Cardiff, CF10 3AT, Wales
    BMC Fam Pract 6:14. 2005
    ..To enable primary care medical practitioners to generate a range of possible service delivery models for genetic counselling services and critically assess their suitability...
  52. ncbi request reprint Assessing the practising physician using patient surveys: a systematic review of instruments and feedback methods
    Richard G Evans
    School of Medicine, Swansea University, Swansea SA2 8PP, UK
    Fam Pract 24:117-27. 2007
    ..In this context, the patient perspective is seen as a potentially valid component. Yet, the theoretical and empirical evidence base for such patient assessments is unclear...
  53. doi request reprint Where is the theory? Evaluating the theoretical frameworks described in decision support technologies
    Marie Anne Durand
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, UK
    Patient Educ Couns 71:125-35. 2008
    ..To identify and describe the extent to which theory or theoretical frameworks informed the development and evaluation of decision support technologies (DSTs)...
  54. ncbi request reprint Presenting risk information to people with diabetes: evaluating effects and preferences for different formats by a web-based randomised controlled trial
    Adrian Edwards
    Centre for Health Sciences Research, Cardiff University, Wales, UK
    Patient Educ Couns 63:336-49. 2006
    ..We therefore evaluated different risk presentation formats - numerical, graphical and others - addressing the pros and cons of tight control versus usual treatment approaches for diabetes...
  55. pmc Using a 'peer assessment questionnaire' in primary medical care
    Glyn Elwyn
    Centre for Health Sciences Research, School of Medicine, Cardiff University
    Br J Gen Pract 55:690-5. 2005
    ..The use of peer assessment questionnaires is one of the methods being considered and investigated by the General Medical Council in the UK...
  56. pmc The effect of different cardiovascular risk presentation formats on intentions, understanding and emotional affect: a randomised controlled trial using a web-based risk formatter (protocol)
    Cherry Ann Waldron
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, UK
    BMC Med Inform Decis Mak 10:41. 2010
    ..The aim of this study is to compare the effects of presenting cardiovascular risk in different formats on individuals' intention to change behaviour to reduce risk, understanding of risk information and emotional affect...
  57. ncbi request reprint Quality improvement in primary care: ethical issues explored
    Laura Tapp
    Centre for Health Sciences Research, Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff UK
    Int J Health Care Qual Assur 22:8-29. 2009
    ..Therefore this paper aims to identify the experiences of professionals involved in planning and performing QI programmes in European family medicine on the ethical implications involved in those processes...
  58. doi request reprint Identifying and prioritizing uncertainties: patient and clinician engagement in the identification of research questions
    Glyn Elwyn
    Department of Primary Care and Public Health School of Medicine, Cardiff University, Neuadd Meirionnydd, UK
    J Eval Clin Pract 16:627-31. 2010
    ....
  59. doi request reprint Design and usability of heuristic-based deliberation tools for women facing amniocentesis
    Marie Anne Durand
    NHS Direct, London, UK
    Health Expect 15:32-48. 2012
    ..Evidence suggests that in decision contexts characterized by uncertainty and time constraints (e.g. health-care decisions), fast and frugal decision-making strategies (heuristics) may perform better than complex rules of reasoning...
  60. doi request reprint Interventions to promote informed consent for patients undergoing surgical and other invasive healthcare procedures
    Paul Kinnersley
    Cochrane Institute of Primary Care and Public Health, School ofMedicine, Cardiff University, Cardiff, UK
    Cochrane Database Syst Rev 7:CD009445. 2013
    ..There is evidence that at present some patients undergo procedures without informed consent being achieved...
  61. pmc Factors influencing the surgery intentions and choices of women with early breast cancer: the predictive utility of an extended theory of planned behaviour
    Stephanie Sivell
    Marie Curie Palliative Care Research Centre, Wales Cancer Trials Unit, Cardiff University School of Medicine, Neuadd Meirionnydd, Heath Park, Cardiff CF14 4YS, UK
    BMC Med Inform Decis Mak 13:92. 2013
    ..The aims of this study were to understand and predict the surgery intentions and choices of women newly diagnosed with early breast cancer, examining the predictive utility of an extended TPB...
  62. ncbi request reprint Making interactive decision support for patients a reality
    Rhodri Evans
    Primary Care Group, School of Medicine, University of Wales Swansea, Grove Building, Singleton Park, Swansea SA2 8PP, Wales, UK
    Inform Prim Care 12:109-13. 2004
    ..We suggest that there may be an impact on the doctor-patient relationship and that this presents a number of opportunities. However, there are ethical challenges such as information bias and commercialisation...
  63. doi request reprint Bridging two translation gaps: a new informatics research agenda for telemonitoring of chronic disease
    Alex R Hardisty
    School of Computer Science and Informatics, Cardiff University, Cardiff, United Kingdom
    Int J Med Inform 80:734-44. 2011
    ....
  64. ncbi request reprint Tough decisions faced by people living with HIV: a literature review of psychosocial problems
    Paulina Bravo
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Neuadd Meironnydd Heath Park, Cardiff, Wales, UK
    AIDS Rev 12:76-88. 2010
    ..Therefore, the results of this review highlight the requirement to develop interventions to support the psychosocial needs of people living with HIV, to accurately reflect the views and needs of the target users...
  65. doi request reprint Achieving online consent to participation in large-scale gene-environment studies: a tangible destination
    Fiona Wood
    Department of Primary Care and Public Health, School of Medicine, Neuadd Meirionydd, Heath Park, Cardiff, UK
    J Med Ethics 37:487-92. 2011
    ..We explored whether an online consent process for large-scale genetics studies is acceptable for prospective participants using an example online genetics study...
  66. ncbi request reprint Dealing with uncertainty in general practice: an essential skill for the general practitioner
    Margaret O'Riordan
    Centre for Health Sciences Research, Cardiff University, Neuadd Meirionnydd, Wales, UK
    Qual Prim Care 19:175-81. 2011
    ..Skills to deal with uncertainty should be regarded as quality improvement tools and included in educational programmes involving both trainee and established GPs...
  67. doi request reprint Pre-birth characteristics and 5-year follow-up of women with cryopreserved embryos after successful in vitro fertilisation treatment
    Mareike Stiel
    School of Psychology, Cardiff University, Cardiff, UK
    J Psychosom Obstet Gynaecol 31:32-9. 2010
    ..5%) or frequently (34.6%). The personality differences identified may suggest that women who still have embryos after the end of fertility treatment may be in need of decision support...
  68. pmc 'The body gets used to them': patients' interpretations of antibiotic resistance and the implications for containment strategies
    Lucy Brookes-Howell
    South East Wales Trials Unit, Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, Wales, UK
    J Gen Intern Med 27:766-72. 2012
    ..Interventions promoting evidence based antibiotic prescribing and use frequently build on the concept of antibiotic resistance but patients and clinicians may not share the same assumptions about its meaning...
  69. ncbi request reprint Reactions of GPs to a triage-controlled referral system for cancer genetics
    Glyn Elwyn
    Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Cardiff, UK
    Fam Pract 19:65-71. 2002
    ..In the UK, genetic services vary widely between regions. To manage demand, an all-Wales cancer genetics service based on telephone triage and referral guidelines was designed and implemented...
  70. doi request reprint Deliberation before determination: the definition and evaluation of good decision making
    Glyn Elwyn
    Department of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, UK
    Health Expect 13:139-47. 2010
    ....
  71. doi request reprint Misperception of patients with type 2 diabetes about diet and physical activity, and its effects on readiness to change
    Renate Jansink
    Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    J Diabetes 4:417-23. 2012
    ..The aim of the present study was to assess misperceptions about lifestyle among patients with type 2 diabetes and their effects on readiness to change...
  72. doi request reprint Insufficient evidence of benefit: a systematic review of home telemonitoring for COPD
    Charlotte E Bolton
    NIHR Nottingham Respiratory Biomedical Research Unit, University of Nottingham, City Hospital, Nottingham, UK
    J Eval Clin Pract 17:1216-22. 2011
    ....