A Edwards

Summary

Affiliation: University of Wales
Country: UK

Publications

  1. pmc Shared decision making and risk communication in practice: a qualitative study of GPs' experiences
    Adrian Edwards
    Department of Primary Care, Swansea Clinical School, University of Wales Swansea, Wales SA2 8PP
    Br J Gen Pract 55:6-13. 2005
  2. ncbi Involving patients in decision making and communicating risk: a longitudinal evaluation of doctors' attitudes and confidence during a randomized trial
    Adrian Edwards
    Department of Primary Care, Swansea Clinical School, University of Wales Swansea, UK
    J Eval Clin Pract 10:431-7. 2004
  3. pmc Effects of communicating individual risks in screening programmes: Cochrane systematic review
    Adrian Edwards
    Department of Primary Care, University of Wales Swansea Clinical School, Singleton Park, Swansea SA2 8PP
    BMJ 327:703-9. 2003
  4. ncbi Using iron deficiency tests for colorectal cancer screening: a feasibility study in one UK general practice
    Adrian Edwards
    Department of Primary Care, University of Wales Swansea Clinical School, UK
    J Eval Clin Pract 10:475-9. 2004
  5. pmc Flexible rather than standardised approaches to communicating risks in health care
    A Edwards
    Department of Primary Care, Swansea Clinical School, University of Wales Swansea, Singleton Park, Swansea SA2 8PP, UK
    Qual Saf Health Care 13:169-70. 2004
  6. ncbi Patient-based outcome results from a cluster randomized trial of shared decision making skill development and use of risk communication aids in general practice
    A Edwards
    Department of Primary Care, University of Wales Swansea, UK
    Fam Pract 21:347-54. 2004
  7. ncbi Achieving involvement: process outcomes from a cluster randomized trial of shared decision making skill development and use of risk communication aids in general practice
    G Elwyn
    Department of Primary Care, University of Wales Swansea, UK
    Fam Pract 21:337-46. 2004
  8. pmc "Doing prescribing": how might clinicians work differently for better, safer care
    G Elwyn
    Primary Care Group, Swansea Clinical School, University of Wales Swansea, Grove Building, Singleton Park, Swansea SA2 8PP, UK
    Qual Saf Health Care 12:i33-6. 2003
  9. pmc Assessing organisational development in primary medical care using a group based assessment: the Maturity Matrix
    G Elwyn
    University of Wales, Swansea SA2 8PP, UK
    Qual Saf Health Care 13:287-94. 2004
  10. pmc Shared decision making: developing the OPTION scale for measuring patient involvement
    G Elwyn
    Department of Primary Care, University of Wales Swansea Clinical School, Swansea SA2 8PP, UK
    Qual Saf Health Care 12:93-9. 2003

Detail Information

Publications52

  1. pmc Shared decision making and risk communication in practice: a qualitative study of GPs' experiences
    Adrian Edwards
    Department of Primary Care, Swansea Clinical School, University of Wales Swansea, Wales SA2 8PP
    Br J Gen Pract 55:6-13. 2005
    ..Important barriers to the wider implementation of shared decision making remain. The experiences of professionals who are skilled in this approach may identify how to overcome these barriers...
  2. ncbi Involving patients in decision making and communicating risk: a longitudinal evaluation of doctors' attitudes and confidence during a randomized trial
    Adrian Edwards
    Department of Primary Care, Swansea Clinical School, University of Wales Swansea, UK
    J Eval Clin Pract 10:431-7. 2004
    ..The attitudes of professionals undergoing training in these approaches may inform how to overcome these barriers, but there are few such data yet available...
  3. pmc Effects of communicating individual risks in screening programmes: Cochrane systematic review
    Adrian Edwards
    Department of Primary Care, University of Wales Swansea Clinical School, Singleton Park, Swansea SA2 8PP
    BMJ 327:703-9. 2003
    ..To assess the effects of different types of individualised risk communication for patients who are deciding whether to participate in screening...
  4. ncbi Using iron deficiency tests for colorectal cancer screening: a feasibility study in one UK general practice
    Adrian Edwards
    Department of Primary Care, University of Wales Swansea Clinical School, UK
    J Eval Clin Pract 10:475-9. 2004
    ..This identified two cases of benign neoplasia amenable to treatment and no cases of cancer. Iron deficiency testing in a screening context appeared feasible although uptake may be low...
  5. pmc Flexible rather than standardised approaches to communicating risks in health care
    A Edwards
    Department of Primary Care, Swansea Clinical School, University of Wales Swansea, Singleton Park, Swansea SA2 8PP, UK
    Qual Saf Health Care 13:169-70. 2004
  6. ncbi Patient-based outcome results from a cluster randomized trial of shared decision making skill development and use of risk communication aids in general practice
    A Edwards
    Department of Primary Care, University of Wales Swansea, UK
    Fam Pract 21:347-54. 2004
    ..Some data are accruing about the effects of such approaches on health or other patient-based outcomes. These effects often vary substantially between studies...
  7. ncbi Achieving involvement: process outcomes from a cluster randomized trial of shared decision making skill development and use of risk communication aids in general practice
    G Elwyn
    Department of Primary Care, University of Wales Swansea, UK
    Fam Pract 21:337-46. 2004
    ..Few data exist on clinicians' ability to acquire skills and implement the competences of SDM or risk communication in consultations with patients...
  8. pmc "Doing prescribing": how might clinicians work differently for better, safer care
    G Elwyn
    Primary Care Group, Swansea Clinical School, University of Wales Swansea, Grove Building, Singleton Park, Swansea SA2 8PP, UK
    Qual Saf Health Care 12:i33-6. 2003
    ....
  9. pmc Assessing organisational development in primary medical care using a group based assessment: the Maturity Matrix
    G Elwyn
    University of Wales, Swansea SA2 8PP, UK
    Qual Saf Health Care 13:287-94. 2004
    ..To design and develop an instrument to assess the degree of organisational development achieved in primary medical care organisations...
  10. pmc Shared decision making: developing the OPTION scale for measuring patient involvement
    G Elwyn
    Department of Primary Care, University of Wales Swansea Clinical School, Swansea SA2 8PP, UK
    Qual Saf Health Care 12:93-9. 2003
    ....
  11. ncbi 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...
  12. ncbi Manufactured but not imported: new directions for research in shared decision making support and skills
    Adrian Edwards
    Department of Primary Care, Swansea Clinical School, University of Wales, Singleton Park, Swansea, Wales SA2 8PP, UK
    Patient Educ Couns 50:33-8. 2003
    ..If we can learn these lessons, then wider implementation of shared decision making or consumer involvement may become a nearer prospect...
  13. ncbi 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...
  14. ncbi The development of COMRADE--a patient-based outcome measure to evaluate the effectiveness of risk communication and treatment decision making in consultations
    Adrian Edwards
    Department of Primary Care, Clinical School of Medicine, University of Wales Swansea, Singleton Park, UK
    Patient Educ Couns 50:311-22. 2003
    ..Usage in further studies will facilitate systematic reviews. Consequently, lessons for wider application of these interventions in practice, and policy implications regarding greater patient involvement should then be clearer...
  15. ncbi 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...
  16. ncbi Organizational assessment in general practice: a systematic review and implications for quality improvement
    Melody Rhydderch
    Organisational Psychologist, Primary Care Group, University of Wales Swansea, Swansea SA2 8PP, UK
    J Eval Clin Pract 11:366-78. 2005
    ..The aim of this article is to inform the debate by reviewing the international-peer-reviewed literature on organizational assessments used in general practice settings...
  17. pmc What information do patients need about medicines? "Doing prescribing": how doctors can be more effective
    Glyn Elwyn
    Primary Care Group, Swansea Clinical School, University of Wales Swansea, Swansea SA2 8PP
    BMJ 327:864-7. 2003
  18. ncbi Reduction in uptake of PSA tests following decision aids: systematic review of current aids and their evaluations
    Rhodri Evans
    Department of Primary Care, University of Wales Swansea Clinical School, Singleton Park, Swansea SA2 8PP, UK
    Patient Educ Couns 58:13-26. 2005
    ..4% (95% confidence interval: -0.7 to 7.4%; P = 0.10). PSA decision aids improve knowledge about PSA testing, at least in the short term. Men given these decision aids seem to be less likely to have the PSA test...
  19. pmc PSA testing for prostate cancer: an online survey of the views and reported practice of General Practitioners in the UK
    Jo Brett
    Cancer Research UK Primary Care Education Research Group, Department of Primary Health Care, Old Road Campus, University of Oxford, Headington, Oxford, OX3 7LF, UK
    BMC Fam Pract 6:24. 2005
    ..This study aimed to determine UK GPs' current reported practice regarding PSA testing, and their views towards informed decision-making and PSA testing...
  20. ncbi Risk communication in the clinical consultation
    Richard Thomson
    National Patient Safety Agency, London
    Clin Med 5:465-9. 2005
    ..The purpose of this review is to provide an accessible and practical guide to better communication of risk by clinicians...
  21. pmc Involving patients in primary care consultations: assessing preferences using discrete choice experiments
    Mirella F Longo
    School of Care Science, University of Glamorgan, Pontypridd CF37 1DL, Wales, UK
    Br J Gen Pract 56:35-42. 2006
    ..It is not known whether or to what extent SDM contributes to the welfare arising from a consultation, and how important this contribution is relative to other attributes of a consultation...
  22. ncbi Informed decision making and prostate specific antigen (PSA) testing for prostate cancer: a randomised controlled trial exploring the impact of a brief patient decision aid on men's knowledge, attitudes and intention to be tested
    Eila Watson
    Cancer Research UK Primary Care Education Research Group, Department of Primary Health Care, University of Oxford, Old Rd Campus, Headington, Oxford OX3 7LF, United Kingdom
    Patient Educ Couns 63:367-79. 2006
    ..To explore the important predictors of intention to be tested in men who received the brief pDA...
  23. 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...
  24. ncbi 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...
  25. ncbi 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...
  26. 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...
  27. doi 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...
  28. doi 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...
  29. ncbi Exploring doctor and patient views about risk communication and shared decision-making in the consultation
    Ruth E Davis
    School of Care Sciences, University of Glamorgan, Pontypridd, Wales, UK
    Health Expect 6:198-207. 2003
    ..There are few data on the perceptions of patients and professionals about SDM in actual practice...
  30. ncbi 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
    ....
  31. pmc Women need better information about routine mammography
    Hazel Thornton
    Department of Epidemiology and Public Health, University of Leicester, Leicester LE1 6TP
    BMJ 327:101-3. 2003
  32. pmc Explaining risks: turning numerical data into meaningful pictures
    Adrian Edwards
    Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Llanedeyrn, Cardiff CF3 7PN
    BMJ 324:827-30. 2002
  33. pmc Deconstructing patient centred communication and uncovering shared decision making: an observational study
    Michel Wensing
    Centre for Quality of Care Research, University Medical Centre Nijmegen, P, O, Box 9101, 6500 HB, Nijmegen, The Netherlands
    BMC Med Inform Decis Mak 2:2. 2002
    ..Patient centred communication (PCC) has been described as a method for doctor-patient communication. The principles of shared decision making (SDM) have been proposed more recently...
  34. ncbi Resource effects of training general practitioners in risk communication skills and shared decision making competences
    David Cohen
    University of Glamorgan, Pontypridd, Wales, UK
    J Eval Clin Pract 10:439-45. 2004
    ..The aim of this study was to determine the cost of such training and identify which service resource variables are subsequently affected...
  35. pmc Communicating risks
    Adrian Edwards
    BMJ 327:691-2. 2003
  36. ncbi Evolving the multiple roles of 'patients' in health-care research: reflections after involvement in a trial of shared decision-making
    Hazel Thornton
    Department of Epidemiology and Public Health, University of Leicester, Leicester, UK
    Health Expect 6:189-97. 2003
    ....
  37. ncbi 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
    ....
  38. pmc Complaints against doctors
    Paul Kinnersley
    BMJ 336:841-2. 2008
  39. pmc Developing a quality criteria framework for patient decision aids: online international Delphi consensus process
    Glyn Elwyn
    Department of General Practice, Centre for Health Sciences Research, Cardiff University, Cardiff CF14 4YS
    BMJ 333:417. 2006
    ..To develop a set of quality criteria for patient decision support technologies (decision aids)...
  40. ncbi 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...
  41. ncbi Shared decision making
    Theo Schofield
    Oxford University, UK
    Patient Educ Couns 50:229-30. 2003
  42. ncbi 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...
  43. ncbi Evaluation of a service development to increase detection of urinary tract infections in children
    Anne Marie Cunningham
    Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Llanedeyrn, Cardiff, UK
    J Eval Clin Pract 11:73-6. 2005
    ..Practice-based education and service developments were undertaken to try to improve the detection of childhood UTI...
  44. 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...
  45. pmc Review of instruments for peer assessment of physicians
    Richard Evans
    Primary Care Group, Swansea Clinical School, University of Wales Swansea, Swansea SA2 8PP
    BMJ 328:1240. 2004
    ....
  46. pmc Communicating risks through analogies
    Adrian Edwards
    BMJ 327:749. 2003
  47. pmc Simple tools for understanding risks: from innumeracy to insight
    Gerd Gigerenzer
    Centre for Adaptive Behaviour and Cognition, Max Planck Institute for Human Development, Lentzeallee 94, 14195 Berlin, Germany
    BMJ 327:741-4. 2003
  48. ncbi Participation by clients and nurse midwives in family planning decision making in Indonesia
    Young Mi Kim
    Johns Hopkins University Center for Communication Programs, Baltimore, MD 21202 4024, USA
    Patient Educ Couns 50:295-302. 2003
    ....
  49. 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...
  50. ncbi 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...
  51. ncbi Parent's opinions on the diagnosis of children under 2 years of age with urinary tract infection
    Diane Owen
    Department of General Practice, University of Wales College of Medicine, Llanedeyrn Health Centre, Llanedeyrn, Cardiff CF23 9PN, UK
    Fam Pract 20:531-7. 2003
    ..Whilst problems for professionals in making the diagnosis have been explored, few data exist concerning parental understanding and perspectives...
  52. pmc Ambivalence related to potential lifestyle changes following preventive cardiovascular consultations in general practice: a qualitative study
    Dea Kehler
    The Research Unit and Department of General Practice, Institute of Public Health, University of Aarhus, Vennelyst Boulevard 6, 8000 Aarhus C, Denmark
    BMC Fam Pract 9:50. 2008
    ..This study aimed to explore and describe motivational aspects related to potential lifestyle changes among patients at increased risk of CVD following preventive consultations in general practice...