Using Computer Decision Aids to help patients to chose the best avaliable treatment.The literature review aims to identify factors that could affect the share decision making as well as patient relationship with their doctors.
We are looking for information that patients would like to be informed about, the ways to represent problematic information to patients like risk. Because it is a wide area to look for information, in the first part of the literature review, we are looking to answer following questions first, and later we will expand the search questions to cover bigger area if require:
What types of information are more suitable for patients, in a decision support system?
How a decision support system could be made to be more patient-friendly?
What decision-making systems already exist for patients to select the treatment, in particular breast cancer?
Intervention Outcome
Decision aids
Patient information
Decision support techniques
Decision support systems
Telehealth
Decision-making
Patient decision-making
Format of information
Table 1: Search Terms
Complete search strategies are as follows:
exp Patients/
exp Patient Participation/
exp Patient Preference/
1 or 2 or 3
exp Breast Neoplasms/
“Breast cancer”.mp. [mp=title, abstract, original title, name of substance word, subject heading word, protocol supplementary concept, rare disease supplementary concept, unique identifier]
5 or 6
4 and 7
exp Decision Support Systems, Clinical/
exp Decision Support Techniques/
“Decision support”.m_titl.
” Decision-making”.mp. [mp=title, abstract, original title, name of substance word, subject heading word, protocol supplementary concept, rare disease supplementary concept, unique identifier]
exp Telemedicine/
9 or 10 or 11 or 12 or 13
8 and 14
limit 15 to (English language and “all adult (19 plus years)” and last 5 years)
The following electronic databases will be searched with the research student for this purpose:
Web of Science
Scopus
NHS EVIDENCE
COCHRANE LIBRARY
MEDLINE
EMBASE
PubMed
The following inclusion criteria will be used when selecting the literature:
Search will be limited to studies published in English Language in the last 5 years
Search will be done for the adult age group
Search would not be restricted to the UK to gain an international perspective
The reference lists of relevant papers would be reviewed to identify other articles
Once literature selected in accordance with the inclusion criteria, if it is possible, an independent reviewer will assess the articles quality and relevance before data extraction process and analysis. Literature citations will then be imported into a reference manager EndNote X5 creating a bibliography database, which is then used to track and extract data. Findings from this literature review will inform the work that is going to be carried out in the next phases of research.
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