Research

The Preference Laboratory works to engage, empower, and enable people through Measures, Interventions, and Preferences.

Filter research projects by clicking on the boxes below:

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Patient-centered Organizational Statements: Cultural Bellwether or Merely Rhetoric?

Principal Investigators:

Glyn Elwyn, Rachel Forcino, and William Nelson

AIM:

To determine the extent to which patient-centered organizational statements (e.g. mission, vision, values) are reflected in the operations of health care provider organizations

Contact:

Rachel Forcino
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Can Telehealth be used to Improve Implementation of Shared Decision Making in Patients with Heart Valve Disease?

Principal Investigators:

Stuart Grande and Megan Coylewright

Sponsor:

Dartmouth Synergy Clinical and Translational Science Institute

Contact:

Stuart Grande
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Health Care Options for People Experiencing Depression (HOPE*D): Phase1: End-user views and requirements of clinic-based interactive Option Grid decision aid for major depressive disorder.

Principal Investigators:

Paul Barr

Sponsor:

Dartmouth Synergy Clinical and Translational Science Institute

AIM:

To inform a digital platform linking routine screening to an in-clinic Option Grid decision aid (iOGDA) for MDD (Major Depressive Disorder) in primary care

Contact:

Paul Barr
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The Open Recording Automated Log System (ORALS): Development of ORALS and its impact on patient and family engagement

Principal Investigators:

Paul Barr, Glyn Elwyn

Sponsor:

Gordon & Betty Moore Foundation

AIM:

To have routine audio recording of conversations with clinicians and patients in an effort to increase engagement of patients and families in their health care. 

Contact:

Paul Barr
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Addressing Disparities in Early Stage Breast Cancer Treatments and Decision Making: A Randomized Stepped Wedge Trial of Picture Option Grid Across Socioeconomic Strata

Principal Investigators:

Marie-Anne Durand, Glyn Elwyn

Sponsor:

PCORI

AIM:

To investigate whether the Picture Option Grid can reduce communication and decision making disparities between women of higher and lower SES, and to show that women who are able to use decision aids during the course of their care are more meaningfully involved (with their physicians) in creating a treatment plan for themselves, have lower anxiety, less decision regret, and a higher quality of life than women who receive the usual care (that typically doesn’t integrate decision aids)

Contact:

Marie-Anne Durand
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User testing of an Option Grid Decision Aid for antipsychotic medication management in psychiatric settings: Understandability, usability, and acceptability

Principal Investigators:

Yaara Zisman-Ilani

Project advisory committee:

David Shern (National Association of State Mental Health Program Directors), Robert E. Drake (Dartmouth College), Lisa Dixon (Columbia University), Julie Kreyenbuhl (University of Maryland), Anthony Lehman (University of Maryland), Patricia Deegan (Dartmouth College), William Torrey (Dartmouth College), Manish Mishra (Dartmouth College), and Glyn Elwyn (Dartmouth College)

AIM:

User testing of a new SDM tool designed to stimulate more collaborative decision making in psychiatric settings regarding using, adjusting, or stopping antipsychotic medications among people who have experienced one or more psychotic episodes and are now stabilized. 

Contact:

Yaara Zisman-Ilani
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The Comparative Effectiveness of Patient- and Provider-Directed Strategies for Increasing Shared Decision-Making in Reproductive Health Care

Principal Investigators:

Rachel Thompson and Glyn Elwyn

Sponsor:

PCORI

AIM:

1) To evaluate the effectiveness of two interventions designed to increase shared decision-making about contraceptive methods within the clinic visit; and 2) To evaluate the impact of the interventions on downstream outcomes (patient satisfaction with the method, adherence, and unintended pregnancy), as well as their acceptability and feasibility.

Contact:

Rachel Thompson
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Measuring organizational readiness for patient engagement (MORE) scale

Principal Investigators:

Marie-Anne Durand

AIM:

To develop a measure of organizational readiness for patient engagement, designed to monitor and facilitate a healthcare organization’s willingness and ability to effectively implement patient engagement in healthcare.

Contact:

Marie-Anne Durand
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Supporting women's quality decision-making between surgical and medical abortion in early pregnancy

Principal Investigators:

Kyla Donnelly

Supervisor:

Rachel Thompson

AIM:

1) To determine the content, quality, and effectiveness of decision aids intended to support women’s quality decision-making between surgical and medical abortion in early pregnancy; 2) To identify women’s preferences, priorities, and decision support needs when deciding between surgical and medical abortion, and abortion care providers’ priorities for providing such support to women; 3) To understand women’s experiences choosing between and having a surgical or medical abortion in early pregnancy using patient narratives; 4) To evaluate the effectiveness, acceptability, and feasibility of a decision aid to support women’s informed, values-concordant decision-making about surgical versus medical abortion in early pregnancy.

Contact:

Kyla Donnelly
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Understanding decision support needs of women considering early-stage breast cancer treatment options

Principal Investigators:

Shama Alam, Stuart W Grande, Marie-Anne Durand

AIM:

To understand the information and decision support needs of women diagnosed with early-stage breast cancer and to adapt existing decision tools to their needs.

Contact:

Stuart W Grande
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Becoming normalized: a case study of Option Grid implementation

Principal Investigators:

Glyn Elwyn, Marie-Anne Durand, Stuart W Grande

AIM:

To learn more about the factors that add or impede the adoption of short, decision support tools called Option Grids in established clinical practice.

Contact:

Stuart W Grande
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Developing a picture Option Grid

Principal Investigators:

Marie-anne Durand

AIM:

To develop a pictorial encounter tool designed to promote shared decision making, derived from Option Grids

Contact:

Marie-Anne Durand
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Development of an Option Grid for decisions about treatment for pelvic organ prolapse

Principal Investigators:

Kris Strohbehn

AIM:

Collecting women’s preferences when deciding about treatment for pelvic organ prolapse in order to develop an Option Grid.

Contact:

Kris Strohbehn, Annemijn Aarts
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Implementation and evaluation of an Option Grid to share decisions with women experiencing heavy periods

Principal Investigators:

Annemijn Aarts and Tina Foster

AIM:

To evaluate the effectiveness of the Option Grid in eliciting treatment preferences in this specific gynecologic population and setting.

Contact:

Annemijn Aarts
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Patients’ recording clinical encounters. A path to empowerment?

Principal Investigators:

Glyn Elwyn

AIM:

Examine underlying motivations and frequencies of patients who recorded, considered recording, or would never record their clinical encounters.

Contact:

Glyn Elwyn
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Integrating Shared Decision Making and Interprofessional Education

Principal Investigators:

Glyn Elwyn

Sponsor:

Josiah Macy Jr. Foundation

AIM:

To implement and test a novel means of integrating shared decision making into interprofessional education.

Contact:

Dawn Carey
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Evaluation von Option Grids zur Unterstützung der Partizipativen Entscheidungsfindung in der Brustkrebsbehandlung [Evaluation of Option Grids to support shared decision making in breast cancer treatment]

Principal Investigators:

Isabelle Scholl

Sponsor:

Forschungsförderfonds der Medizinischen Fakultät der Universität Hamburg (FFM) [Faculty of Medicine of the University of Hamburg

AIM:

a) To translate and adapt two Option Grids on breast cancer treatments, i.e., one on breast cancer surgery and one on breast reconstruction, b) To evaluate the patient and physician acceptance of the Option Grids as well as their feasibility in German routine care, and c) To assess needs for additional Option Grids for other treatment decisions in Germany.

Contact:

Marie-Anne Durand
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Using point of view video to improve surgical skill: a pilot study

Principal Investigators:

Dr. Marcus Coe

Sponsor:

American Board of Orthopaedic Surgery (ABOS)

AIM:

To assess the feasibility of using a novel point of view video camera (Google Glass) to improve the surgical skills education of orthopaedic surgery residents.

Contact:

Stuart W Grande
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Development of a patient decision aid for shared decision making in adult audiology services

Principal Investigators:

Amanda Hall

Sponsor:

British Society of Audiology

AIM:

To develop a patient decision aid for people with hearing loss

Contact:

Marie-Anne Durand
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Piloting Option Grid and CollaboRATE in Warsaw, Poland

Principal Investigators:

Glyn Elwyn

Sponsor:

Bupa/LUX MED

AIM:

To evaluate the impact of using Option Grids and CollaboRATE on patient engagement in medical decision making in routine clinical settings in Poland.

Contact:

Marie-Anne Durand
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Wordless intervention for epilepsy in learning disability

Principal Investigators:

Marie-Anne Durand (PI: Bob Gates)

Sponsor:

National Institute for Health Research

AIM:

To conduct a randomized controlled feasibility trial exploring key methodological, design and acceptability issues, in order to subsequently understand a large-scale randomized controlled trial of the Book Beyond Words booklet for Epilepsy as an intervention for epilepsy in patients with intellectual disabilities.

Contact:

Marie-Anne Durand
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The Impact of Patient Activation and Engagement (PA&E) on Improving Patient-Centered Outcomes of Care - University of California Berkeley (PCORI)

Principal Investigators:

Stephen Shortell

Sponsor:

PCORI

AIM:

To examine the patient engagement activities of ACO practices. The findings should help to guide PCORI’s future research agenda in this area while providing all involved with knowledge to advance patient-centered care.

Contact:

Glyn Elwyn
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The Statin Choice Implementation Project (SCIP): A shared decision making study of the Mayo Clinic Care Network

Principal Investigators:

Mayo: Victor Montori

Dartmouth: Glyn Elwyn

Sponsor:

Mayo Clinic

AIM:

To determine if a proposed model for the implementation and “scale-up” of health care innovations (the AIDED model) is effective and useful. In implementation science, “scale-up” refers to the ability of beneficial interventions implemented in one place to spread and be replicated in many other places.

Contact:

Glyn Elwyn
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Why do (some) doctors across the globe espouse shared decision making?

Principal Investigators:

Annemijn Aarts and Glyn Ewlyn

AIM:

To collect a wide range and large sample of doctors’ views on shared decision making: Why are doctors involved in shared decision making? What motivates them? Why and how are they trying harder than the rest? Are there cultural differences around the globe?

Contact:

Annemijn Aarts
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Empowering rural patients in healthcare encounters

Principal Investigators:

Elizabeth Carpenter-Song

Sponsor:

NIH K-Award

AIM:

To learn about healthcare experiences among people with limited financial resources. We are interested in their perspectives on using a audio-recording device or smartphone to empower people when they interact with healthcare providers.

Contact:

Stuart W Grande
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Mining for Solutions: Engaging Southern African miners, providers, and communities on tubuerculosis to improve healthcare delivery systems

Principal Investigators:

Dartmouth: Lisa Adams, Al Mulley

Witswatersrand: Debashis Basu, Tanusha Singh

Sponsor:

World Bank

AIM:

To explore and characterize the salient lived experiences of miners, ex-miners and their families as well as the perceptions of other key stakeholders in the mining sector to advance more person-centered solutions to TB treatment.

Contact:

Stuart W Grande