Notice of Upcoming PCORI Dissemination and Implementation Funding Announcement
This advance notice encourages applicants to submit a letter of intent in response to a new Patient-Centered Outcomes Research Institute (PCORI) Funding Announcement (PFA) on Implementation of Effective Shared Decision Making Approaches in Practice Settings, to be released on September 1, 2017. This PFA is intended to promote the targeted implementation and systematic uptake of shared decision making (SDM) in healthcare settings, in line with PCORI’s goal of supporting patients in making informed decisions about their care.
For this PFA, PCORI defines an SDM strategy as an intervention or approach that draws on and presents evidence to inform patients of available treatment options and their risks and benefits, and either engages patients in a decision-making process with their clinician or promotes their ability to engage in such a process. To be eligible for this PFA, applicants may either a) propose to implement a shared decision making strategy that was formally tested and demonstrated to be effective in the context of a PCORI research award, or b) propose an implementation project that will incorporate new PCORI CER evidence into an existing, tested shared decision making strategy, and then implement the updated shared decision making strategy.
Applicants may be current PCORI awardees who have, or will soon be submitting their Draft Final Research Reports (DFRRs), or new applicants working with the support of PCORI awardees who have submitted DFRRs, to promote the uptake of PCORI research findings. PCORI encourages all applicants to assure that sufficient expertise in both shared decision making and in dissemination and implementation science are included on proposed project teams for this PFA.
This initiative will support projects that propose active, multi-component approaches to implementing effective shared decision making strategies that address existing barriers and obstacles to uptake and maintenance of shared decision making. The SDM strategy must have demonstrated effectiveness on patient, caregiver, or health care provider decision making using well-accepted metrics; the corresponding implementation approach must have potential for use and scalability beyond the targeted implementation setting. Patients and others whose involvement is central to the success of the project should be involved in design and execution of proposed projects. In addition, applicants should assure that the proposed project team draws on sufficient expertise in both shared decision making and implementation science. Projects must incorporate rigorous evaluation of the implementation of shared decision making approaches, as well as the impact of the shared decision making processes in the targeted settings.