In September 2017, the Patient-Centered Outcomes Research Institute (PCORI) Board of Governors approved $2.75 million to support a $5 million funding opportunity in partnership with the American Heart Association (AHA) to improve shared decision making for the treatment of atrial fibrillation (AFib). This initiative to establish the Decision-making and Choices to Inform Dialogue and Empower AFib Patients (DECIDE) Center supports efforts to develop or adapt, and then test the effectiveness of, shared decision making tools. For more details, click here. On June 12, 2018, PCORI and AHA announced the selection of an awardee to carry out this initiative.
The PCORI-AHA DECIDE Center takes as its mission determining which type of decision aid most effectively promotes shared decision making to improve the quality and patient-centeredness of care for patients diagnosed with AFib, and to increase the uptake of appropriate anticoagulation treatment, leading to improved health outcomes (e.g., stroke prevention) in diverse patient populations. The center's two projects will accomplish these specific aims:
- determining the state of the field of decision aids for patients diagnosed with AFib
- adapting and developing decision aids for use by patients before a clinician's visit (patient decision aids) or patients and clinicians together (encounter decision aids)
- filling evidence gaps regarding the most effective decision aid approach—patient decision aid, encounter decision aid, or both—for improving the quality of shared decision making and the utilization and adherence to anticoagulation therapy.
The center will leverage multidisciplinary expertise from clinician-scientists in cardiology and pharmacy, and from researchers from the Department of Population Health Sciences at University of Utah and the Knowledge and Evaluation Research Unit at Mayo Clinic, in the design and evaluation of decision aids, randomized trials, and community engagement.
By study conclusion, the PCORI-AHA DECIDE Center team will have successfully
- addressed significant evidence gaps in shared decision making,
- created an effective decision aid that will improve shared decision making and the appropriate use of anticoagulation therapy in patients with AFib, and
- trained the next generation of scientists.
*All proposed projects, including requested budgets and project periods, are approved subject to a programmatic and budget review by PCORI staff and the negotiation of a formal award contract.