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cdsic.ahrq.gov/sites/default/files/2023-08/Final%20TPC%20P3_Source%20Credibility%20to%20AHRQ%208.2.23_508c%20Version.pdf
January 01, 2023 - • Attitudes, behaviors, and motivations. … and recommendations, and consequently improved patient outcomes
(e.g., knowledge, health-related behaviors … influences the extent that people’s health attitudes and/or behaviors change in response to
PC CDS … Computers in Human Behavior. 2013;29(4):1626-1634. … Examining health information-seeking behaviors of older
adults.
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cdsic.ahrq.gov/cdsic/Kenneth-Gersing
December 01, 2015 - :
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cdsic.ahrq.gov/sites/default/files/2024-02/AHRQ%20CDSiC%20Project%20Summary%20Option%20Year%201.pdf
January 01, 2024 - Combined Guides
Leads toInfluences
Makes
CDS 5
Rights
Experiences
Receives
Represents
Patient Behaviors
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cdsic.ahrq.gov/sites/default/files/2023-02/AHRQ%20CDSIC%20Project%20Summary%20OCT2022%20final%20508.pdf
January 01, 2023 - Combined Guides
Leads toInfluences
Makes
CDS 5
Rights
Experiences
Receives
Represents
Patient Behaviors
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cdsic.ahrq.gov/sites/default/files/2023-10/CDSiC%20Innovation%20Core-PRO%20Dashboards%20Overview%20Revised_Small_1.pdf
January 01, 2023 - AHRQ Patient Reported Outcome (PRO) Clinical Decision Support (CDS) Dashboard Overview
AHRQ Patient Reported Outcome (PRO) Clinical
Decision Support (CDS) Dashboard Overview
Clinical Decision Support Innovation Collaborative – Innovation Center
2
Dashboard Purpose & Use Cases
► As part of the AHRQ funded Clin…
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cdsic.ahrq.gov/sites/default/files/2024-07/SRF_Taxonomy%20of%20PC%20CDS%20Override%20Recommendations_508_0.pdf
January 01, 2024 - Subdomain: Patient does not want to change behavior or believes the change is
unnecessary. … PC CDS may deliver an alert/recommendation for the patient to change a behavior
such as their diet or … Recipients of PC CDS may override these if the patient does
not want to change their behavior or believes … Understanding physicians’ behavior toward alerts about nephrotoxic
medications in outpatients: a cross-sectional … Understanding physicians’ behavior toward alerts about nephrotoxic
medications in outpatients: a cross-sectional
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cdsic.ahrq.gov/sites/default/files/2023-08/SMD%20Workflow%20Measurement%20Approaches%20Report_to%20AHRQ%208.9.23_508.pdf
January 01, 2023 - histories and lifestyle choices, real-time self-reported
2
health conditions, mood, and behavior … which the intervention is
seen/used, or given opportunities to do so
Use Changes in knowledge,
behavior … • Clinician-centered Measures: Measures
that assess the care team experience,
behavior, or perspective … • Patient-centered Measures: Measures
that assess the care received, patient
experience, behavior … The Four Habits Coding Scheme: validation of an instrument to
assess clinicians' communication behavior
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cdsic.ahrq.gov/sites/default/files/2023-09/SRF%20Standards%20for%20Patient%20Preferences.pdf
January 01, 2023 - ,”58 “Health promotion
behavior,”59 “Symptom control behavior,”60 and “Complementary therapy,”61 but … these relate
specifically to patients’ preferences for use of self-management tools to support health behaviors … Personal health management behavior (observable entity).Accessed June
27, 2023. … Health promotion behavior (observable entity). Accessed June 27, 2023. … Symptom control behavior (observable entity). Accessed June 27, 2023.
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cdsic.ahrq.gov/sites/default/files/2023-08/Exec%20Sum_SMD%20Workflow%20Measurement%20Approaches%20Report%20to%20AHRQ%208.9.23_508.pdf
January 01, 2023 - Use: Changes in knowledge, behavior, or action due to tool use.
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cdsic.ahrq.gov/sites/default/files/2024-10/IAS_Key%20Factors%20and%20Considerations%20for%20Assessing%20the%20Value%20of%20PC%20CDS.pdf
January 01, 2024 - importance of patient engagement in PC CDS
codesign and decision making as a key driver of use and behavior … impact of
a single PC CDS is complicated by confounding factors that may impact decision making and/or
behavior … different modalities to engage patients) can lead to value by
improving overall efficacy in the desired behavior … Does PC CDS
adoption result in the desired change in clinician and patient behavior?
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cdsic.ahrq.gov/sites/default/files/2024-07/Final%20MO%20Patient%20Prioritization%20of%20Measurement%20Areas%207.18.24.pdf
January 01, 2024 - adherence.2,14,15 The research used to guide PC CDS
and clinical guidelines often focuses on desirable behaviors … established with their
doctor or other healthcare providers (e.g. taking medication on time,
changing behaviors … Self-Management The activities or behaviors patients take to control their disease or
condition (e.g … Engaging patients in decision-making and
behavior change to promote prevention.
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cdsic.ahrq.gov/sites/default/files/2023-08/Checklist_SMD%20Planning%20Implementation%20Reporting_508fillable.pdf
January 01, 2023 - Incorporation of patient-
centered implementation
frameworks or patient-
focused behavior change
models … Implementation Activities "Incorporation of patient-centered implementation frameworks or patient-focused behavior
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cdsic.ahrq.gov/sites/default/files/2023-10/Final%20OO%20Patient%20Outcomes%20of%20PC%20CDS%20to%20AHRQ%2010.6.23.pdf
January 01, 2023 - • Adherence is the degree to which an individual’s healthcare actions and behavior align with the … • Self-Management most commonly describes activities or behaviors that patients undertake to
maintain … Adherence is the degree to which an individual’s healthcare actions and behavior align
with the care … Most commonly, this term is used to describe activities or
behaviors that patients undertake to maintain … Engaging Patients in Decision-Making and Behavior Change to Promote
Prevention.
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cdsic.ahrq.gov/sites/default/files/2024-09/SRF_Patient%20Preference%20Standardization%20Priorities_508.pdf
January 01, 2024 - Standards and Regulatory Frameworks Workgroup: Prioritizing Patient Preferences for Standardization to Support PC CDS
Standards and Regulatory
Frameworks Workgroup:
Prioritizing Patient Preferences
for Standardization to Support
PC CDS
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, …
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cdsic.ahrq.gov/sites/default/files/2023-09/SMD%20PC%20CDS%20Performance%20Measurement%20Inventory_FINAL_9.19.23.xlsx
January 01, 2023 - limitations, such as small sample size, observer bias, and the Hawthorne effect (the alteration of behavior … considered an 'anomaly' when alert firing appeared to deviate from historical patterns or exhibited behavior … of factors including tools to monitor usage, provision of performance feedback, comparison of user's behavior … questionnaire comprised of four constructs: perceived ease of use, perceived usefulness, attitudes, and actual behaviors … Think time: A novel approach to analysis of clinicians' behavior after reduction of drug-drug interaction
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cdsic.ahrq.gov/sites/default/files/2023-05/InnovationCenterQ4ProgressReportFinalForDTPFINAL.pdf
January 01, 2023 - healthcare delivery system, including patients and their
caregivers, to achieve the desired changes in behavior
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cdsic.ahrq.gov/sites/default/files/2024-09/Final_MO%20PC%20CDS%20Planning%20and%20Reporting%20Tool_0.pdf
January 01, 2024 - patient-centered implementation
frameworks, clinical guidelines/recommendations, or patient-
focused behavior
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cdsic.ahrq.gov/sites/default/files/2024-09/Final_MO%20PC%20CDS%20User%20Guide%20(1)_0_0.pdf
January 01, 2024 - CDS development and justify that decision.10 This can include disease-specific conceptual models
or behavior … Preventive Services Task Force
(USPSTF) recommendations,12 or patient-focused behavior change models … Knowledge, 2) Patient-specific Inference, 3)
Information Delivery, 4) Clinical Decision, 5)
Patient Behaviors … patient-centered implementation frameworks, clinical
guidelines/recommendations, or patient-focused behavior … Unified Theory of Acceptance and Use of Technology (UTAUT) to explore
the theoretical determinants of behaviors
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cdsic.ahrq.gov/sites/default/files/2023-09/TPC_Codesign%20Report%20to%20AHRQ%20FINAL.pdf
January 01, 2023 - clinician override
for drug-drug interaction alerts prior to redesigning CDS and
clinician prescribing behaviors … For these tests, data may be collected by tracking screen
movements, monitoring behaviors and interactions … researcher-observed
simulated or real-world interactions
between end-users and prototypes
(e.g., behavior … activities can provide rich information, people may intentionally or
unintentionally modify usual behaviors … Diary Studies: Understanding Long-Term User Behavior and Experiences. 2016.
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cdsic.ahrq.gov/sites/default/files/2023-06/InnovationCenterQ12023ProgressReportDraft.pdf
January 01, 2023 - healthcare delivery system, including patients and their
caregivers, to achieve the desired changes in behavior