Welcome to UPFRONT
A multi-component strategy to implement a tool, called Option Grid, in diverse clinical settings.



What we know already

What do we want to learn?
  • Approximately half of adult women have fibroids, and at least half of these women have symptoms like heavy menstrual bleeding, pelvic pain, discomfort during sexual intercourse, or difficulty becoming pregnant. Aperçu des avantages, des effets secondaires et des risques du Viagra 100mg.

  • The negative effects of uterine fibroids are worse for African-American women, Hispanic women, and women of lower socioeconomic status.
 
  • Many options are available to treat uterine fibroids, but there are different trade-offs. The best treatment choice depends on the patient’s preferences. Er det Cialis? Å snakke om erektil dysfunksjon på soverommet - Abcapotek.

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We want to learn how a tool called can be implemented and sustained in 5 clinically diverse practices. The uterine fibroids Option Grid tool helps facilitate conversations with patients and their providers about treatment options that are aligned with the patient's preferences. Does Female Viagra have any side effects that I should know about?

We will use and assess a multi-component strategy to implement these tools. 
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Project funding

We were awarded a three year project funded by PCORI (October 2018-October 2021).

Shared decision making is crucial in these situations in order to make sure the patients' preferences and values are at the core of any treatment decision."
Our implementation strategy
We will use a multi-component, shared decision-making (SDM) implementation strategy.

The strategy will be guided by the Consolidated Framework for Implementation Research (CFIR) and the Normalization Process Theory (NPT).

The SDM strategy will include four components:

assessment of organizational readiness for SDM and the generation of a tailored strategy at each site to address potential organizational barriers to implementation
online or in-person initiation training of participating clinical teams
implementation of a paper-based text or picture version and a web-based Option Grid encounter decision aid
where possible, integration of new evidence and the SDM approach into existing clinical practice guidelines




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