[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-160138-en":3,"doc-seo-160138-105":30,"detail-sidebar-cat-0-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":4,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29},160138,8796096645457,"Arica Lee","https://ap-avatar.wpscdn.com/avatar/800003749518d68ffe3?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779345340919836971",7,"Healthcare","Implementation of Prostate Cancer Treatment Decision Aid in Michigan - A Qualitative Study","The study examines statewide implementation of the prostate cancer treatment decision aid Personal Patient Profile–Prostate (P3P) within the Michigan Urological Surgery Improvement Collaborative (MUSIC). It evaluates how urology practices engage newly diagnosed patients in shared decision-making and identifies facilitators and barriers to routine use. Qualitative interviews and coded themes assess compatibility with shared decision-making, patient uptake and completion, and varying clinician attitudes. Results also address operational concerns, clinic flow effects, and time saved during counseling.","Paudel et al. Implementation Science Communications (2021) 2:27  \n[https://doi.org/10.1186/s43058-021-00125-w](https://doi.org/10.1186/s43058-021-00125-w)  \nImplementation Science Communications  \nRESEARCH Open Access   \nImplementation of prostate cancer treatment decision aid in Michigan: a  \nqualitative study  \nRoshan Paudel 1*, Stephanie Ferrante2, Jessica Woodford3, Conrad Maitland4, Eric Stockall5, Thomas Maatman6, Giulia I. Lane7, Donna L. Berry8, Anne E. Sales 1, James E. Montie2 and for the Michigan Urological Surgery Improvement Collaborative (MUSIC), Ann Arbor, Michigan, USA  \nAbstract  \nBackground: The American Urological Association White Paper on Implementation of Shared Decision Making (SDM) into Urological Practice suggested SDM represents the state of the art in counseling for patients who are faced with difficult or uncertain medical decisions. The Michigan Urological Surgery Improvement Collaborative (MUSIC) implemented a decision aid, Personal Patient Profile-Prostate (P3P), in 2018 to help newly diagnosed prostate cancer patients make shared decisions with their clinicians. We conducted a qualitative study to assess statewide implementation of P3P throughout MUSIC.  \nMethods: We recruited urologists and staff from 17 MUSIC practices (8 implementation and 9 comparator practices) to understand how practices engaged patients on treatment discussions and to assess facilitators and barriers to implementing P3P. Interview guides were developed based on the Tailored Interventions for Chronic Disease (TICD) Framework. Interviews were transcribed for analysis and coded independently by two investigators in NVivo, PRO 12. Additionally, quantitative program data were integrated into thematic analyses.  \nResults: We interviewed 15 urologists and 11 staff from 16 practices. Thematic analysis of interview transcripts indicated three key themes including the following: (i) P3P is compatible as a SDM tool as over 80% of implementation urologists asked patients to complete the P3P questionnaire routinely and used P3P reports during treatment discussions; (ii) patient receptivity was demonstrated by 370 (50%) of newly diagnosed patients (n = 737) from 8 practices enrolled in P3P with 78% completion rate, which accounts for 39% of all newly diagnosed patients in these practices; and (iii) urologists’ attitudes towards SDM varied. Over a third of urologists stated they did not rely on a decision aid. Comparator practices indicated habit, inertia, or concerns about clinic flow as reasons for not adopting P3P and some were unconvinced a decision aid is needed in their practice.  \n(Continued on next page)  \n* Correspondence: [rpaudel@umich.edu](rpaudel@umich.edu)  \n1Department of Learning Health Sciences, University of Michigan, Ann Arbor, MI, USA  \nFull list of author information is available at the end of the article  \n© The Author(s) . 2021 Open Access This article is licensed under a Creative Commons Attribution 4 . 0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit [http://creativecommons.org/licenses/by/4.0/](http://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver ([http://creativecommons.org/publicdomain/zero/1.0/](http://creativecommons.org/publicdomain/zero/1.0/)) applies to the data made available in this artic","cbCaigJy3dqXXdMc","https://ap.wps.com/l/cbCaigJy3dqXXdMc","pdf",643235,1,10,"English","en",105,"# Abstract\n## Background\n## Methods\n## Results\n## Conclusion\n# Contributions to the literature\n# Background","[{\"question\":\"What decision aid was implemented for prostate cancer patients in MUSIC?\",\"answer\":\"MUSIC implemented the Personal Patient Profile–Prostate (P3P) decision aid in 2018 to support shared treatment decisions between patients and clinicians.\"},{\"question\":\"How was the study conducted to evaluate implementation across Michigan practices?\",\"answer\":\"Researchers recruited urologists and staff from 17 MUSIC practices and used interviews guided by the Tailored Interventions for Chronic Disease (TICD) Framework, with transcribed data analyzed in NVivo and supplemented by quantitative program data.\"},{\"question\":\"What were the main findings about P3P compatibility and patient uptake?\",\"answer\":\"Most implementation urologists reported routinely administering the P3P questionnaire and using P3P reports during treatment discussions. Patient receptivity was reflected by enrollment of 370 newly diagnosed patients with a 78% completion rate, while clinician attitudes toward shared decision-making varied.\"}]","Implementation of Prostate Cancer Treatment Decision Aid in Michigan - A Qualitative Study | PDF",1788050803,25,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":13,"keywords":34,"description":14,"schema_data":35,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"implementation-of-prostate-cancer-treatment-decision-aid-in-michigan-a-qualitative-study","",{"@graph":36,"@context":85},[37,54,68],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,51],{"item":41,"name":42,"@type":43,"position":20},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/document/","Document",2,{"item":49,"name":12,"@type":43,"position":50},"https://docshare.wps.com/document/healthcare/",3,{"item":52,"name":13,"@type":43,"position":53},"https://docshare.wps.com/document/implementation-of-prostate-cancer-treatment-decision-aid-in-michigan-a-qualitative-study/160138/",4,{"url":52,"name":13,"@type":55,"author":56,"headline":13,"publisher":58,"fileFormat":61,"inLanguage":23,"description":14,"dateModified":62,"datePublished":62,"encodingFormat":61,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":57},"Person",{"url":41,"name":59,"@type":60},"DocShare","Organization","application/pdf","2026-08-30",true,{"@type":65,"interactionType":66,"userInteractionCount":4},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What decision aid was implemented for prostate cancer patients in MUSIC?","Question",{"text":75,"@type":76},"MUSIC implemented the Personal Patient Profile–Prostate (P3P) decision aid in 2018 to support shared treatment decisions between patients and clinicians.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"How was the study conducted to evaluate implementation across Michigan practices?",{"text":80,"@type":76},"Researchers recruited urologists and staff from 17 MUSIC practices and used interviews guided by the Tailored Interventions for Chronic Disease (TICD) Framework, with transcribed data analyzed in NVivo and supplemented by quantitative program data.",{"name":82,"@type":73,"acceptedAnswer":83},"What were the main findings about P3P compatibility and patient uptake?",{"text":84,"@type":76},"Most implementation urologists reported routinely administering the P3P questionnaire and using P3P reports during treatment discussions. Patient receptivity was reflected by enrollment of 370 newly diagnosed patients with a 78% completion rate, while clinician attitudes toward shared decision-making varied.","https://schema.org",{"og:url":52,"og:type":87,"og:title":13,"og:site_name":59,"og:description":14},"article",{"robots":89,"canonical":52},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":92},[93,97,101,105,110,115,118,123,128,131,134],{"id":20,"doc_module":4,"doc_module_name":46,"category_name":94,"show_sort_weight":95,"slug":96},"Story & Novel",90,"story-novel",{"id":47,"doc_module":4,"doc_module_name":46,"category_name":98,"show_sort_weight":99,"slug":100},"Literature",80,"literature",{"id":53,"doc_module":4,"doc_module_name":46,"category_name":102,"show_sort_weight":103,"slug":104},"Exam",70,"exam",{"id":106,"doc_module":4,"doc_module_name":46,"category_name":107,"show_sort_weight":108,"slug":109},5,"Comic",60,"comic",{"id":111,"doc_module":4,"doc_module_name":46,"category_name":112,"show_sort_weight":113,"slug":114},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":46,"category_name":12,"show_sort_weight":116,"slug":117},40,"healthcare",{"id":119,"doc_module":4,"doc_module_name":46,"category_name":120,"show_sort_weight":121,"slug":122},8,"Research & Report",30,"research-report",{"id":124,"doc_module":4,"doc_module_name":46,"category_name":125,"show_sort_weight":126,"slug":127},9,"Religion & Spirituality",20,"religion-spirituality",{"id":126,"doc_module":4,"doc_module_name":46,"category_name":129,"show_sort_weight":126,"slug":130},"World Cup","world-cup",{"id":21,"doc_module":4,"doc_module_name":46,"category_name":132,"show_sort_weight":21,"slug":133},"Lifestyle","lifestyle",{"id":135,"doc_module":4,"doc_module_name":46,"category_name":136,"show_sort_weight":106,"slug":137},19,"General","general"]