{"id":"https://openalex.org/W7221663444","doi":"https://doi.org/10.64898/2026.10.12.26365343","title":"Patient Needs and Requirements for a Decision Aid Navigator System (DEAN) Patient Portal: A Qualitative Study","display_name":"Patient Needs and Requirements for a Decision Aid Navigator System (DEAN) Patient Portal: A Qualitative Study","publication_year":2026,"publication_date":"2026-10-13","ids":{"openalex":"https://openalex.org/W7221663444","doi":"https://doi.org/10.64898/2026.10.12.26365343"},"language":null,"primary_location":{"id":"doi:10.64898/2026.10.12.26365343","doi":"https://doi.org/10.64898/2026.10.12.26365343","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.10.12.26365343","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/13/2026.10.12.26365343.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/13/2026.10.12.26365343.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5016676517","display_name":"Brad Morse","orcid":"https://orcid.org/0000-0002-1080-3961","observed_orcids":["https://orcid.org/0000-0002-1080-3961"]},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]},{"id":"https://openalex.org/I921990950","display_name":"University of Colorado Denver","ror":"https://ror.org/02hh7en24","country_code":"US","type":"education","lineage":["https://openalex.org/I921990950"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Brad Morse","raw_affiliation_strings":["Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, CO, USA","Division of General Internal Medicine, University of Colorado Anschutz, Aurora, CO, USA"],"raw_orcid":"https://orcid.org/0000-0002-1080-3961","affiliations":[{"raw_affiliation_string":"Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, CO, USA","institution_ids":["https://openalex.org/I51713134","https://openalex.org/I921990950"]},{"raw_affiliation_string":"Division of General Internal Medicine, University of Colorado Anschutz, Aurora, CO, USA","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015863518","display_name":"Carrie Reale","orcid":"https://orcid.org/0000-0002-9011-2692","observed_orcids":["https://orcid.org/0000-0002-9011-2692"]},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]},{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Carrie Reale","raw_affiliation_strings":["Center for Research and Innovation in Systems Science, Vanderbilt University Medical Center, Nashville. TN, USA","Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA"],"raw_orcid":"https://orcid.org/0000-0002-9011-2692","affiliations":[{"raw_affiliation_string":"Center for Research and Innovation in Systems Science, Vanderbilt University Medical Center, Nashville. TN, USA","institution_ids":["https://openalex.org/I901861585"]},{"raw_affiliation_string":"Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA","institution_ids":["https://openalex.org/I200719446","https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158658763","display_name":"An Nuguyen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1282927834","display_name":"Cedars-Sinai Medical Center","ror":"https://ror.org/02pammg90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1282927834"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"An T. Nguyen","raw_affiliation_strings":["Department of Medical Affairs and Department of Physical Medicineand Rehabilitation, Cedars-Sinai Medical Center, Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Affairs and Department of Physical Medicineand Rehabilitation, Cedars-Sinai Medical Center, Los Angeles, CA, USA","institution_ids":["https://openalex.org/I1282927834"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115044651","display_name":"Erin Latella","orcid":"https://orcid.org/0009-0001-3221-4770","observed_orcids":["https://orcid.org/0009-0001-3221-4770"]},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erin Latella","raw_affiliation_strings":["Division of General Internal Medicine, University of Colorado Anschutz, Aurora, CO, USA"],"raw_orcid":"https://orcid.org/0009-0001-3221-4770","affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine, University of Colorado Anschutz, Aurora, CO, USA","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158652605","display_name":"Hannah Bauguess","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hannah Bauguess","raw_affiliation_strings":["Division of General Internal Medicine, University of Colorado Anschutz, Aurora, CO, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine, University of Colorado Anschutz, Aurora, CO, USA","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038307764","display_name":"Pamela R. Roberts","orcid":"https://orcid.org/0000-0002-1675-3782","observed_orcids":["https://orcid.org/0000-0002-1675-3782"]},"institutions":[{"id":"https://openalex.org/I1282927834","display_name":"Cedars-Sinai Medical Center","ror":"https://ror.org/02pammg90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1282927834"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Pamela Roberts","raw_affiliation_strings":["Department of Medical Affairs and Department of Physical Medicineand Rehabilitation, Cedars-Sinai Medical Center, Los Angeles, CA, USA"],"raw_orcid":"https://orcid.org/0000-0002-1675-3782","affiliations":[{"raw_affiliation_string":"Department of Medical Affairs and Department of Physical Medicineand Rehabilitation, Cedars-Sinai Medical Center, Los Angeles, CA, USA","institution_ids":["https://openalex.org/I1282927834"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158620066","display_name":"Spence SooHoo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1282927834","display_name":"Cedars-Sinai Medical Center","ror":"https://ror.org/02pammg90","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1282927834"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Spencer L SooHoo","raw_affiliation_strings":["Department of Computational Biomedicine, Division of Informatics, Cedars-Sinai Medical Center, Los Angeles, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Computational Biomedicine, Division of Informatics, Cedars-Sinai Medical Center, Los Angeles, CA, USA","institution_ids":["https://openalex.org/I1282927834"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056693253","display_name":"Robert E. El-Kareh","orcid":"https://orcid.org/0000-0003-3158-5681","observed_orcids":["https://orcid.org/0000-0003-3158-5681"]},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert El-Kareh","raw_affiliation_strings":["Division of Biomedical Informatics, University of California, San Diego, La Jolla, CA, USA"],"raw_orcid":"https://orcid.org/0000-0003-3158-5681","affiliations":[{"raw_affiliation_string":"Division of Biomedical Informatics, University of California, San Diego, La Jolla, CA, USA","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092595922","display_name":"Janelle Faiman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]},{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Janelle Faiman","raw_affiliation_strings":["Center for Research and Innovation in Systems Science, Vanderbilt University Medical Center, Nashville. TN, USA","Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Research and Innovation in Systems Science, Vanderbilt University Medical Center, Nashville. TN, USA","institution_ids":["https://openalex.org/I901861585"]},{"raw_affiliation_string":"Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA","institution_ids":["https://openalex.org/I200719446","https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049555436","display_name":"Andrey Soares","orcid":"https://orcid.org/0000-0003-4319-9411","observed_orcids":["https://orcid.org/0000-0003-4319-9411"]},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]},{"id":"https://openalex.org/I921990950","display_name":"University of Colorado Denver","ror":"https://ror.org/02hh7en24","country_code":"US","type":"education","lineage":["https://openalex.org/I921990950"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrey Soares","raw_affiliation_strings":["Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, CO, USA","Division of General Internal Medicine, University of Colorado Anschutz, Aurora, CO, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, CO, USA","institution_ids":["https://openalex.org/I51713134","https://openalex.org/I921990950"]},{"raw_affiliation_string":"Division of General Internal Medicine, University of Colorado Anschutz, Aurora, CO, USA","institution_ids":["https://openalex.org/I51713134"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5033615276","display_name":"Lisa M. Schilling","orcid":"https://orcid.org/0000-0002-6878-189X","observed_orcids":["https://orcid.org/0000-0002-6878-189X"]},"institutions":[{"id":"https://openalex.org/I51713134","display_name":"University of Colorado Anschutz","ror":"https://ror.org/03wmf1y16","country_code":"US","type":"education","lineage":["https://openalex.org/I51713134"]},{"id":"https://openalex.org/I921990950","display_name":"University of Colorado Denver","ror":"https://ror.org/02hh7en24","country_code":"US","type":"education","lineage":["https://openalex.org/I921990950"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lisa M. Schilling","raw_affiliation_strings":["Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, CO, USA","Division of General Internal Medicine, University of Colorado Anschutz, Aurora, CO, USA"],"raw_orcid":"https://orcid.org/0000-0002-6878-189X","affiliations":[{"raw_affiliation_string":"Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, CO, USA","institution_ids":["https://openalex.org/I51713134","https://openalex.org/I921990950"]},{"raw_affiliation_string":"Division of General Internal Medicine, University of Colorado Anschutz, Aurora, CO, USA","institution_ids":["https://openalex.org/I51713134"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5016676517"],"corresponding_institution_ids":["https://openalex.org/I51713134","https://openalex.org/I921990950"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.8978999853134155,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.8978999853134155,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.0786999985575676,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.009200000204145908,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/patient-decision-aids","display_name":"patient decision aids","score":0.9959999918937683},{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":0.9950000047683716},{"id":"https://openalex.org/keywords/patient-portals","display_name":"patient portals","score":0.9129999876022339},{"id":"https://openalex.org/keywords/technology-accessibility","display_name":"technology accessibility","score":0.890999972820282},{"id":"https://openalex.org/keywords/patient-centered-care","display_name":"patient-centered care","score":0.7059999704360962},{"id":"https://openalex.org/keywords/electronic-health-record-integration","display_name":"electronic health record integration","score":0.6129999756813049}],"concepts":[{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.7639999985694885},{"id":"https://openalex.org/C2780033181","wikidata":"https://www.wikidata.org/wiki/Q24962805","display_name":"Decision aids","level":3,"score":0.7469000220298767},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.739300012588501},{"id":"https://openalex.org/C194995250","wikidata":"https://www.wikidata.org/wiki/Q531136","display_name":"Affordance","level":2,"score":0.5171999931335449},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4740000069141388},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.46399998664855957},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.44510000944137573},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.4099000096321106},{"id":"https://openalex.org/C2776511598","wikidata":"https://www.wikidata.org/wiki/Q7144993","display_name":"Patient participation","level":3,"score":0.38769999146461487},{"id":"https://openalex.org/C3018587665","wikidata":"https://www.wikidata.org/wiki/Q7268696","display_name":"Qualitative analysis","level":3,"score":0.38280001282691956},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.3783000111579895},{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.37529999017715454},{"id":"https://openalex.org/C2909500400","wikidata":"https://www.wikidata.org/wiki/Q7144993","display_name":"Patient Empowerment","level":3,"score":0.32350000739097595},{"id":"https://openalex.org/C192209626","wikidata":"https://www.wikidata.org/wiki/Q190909","display_name":"Focus (optics)","level":2,"score":0.31940001249313354},{"id":"https://openalex.org/C2777896191","wikidata":"https://www.wikidata.org/wiki/Q22907655","display_name":"Patient experience","level":3,"score":0.31690001487731934},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.3147999942302704},{"id":"https://openalex.org/C2775961244","wikidata":"https://www.wikidata.org/wiki/Q905758","display_name":"Doctor\u2013patient relationship","level":2,"score":0.31119999289512634},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3084000051021576},{"id":"https://openalex.org/C2776291640","wikidata":"https://www.wikidata.org/wiki/Q2912517","display_name":"Value (mathematics)","level":2,"score":0.3057999908924103},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.30410000681877136},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.3028999865055084},{"id":"https://openalex.org/C202645933","wikidata":"https://www.wikidata.org/wiki/Q4930","display_name":"eHealth","level":3,"score":0.2964000105857849},{"id":"https://openalex.org/C2776153502","wikidata":"https://www.wikidata.org/wiki/Q7144994","display_name":"Patient portal","level":3,"score":0.2858000099658966},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.27399998903274536},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.2727999985218048},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.27000001072883606},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.26269999146461487},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2621000111103058},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.2529999911785126},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2529999911785126},{"id":"https://openalex.org/C2780860654","wikidata":"https://www.wikidata.org/wiki/Q7144993","display_name":"Patient-centered care","level":3,"score":0.25029999017715454}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.10.12.26365343","doi":"https://doi.org/10.64898/2026.10.12.26365343","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.10.12.26365343","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/13/2026.10.12.26365343.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.10.12.26365343","doi":"https://doi.org/10.64898/2026.10.12.26365343","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.10.12.26365343","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/10/13/2026.10.12.26365343.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320332177","display_name":"Agency for Healthcare Research and Quality","ror":"https://ror.org/03jmfdf59"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7221663444.pdf","grobid_xml":"https://content.openalex.org/works/W7221663444.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"ABSTRACT":[0],"Background":[1],"Patient":[2,301],"Decision":[3,95],"aids":[4],"(PtDAs)":[5],"are":[6],"important":[7],"tools":[8],"that":[9,255,278],"support":[10,256,332],"shared":[11,349],"decision-":[12],"making":[13,199],"(SDM)":[14],"between":[15],"clinicians":[16,263,304],"and":[17,25,43,47,74,78,84,127,170,175,178,218,238,246,252,264,287,298,329,342],"patients,":[18],"enabling":[19],"patients":[20,60,81,132],"to":[21,82,122,172,192,201,305,331,347],"be":[22,306],"more":[23,325],"informed":[24],"engaged":[26],"in":[27,49,161,229,335],"decisions":[28],"regarding":[29],"their":[30,162],"care.":[31],"The":[32,164],"use":[33,86,334],"of":[34,80,130,180,324],"PtDAs":[35,73,160,217,254,286],"can":[36,64,320],"increase":[37],"patient":[38,48,70,184,268,290],"knowledge,":[39],"reduce":[40],"decisional":[41],"regret,":[42],"engage":[44],"the":[45,62,75,194,312,322],"clinician":[46],"meaningful":[50],"dialogue.":[51],"Shared":[52],"decision-making":[53],"relies":[54],"on":[55,167],"decision":[56,144],"aids,":[57],"but":[58,150,226],"how":[59,131],"receive":[61],"PtDA":[63,125,236,244,280,313,333],"vary.":[65],"This":[66,271],"qualitative":[67],"study":[68,272],"elucidated":[69],"familiarity":[71,215],"with":[72,107,216,222,308],"barriers,":[76],"needs,":[77],"requirements":[79,179],"access":[83],"confidently":[85],"DAs,":[87],"including":[88,338],"when":[89,260,311],"received":[90],"via":[91,266],"a":[92,124,142,148,154,181,197,267,315],"clinician-facing":[93],"EHR-integrated":[94],"Aid":[96],"Navigator":[97],"System":[98],"(DEANS).":[99],"Methods":[100],"We":[101,186,206],"conducted":[102],"six":[103],"focus":[104],"groups":[105,118],"(FG)":[106],"participants":[108],"who":[109,138,151],"were":[110],"recruited":[111],"from":[112],"two":[113],"academic":[114],"medical":[115,143],"centers.":[116],"Focus":[117],"included":[119],"an":[120,128],"introduction":[121],"what":[123],"is":[126],"exploration":[129],"or":[133],"family":[134,155],"members,":[135],"i.e.,":[136],"people":[137],"had":[139,157,213],"not":[140],"made":[141],"for":[145],"themselves":[146],"using":[147,173,196],"PtDA,":[149],"have":[152],"helped":[153],"member,":[156],"previously":[158],"used":[159],"healthcare.":[163],"FGs":[165],"focused":[166],"PtDA-users,":[168],"affordances":[169],"barriers":[171,241],"PtDAs,":[174,309],"PtDA-user":[176],"needs":[177],"proposed":[182],"DEAN":[183],"portal.":[185,269],"applied":[187],"Rapid":[188],"Qualitative":[189],"Analysis":[190],"(RQA)":[191],"summarize":[193],"data,":[195],"consensus":[198],"approach":[200],"identify":[202],"emerging":[203],"themes.":[204],"Results":[205],"identified":[207],"three":[208],"overarching":[209],"themes:":[210],"1)":[211],"Patients":[212,232,248],"varied":[214],"often":[219],"confused":[220],"them":[221],"general":[223],"health":[224],"tools,":[225],"found":[227],"value":[228],"SDM,":[230],"2)":[231],"perceived":[233],"technology":[234],"accessibility,":[235,294,341],"credibility,":[237],"time":[239],"as":[240,293],"potentially":[242],"impeding":[243],"use,":[245],"3)":[247],"valued":[249],"flexible,":[250],"user-friendly,":[251],"accessible":[253],"patient-led":[257],"decisions,":[258],"particularly":[259],"introduced":[261],"by":[262],"delivered":[265],"Conclusion":[270],"provides":[273],"patient-derived":[274],"insights":[275],"into":[276,344],"factors":[277],"influence":[279],"uptake,":[281],"highlighting":[282],"common":[283],"misconceptions":[284],"about":[285],"identifying":[288],"key":[289],"priorities":[291],"such":[292],"flexibility,":[295],"clear":[296],"content,":[297],"clinician-guided":[299],"usage.":[300],"also":[302],"expected":[303],"familiar":[307],"especially":[310],"covers":[314],"complex":[316],"decision.":[317],"These":[318],"findings":[319],"inform":[321],"development":[323],"patient-centered":[326],"SDM":[327],"infrastructure":[328],"strategies":[330],"clinical":[336],"practice,":[337],"clinician-supported":[339],"delivery,":[340],"integration":[343],"routine":[345],"care":[346],"strengthen":[348],"decision-making.":[350]},"counts_by_year":[],"updated_date":"2026-10-17T09:40:24.721904","created_date":"2026-10-14T00:00:00"}