Want to increase efficiency? Take an international, collaborative approach to vetting evidence and developing guidelines so that we don't keep reinventing the wheel in every setting. —@Tammy_Hoffmann #KTCan18
November 11, 2024 at 8:54 PM
Want to increase efficiency? Take an international, collaborative approach to vetting evidence and developing guidelines so that we don't keep reinventing the wheel in every setting. —@Tammy_Hoffmann #KTCan18
Where possible, display benefit–harm tradeoffs using patient-important events. Present it in a way that helps clinicians have those conversations with patients. —@Tammy_Hoffmann #KTCan18
November 11, 2024 at 8:48 PM
Where possible, display benefit–harm tradeoffs using patient-important events. Present it in a way that helps clinicians have those conversations with patients. —@Tammy_Hoffmann #KTCan18
How does patient and public involvement influence guideline development? Qualitative study found PPI always brings back the issue of impact, all the way to how guidelines are presented. —@Tammy_Hoffmann #KTCan18
November 11, 2024 at 8:42 PM
How does patient and public involvement influence guideline development? Qualitative study found PPI always brings back the issue of impact, all the way to how guidelines are presented. —@Tammy_Hoffmann #KTCan18
Even after an intervention is recommended, clinicians may not implement it because they feel they don't have the skills. —@Tammy_Hoffmann #KTCan18
November 11, 2024 at 8:36 PM
Even after an intervention is recommended, clinicians may not implement it because they feel they don't have the skills. —@Tammy_Hoffmann #KTCan18
I was going to reissue this tweet for my new followers from #KTCan18, but given my #OntarioVotes reactions today, I'm thinking a warning about my potty mouth is no longer necessary.
Welcome, new followers from Fuse! 👋 I should warn you that although I do tweet about health, I also tweet about a lot of other random bullshit—like Bigfoot, cake, and ceremonial ribbon-cutting scissors—and I swear like a motherfucker. (Run while you still can.)
November 11, 2024 at 8:36 PM
I was going to reissue this tweet for my new followers from #KTCan18, but given my #OntarioVotes reactions today, I'm thinking a warning about my potty mouth is no longer necessary.
What makes a useful systematic review? Again, we need to know: (a) what was the intervention and (b) what were the benefits and harms? If information is missing from a study, it will also be missing from the SR, but in the SR, the problem is magnified. #KTCan18
November 11, 2024 at 8:29 PM
What makes a useful systematic review? Again, we need to know: (a) what was the intervention and (b) what were the benefits and harms? If information is missing from a study, it will also be missing from the SR, but in the SR, the problem is magnified. #KTCan18
Harms are often framed as adverse effects, but from a patient perspective, harms should be considered more broadly: cost, time commitment, burden or travel, interruption to work and daily lifestyle. (YES!) —@Tammy_Hoffmann #KTCan18
November 11, 2024 at 8:17 PM
Harms are often framed as adverse effects, but from a patient perspective, harms should be considered more broadly: cost, time commitment, burden or travel, interruption to work and daily lifestyle. (YES!) —@Tammy_Hoffmann #KTCan18
Trials need to report benefits AND harms. Harms are traditionally undermeasured, underpowered, and underreported. —@Tammy_Hoffmann #KTCan18
November 11, 2024 at 8:11 PM
Trials need to report benefits AND harms. Harms are traditionally undermeasured, underpowered, and underreported. —@Tammy_Hoffmann #KTCan18
We assume the limits of a patient's contributions to a research team—without asking the patient or presenting a menu of options. Need to ask what's the best fit for where their passions lie. #KTCan18
November 11, 2024 at 8:11 PM
We assume the limits of a patient's contributions to a research team—without asking the patient or presenting a menu of options. Need to ask what's the best fit for where their passions lie. #KTCan18
Shared decision making is actually a component of evidence translation. Applying the evidence requires discussion with patient for optimal patient care. Need skills in evidence but also skills in patient communication. —@Tammy_Hoffmann #KTCan18
November 11, 2024 at 8:05 PM
Shared decision making is actually a component of evidence translation. Applying the evidence requires discussion with patient for optimal patient care. Need skills in evidence but also skills in patient communication. —@Tammy_Hoffmann #KTCan18
Does an intervention work? Need to help patients weigh benefits and harms. Which of several options is "better"? Depends on the patient's preferences. —@Tammy_Hoffmann #KTCan18
November 11, 2024 at 7:59 PM
Does an intervention work? Need to help patients weigh benefits and harms. Which of several options is "better"? Depends on the patient's preferences. —@Tammy_Hoffmann #KTCan18
.@BCSUPPORTUnit aims to help teams to do patient-oriented research well. It would be nice to give a recipe—"you need to do this in this circumstance"—but we can't, because it depends on your situation, your population. #KTCan18
November 11, 2024 at 7:59 PM
.@BCSUPPORTUnit aims to help teams to do patient-oriented research well. It would be nice to give a recipe—"you need to do this in this circumstance"—but we can't, because it depends on your situation, your population. #KTCan18
Compared with usual care, patient decision aids lead to 13% higher knowledge, 110% more accurate risk perception, 106% better match between values and choices & they reduce decisional conflict. #KTCan18
November 11, 2024 at 7:47 PM
Compared with usual care, patient decision aids lead to 13% higher knowledge, 110% more accurate risk perception, 106% better match between values and choices & they reduce decisional conflict. #KTCan18
Language with patient engagement is very important. @CherylKoehn asks researchers to choose their words carefully—and to make it clear to people that patient engagement is not going away. #KTCan18
November 11, 2024 at 7:41 PM
Language with patient engagement is very important. @CherylKoehn asks researchers to choose their words carefully—and to make it clear to people that patient engagement is not going away. #KTCan18
Prompted TIDieR: Template for Intervention Description and Replication, which aims to improve the completeness of reporting and the replicability of interventions. —@Tammy_Hoffmann #KTCan18
November 11, 2024 at 7:35 PM
Prompted TIDieR: Template for Intervention Description and Replication, which aims to improve the completeness of reporting and the replicability of interventions. —@Tammy_Hoffmann #KTCan18
Dawn Stacey now talking about patient engagement at the direct care level. Shared decision making:
•patients need to know there's a decision to be made
•need information exchange
•need to know patients' values and preferences
#KTCan18
•patients need to know there's a decision to be made
•need information exchange
•need to know patients' values and preferences
#KTCan18
November 11, 2024 at 7:35 PM
Dawn Stacey now talking about patient engagement at the direct care level. Shared decision making:
•patients need to know there's a decision to be made
•need information exchange
•need to know patients' values and preferences
#KTCan18
•patients need to know there's a decision to be made
•need information exchange
•need to know patients' values and preferences
#KTCan18
"Someone had to start sharing power." @CherylKoehn tips her hat to the maverick researchers who were willing to work with patients in a meaningful way. #KTCan18
November 11, 2024 at 7:35 PM
"Someone had to start sharing power." @CherylKoehn tips her hat to the maverick researchers who were willing to work with patients in a meaningful way. #KTCan18
.@Tammy_Hoffmann's team contacted the authors of those trials, then re-rated the studies after their responses, and still 41% were still not adequately described. #KTCan18
November 11, 2024 at 7:29 PM
.@Tammy_Hoffmann's team contacted the authors of those trials, then re-rated the studies after their responses, and still 41% were still not adequately described. #KTCan18