Domain | DMCDA | SCDA |
---|---|---|
Knowledge Barriers | -“I don’t have experience using all the meds listed on the decision aid” | -“Don’t know enough about it” |
-“I prefer to send my patients to Endocrinology to discuss treatment options” | -“Often forget it exists” | |
Attitude Barriers | -“For most of my patients there is an appropriate next step and giving them choices for medications that I would not prescribe doesn’t make sense” | -“Decision aid seems to underestimate benefit” |
-“First choice should be metformin” | -“Patients never choose to use a statin with this decision aid” | |
-“A patient may choose a newer pricey medication with the attractive profile with the attitude of ‘Well, I’m not paying for it’” | ||
External Barrier | -“Computer in rooms often do not pull up the decision aid fast enough” | -“Most patients are already on statins” |
-“Decision aid is slow to load. Laminated cards would be helpful” | ||
-“Sometimes discussing options over the phone after test results and hard to use the decision aid remotely” | ||
-“I have a very small number of patients on medications for diabetes” | ||
-“Most of my patients are already on insulin and/or oral agents” | ||
-“Navigating the tool seems a bit clunky” |