‘What happens if I do nothing?’ A Systematic Review of the Inclusion and Quantitative Description of a ‘No Active Intervention’ Option in Patient Decision Aids

Development of a Patient Decision Aid to Support Shared Decision Making for Patients with Recurrent High-Grade Glioma

“…One of the option cards in the PtDA presents the option of “No active tumor treatment.” In contrast to the other option cards designed to be used at either the oncology or the neurosurgical outpatient clinic, the “No active tumor treatment” card is designed to be used at both sites. An emphasis on no treatment as a valid option in every treatment discussion is essential in PtDAs and SDM in general [ 45 , 46 ]. Previous research suggests that patients with HGG tend to overestimate the benefits of potential treatments while underestimating their disadvantages, which increases the risk of patients making decisions based on false perceptions [ 41 ].…”

“…Moreover, advanced cancer patients experience situations where the clinician does not explicitly present the pros and cons of ending active tumor treatment but merely informs these patients about the pros and cons of continuing treatment [ 46 ]. This could cause patients to base their decisions on insufficient information and underscore the importance of the clinician delivering honest and realistic information regarding prognostics, benefits, and advantages related to specific options, including the foregoing of active tumor treatment [ 45 , 47 ].…”

001 Exploring individuals’ perceptions and acceptability of a ‘wait and see’ approach for managing self-limiting illnesses: a qualitative study

“…"I have carpal tunnel, and usually when I wait and see and just rest my hand with the wristband or something, it became better and no need for cortisone injection" P07 (female, 18-34) Some participants explained, "Sometimes I prefer to go with the wait and see instead of go to the side effects of this treatment." P07 (female, [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34].…”

“…P07 (female, 18-34) "If it goes longer than it should be, that means there's something else that's going on, and then I would take another action for it." P01 (male, [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] Other factors that contributed to hesitancy about waiting were if children were involved, individuals had already waited for improvement, or they had responsibilities and perceived treatment would make them better quicker.…”

Exploring general practitioners’ perception of the value of natural history information and their awareness and use of guidelines’ resources to support antibiotic prescribing for self-limiting infections: a qualitative study in Australian general practice

“…Although Therapeutic Guidelines provide natural history information for some of the conditions that it covers, it is one of the few guidelines that contains such information, according to a recent systematic review (Boaitey et al 2022). Similarly, many patient decision aids, which address problems and decision-making for which a 'no active intervention' option is appropriate, do not contain natural history information (Hoffmann et al 2021). Our findings provide the impetus for developers of guidelines and patient decision aids to provide specific and accessible natural history information, especially for self-resolving conditions.…”