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Title: A new method supporting decision-making in case of unclear scientific evidence: Test implementation and simulation
Authors : Loytved, Christine
Erdin Springer, Rebekka
Published in : GMS journal of midwifery science
Volume(Issue) : 2018
Issue : 5
Publisher / Ed. Institution : Deutsche Gesellschaft für Hebammenwissenschaft
Issue Date: 2018
License (according to publishing contract) : CC BY 4.0: Attribution 4.0 International
Language : English
Subjects : Algorithm; Intervention; Midwifery research
Subject (DDC) : 610: Medicine and health
Abstract: Background: Many health workers are aware of the results of reviews like those of the Cochrane Collaboration. Some results of these reviews show, at that stage of the research, no advantage for one of two promising interventions. In these cases, Beck-Bornholdt and Dubben propose a modified, never-change-a-winning-team algorithm. Similar algorithms are used in cases of study group assignments or adjustments to the design of a study in progress. Research question: Is the method proposed by Beck-Bornholdt and Dubben in 2003 helpful for the daily work of midwives when they have to choose between two interventions with similar evidence of success? Methodology: The application of the algorithm is being simulated for possible use by health workers. This includes all existing experiences made with both interventions to decide on the intervention for the next person to be treated. Results: Simulations were carried out for various scenarios with different likelihood for success with regard to both interventions. It can be demonstrated that the average success rate in all scenarios is already improved starting with the second person treated, in comparison to the average success rate for both interventions. Conclusions: The results can serve as a basis for discussion for the applicability of the suggested method. If the evidence is unclear, the algorithm can support the decision of health workers for one of two possible treatments, with positive effect. The special conditions of the setting in question (clientele, treatment realization) are hereby taken into account in each case.
Departement: Health Professions
Organisational Unit: Institute of Midwifery (IHB)
Publication type: Contribution to Magazine or Newspaper
DOI : 10.21256/zhaw-4958
ISSN: 2366-5076
Appears in Collections:Publikationen Gesundheit

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