Annette M. O'Connor
Full Professor, School of Nursing, Faculty of Health Sciences
and Department of Epidemiology & Community Medicine
B.Sc.N. School of Nursing (Nursing), 1972 (University of Ottawa); M.Sc.N. Faculty of Nursing (Medical-Surgical), 1979 (University of Toronto); Ph.D. Faculty of Medicine (Decision Making), 1986 (University of Toronto).
Dr. O’Connor is a world leader in patient decision aids for options with benefit/harm profiles that patient value differently. Her contributions include: a conceptual framework for managing decisional conflict; over 30 patient decision aids; a widely used evaluation measure of decisional conflict; the first systematic review of trials of patient decision aids, and several knowledge translation interventions for implementing patient decision support.
Internationally, Dr. O’Connor has projects in the U.S, U.K, and Chile. She leads the International Cochrane Collaboration team that summarizes trials of patient decision aids (55) and maintains a global inventory of evaluated patient decisions aids (over 500). Dr. O’Connor co-leads a 14 country international consensus process on standards for developing and evaluating patient decision aids (IPDAS).
Dr. O’Connor is a Fellow of the Canadian Academy of Health Sciences (2005) and has been recognized with awards such as the Society for Medical Decision Making’s John M. Eisenberg Award for Exemplary Leadership in the Practical Application of Medical Decision Making Research (2004), the University of Ottawa’s Excellence in Research Award (2005), and Ottawa Life Sciences Council’s Health Innovation Award (2006).
Development and evaluation of decision aids
Development and testing of decision support / evaluation methods
Educating health practitioners / clinicians and consumers in shared decision-making
Decision conflict models
O’Connor, A. Validation of a decisional conflict scale. Medical Decision Making.15(1):25-30, 1995. Scale which has become a strandard for evaluation.
O'Connor, A., & O'Brien-Pallas, L.L. "Decisional Conflict", in G.K. McFarland and E.A. McFarlane (eds), Nursing Diagnosis and Intervention (Toronto: The C.V. Mosby Company, 1989) pp. 573-588. Conceptual framework of decision support as a clinical skill.
O’Connor A, Tugwell P, Wells G, Elmslie T, Jolly E, Hollingworth G, McPherson R, Bunn H, Graham I, Drake E. A decision aid for women considering hormone therapy after menopause: Decision support framework and evaluation. Patient Education and Counselling. 33(3):267-279, March 1998. Widely used conceptual framework for managing patients’ decisional conflict.
O’Connor A, Tugwell P, Wells G, Elmslie T, Jolly E, Hollingworth G, McPherson R, Drake E, Hopman W, MacKenzie T. Randomized trial of a portable, self-administered decision aid for post-menopausal women considering long-term preventive hormone therapy. Medical Decision Making. 18(3):295-303, 1998. Randomized trial of patient decision aids using Ottawa approach.
Man-Son-Hing M, Laupacis A, O’Connor A, Biggs J, Drake E, Yetisir E, Hart R & SPAF Investigators. A Patient Decision Aid Regarding Antithrombotic Therapy for Stroke Prevention in Atrial Fibrillation. A Randomized Controlled Trial. JAMA 282(8):737-743, 1999. Randomized trial of patient decision aids using Ottawa approach.
O’Connor AM, Fiset V, DeGrasse C, Graham I, Evans W, Stacey D, Laupacis A, Tugwell P. Decision aids for patients considering options affecting cancer outcomes: Evidence of efficacy and policy implications. Journal of the National Cancer Institute Monographs 25:67-80, 1999. Methods in developing and evaluating patient decision aids.
O’Connor, A., Llewellyn-Thomas, H., Sawka, C., Pinfold, S., To, T., Harrison, D. Physicians’ opinions about decision aids for patients considering systemic adjuvant therapy for axillary-node negative breast cancer. Patient Education and Counseling. 30:143-153, 1997. First large scale survey of physician’s attitudes toward decision aids.
O’Connor A, Rostom A, Fiset V, Tetroe J, Entwistle V, Llewellyn-Thomas H, Holmes-Rovner M, Barry M, Jones J. Decision aids for patients facing health treatment or screening decisions: A Cochrane systematic review. British Medical Journal 319(7212):731-734, 1999. First systematic review of patient decision aids.
O’Connor AM, Drake ER, Wells GA, Tugwell P, Laupacis A, Elmslie T. A survey of the decision-making needs of Canadians faced with complex health decisions. Health Expectations, 6(2):97-109, 2003. First national survey of a population’s decision needs for complex health care decisions.
Stacey D, O’Connor A, Graham I, Pomey MP. Randomized controlled trial of the effectiveness of an intervention to implement evidence-based patient decision support in a nursing call centre. Journal of Telemedicine and Telecare 2006; 12:410-415. First trial evaluating the process of decision support for values-sensitive decisions provided by call center nurses.
Elwyn G, O'Connor A, Stacey D, Volk R, Edwards A, Coulter A, Thomson R, Barratt A, Barry M, Bernstein S, Butow P, Clarke A, Entwistle V, Feldman-Stewart D, Holmes-Rovner M, Llewellyn-Thomas H, Moumjid N, Mulley A, Ruland C, Sepucha K, Sykes A, Whelan T, The International Patient Decision Aids Standards (IPDAS) Collaboration. Developing a quality criteria framework for patient decision aids: online international Delphi consensus process. British Medical Journal. 2006 Aug 26;333(7565):417. First international standards for developing/evaluating patient decision aids.O’Connor A, Wennberg J, Légaré F, Llewellyn-Thomas H, Moulton B, Sepucha K, Sodano A, Staples King J. Towards the Tipping Point: Accelerating the diffusion of decision aids that help patients to weigh benefits versus risks. Health Affairs 2007; 26(3). Policy paper on implementing patient decision aids.
Links to Affiliates and Partners
Ottawa Health Decision Centre