PIPages
Labs

Laura Cabrera Trujillo

Pennsylvania State University, PA·Medicine & Clinical Research

Advanced neurotechnologies, such as devices that stimulate the brain, are increasingly being offered earlier in a disease rather than only as a last resort. Early use may bring benefits, but it also raises hard ethical questions.

Fields

Medicine & Clinical Research

Social Science

Neuroscience

Topics

neuroethics

shared decision making

patient decision aid

Grants
1 known grant, through Apr 2028

What they work on

  1. Identify neuroethical concerns and decision-making needs about early versus late use of advanced neurotechnology, using interviews and validated instruments with patients, caregivers and clinicians.
  2. Develop a patient-centered decision aid for advanced neurotechnology, guided by the interview findings and the International Patient Decision Aids Standards (IPDAS) guidelines.
  3. Evaluate whether patients and clinicians find the decision aid understandable and acceptable.
  4. Test, in a small-scale study, whether the decision aid is feasible and how it affects treatment choices and timing, knowledge, decisional conflict, satisfaction or regret, and patients' sense of involvement in care.

More about the research

Patients must weigh risks and uncertain benefits, sometimes while still fairly well. Clinicians must decide when it makes sense to raise these options. Little research has looked at what patients, caregivers and clinicians worry about or need in order to decide well. Few tools exist to support them.

Why it matters

Patients considering brain-stimulation and other advanced neurotechnologies face complex risk–benefit choices, especially early in their disease. A tested decision aid could help patients, caregivers and clinicians make better-informed, shared choices about whether and when to use these treatments. It could also help guide the responsible, ethical use of new neurotechnologies.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Improving Shared Decision Making in Early use of Neurotechnologies Across Different Disease Stages

NIH · Aug 2024 – Apr 2028

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The school

Pennsylvania State University: 60 labs on PI Pages, $1.3B a year on research, 743 research doctorates a year.

More about Pennsylvania State University

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