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

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Abstrakt

When high-grade gliomas recur, patients, their families, and clinicians face difficult medical decisions. There is no curable treatment, and the treatment options all come with a risk of com-plications and adverse effects. The patients are often cognitively affected, and they need tailored decision support. The objective of this study was to develop a patient decision aid (PtDA) targeted at patients with recurrent high-grade gliomas. Based on existing knowledge and the International Patient Decision Aids Standards, the PtDA was developed through an iterative process. The PtDA was alpha-tested by potential users to assess its acceptability and usability. The development team comprised three clinicians, two patients, two family members, and a researcher. The fifth version of the PtDA was submitted to the alpha test. Eleven patients, nine family members, and eleven clinicians assessed the PtDA and found it acceptable. Three changes were made during the alpha test. Most participants perceived the PtDA to prepare patients for decision making and improve consultations. The involvement of potential users was emphasized during the development and alpha test process. The PtDA was assessed as useful and acceptable by patients, family members, and clinicians in the decision-making situation of recurrent high-grade glioma.

OriginalsprogEngelsk
Artikelnummer7396
TidsskriftInternational Journal of Environmental Research and Public Health
Vol/bind19
Udgave nummer12
Antal sider17
ISSN1661-7827
DOI
StatusUdgivet - 1. jun. 2022

Bibliografisk note

Funding Information:
Funding: This research was funded by Odense University Hospital (A3280); the Region of Southern Denmark (18/51841); the Novo Nordisk Foundation (NNF18OC0053140); and the Danish Cancer Society (R211-A12890).

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