DEVELOPMENT OF A PATIENT DECISION AID TEMPLATE FOR USE IN DIFFERENT CLINICAL SETTINGS

Karina Olling, Troels Bechmann, Poul Henning Madsen, Erik Hugger Jakobsen, Ole Hilberg, Angela Coulter, Karina Dahl Steffensen

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Abstract

Introduction
Shared decision making (SDM) is a key element on the agenda of today’s health care system. Despite considerable interest from policy-makers, health care professionals and patients, SDM is not yet routine practice in clinical encounters. Health care professionals report barriers to SDM such as lack of skills and lack of decision support. Patient decision aids (PtDAs) have been shown to be an effective and reliable support in the dialogue between patient and health care professional. The aim of this study was to develop and test a patient decision aid template that could be adapted to different clinical encounters.

Methods
A systematic development process guided by the International Patient Decision Aid Standards (IPDAS) model was adopted and collaboration with a design school was established. Scope and purpose of prototypes were defined, steering groups were established and a PtDA template was designed. Alpha testing was conducted by structured interviews with patients and health care professionals.

Results
In the alpha test, 39 patients and 24 health care professionals participated. Patients and health care professionals rated the PtDA highly for usability and acceptability and the PtDAs were found suitable for preparing patients to make preference-sensitive decisions.
Qualitative findings were used to refine the PtDA.

Conclusion
Using a systematic process and high user involvement we developed a PtDA template and two prototypes that meet the IPDAS criteria. Testing of the PtDA prototypes, showed that the template can be adapted to other clinical settings without affecting the quality of the PtDA.
Next step is to field test these prototypes with larger groups of patients and professionals, and to test additional prototypes based on the PtDA template in different clinical settings.
The PtDA template will be made available in a web-based “build-your-own-PtDA” software platform, making development of PtDAs more accessible for all health care professionals.
Original languageEnglish
Publication date30. Aug 2018
Publication statusPublished - 30. Aug 2018
EventDanske Kræftforskningsdage: Danske Kræftforskningsdage - Odeon, Odense, Denmark
Duration: 30. Aug 201831. Aug 2018
http://www.conferencemanager.dk/DanskeKraeftforskningsdage/arrangementet.html

Conference

ConferenceDanske Kræftforskningsdage
LocationOdeon
Country/TerritoryDenmark
CityOdense
Period30/08/201831/08/2018
Internet address

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