Development of Complementary Encounter and Patient Decision Aids for Shared Decision Making about Stroke Prevention in Atrial Fibrillation
نویسندگان
چکیده
Introduction Decision aids (DAs) are helpful instruments used to support shared decision making (SDM). Patients with atrial fibrillation (AF) face complex decisions regarding stroke prevention strategies. While a few DAs have been made for AF prevention, an encounter DA (EDA) and patient (PDA) not created be in conjunction each other before. Design Using iterative user-centered design, we developed 2 anticoagulation choice AF. Prototypes were created, elicited feedback from patients experts via observations of encounters, usability testing, semistructured interviews. Results User testing was done 33 (in SDM) 51 6 institutions. The EDA PDA underwent 1 4 major iterations, respectively. Major differences between the included pathophysiology preparation meet clinician as well different language throughout. Content areas personalized risk, anticoagulants, risks bleeding. Based on user feedback, developers 1) addressed feelings isolation AF, 2) improved navigation options, 3) modified content flow users new those experienced 4) updated risk pictographs, 5) added structure PDA. Limitations These focus only online, which may limit participation less comfortable technology. Conclusions Designing complementary use tandem or separately is method SDM clinicians. Extensive essential creating high-quality tools that best needs using them. Highlights First-time designed work together separately. led greater experiences naïve anticoagulants aids. Online allow easier dissemination, telehealth visits, updating evidence comes out.
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Shared decision making for stroke prevention in atrial fibrillation: study protocol for a randomized controlled trial
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ژورنال
عنوان ژورنال: MDM policy & practice
سال: 2023
ISSN: ['2381-4683']
DOI: https://doi.org/10.1177/23814683231178033