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.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Shared decision making for stroke prevention in atrial fibrillation: study protocol for a randomized controlled trial

BACKGROUND Nonvalvular atrial fibrillation (AF) is a common ongoing health problem that places patients at risk of stroke. Whether and how a patient addresses this risk depends on each patient's goals, context, and values. Consequently, leading cardiovascular societies recommend using shared decision making (SDM) to individualize antithrombotic treatment in patients with AF. The aim of this stu...

متن کامل

Shared decision making and patient decision aids in dermatology.

Shared decision making combines individual patient interests and values with clinical best evidence under the guiding principle of patient autonomy. Patient decision aids can support shared decision making and facilitate decisions that have multiple options with varying outcomes for which patients may attribute different values. Given the variable psychosocial impact of skin disease on individu...

متن کامل

Assessing Practitioners’ and Patients’ Needs Regarding Shared Decision-Making and Decision Aids

       Background: As part of the process of developing a decision aid for carpal tunnel syndrome (CTS) according to the Ottawa Decision Support Framework, we were interested in the level of ‘decisional conflict’ of hand surgeons and patients with CTS. This study addresses the null hypothesis that there is no difference between surgeon and patient decisional conflict with respect to test and tr...

متن کامل

Shared decision-making and patient decision AIDS: is it time?

The quality and cost of medical care is determined in large part by the decisions that clinicians and patients make every day about seeking care, having tests, starting treatments, and stopping treatments. There are situations in medicine in which a treatment or approach has considerable evidence of significant benefit with minimal or no harm. High-quality decisions in these situations are abou...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: MDM policy & practice

سال: 2023

ISSN: ['2381-4683']

DOI: https://doi.org/10.1177/23814683231178033