BMC Med Inform Decis Mak - Refining a brief decision aid in stable CAD: cognitive interviews.

Tópicos

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Resumo

CKGROUND: We describe the results of cognitive interviews to refine the "Making Choices?" Decision Aid (DA) for shared decision-making (SDM) about stress testing in patients with stable coronary artery disease (CAD).METHODS: We conducted a systematic development process to design a DA consistent with International Patient Decision Aid Standards (IPDAS) focused on Alpha testing criteria. Cognitive interviews were conducted with ten stable CAD patients using the "think aloud" interview technique to assess the clarity, usefulness, and design of each page of the DA.RESULTS: Participants identified three main messages: 1) patients have multiple options based on stress tests and they should be discussed with a physician, 2) take care of yourself, 3) the stress test is the gold standard for determining the severity of your heart disease. Revisions corrected the inaccurate assumption of item number three.CONCLUSIONS: Cognitive interviews proved critical for engaging patients in the development process and highlighted the necessity of clear message development and use of design principles that make decision materials easy to read and easy to use. Cognitive interviews appear to contribute critical information from the patient perspective to the overall systematic development process for designing decision aids.

Resumo Limpo

ckground describ result cognit interview refin make choic decis aid da share decisionmak sdm stress test patient stabl coronari arteri diseas cadmethod conduct systemat develop process design da consist intern patient decis aid standard ipda focus alpha test criteria cognit interview conduct ten stabl cad patient use think aloud interview techniqu assess clariti use design page daresult particip identifi three main messag patient multipl option base stress test discuss physician take care stress test gold standard determin sever heart diseas revis correct inaccur assumpt item number threeconclus cognit interview prove critic engag patient develop process highlight necess clear messag develop use design principl make decis materi easi read easi use cognit interview appear contribut critic inform patient perspect overal systemat develop process design decis aid

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