Development of a patient decision aid for discharge planning of hospitalized patients with stroke.

Autor: Prick JCM; Santeon, Utrecht, the Netherlands. j.c.m.prick@olvg.nl.; Department of Neurology, OLVG West, Jan Tooropstraat 164, 1061 AE, Amsterdam, the Netherlands. j.c.m.prick@olvg.nl., van Schaik SM; Department of Neurology, OLVG West, Jan Tooropstraat 164, 1061 AE, Amsterdam, the Netherlands., Deijle IA; Department of Quality and Improvement, OLVG, Amsterdam, the Netherlands., Dahmen R; Amsterdam Rehabilitation Research Center/Reade, Amsterdam, the Netherlands., Brouwers PJAM; Department of Neurology, Medisch Spectrum Twente, Enschede, the Netherlands., Hilkens PHE; Department of Neurology, St. Antonius Hospital, Nieuwegein, the Netherlands., Garvelink MM; Department of Value Based Healthcare, St. Antonius Hospital, Nieuwegein, the Netherlands., Engels N; Santeon, Utrecht, the Netherlands., Ankersmid JW; Santeon, Utrecht, the Netherlands.; Department of Health Technology and Services Research, Technical Medical Center, University of Twente, Enschede, the Netherlands., Keus SHJ; Department of Quality and Improvement, OLVG, Amsterdam, the Netherlands., The R; Development and Implementation of Decision Aids, ZorgKeuzeLab, Delft, the Netherlands., Takahashi A; Development and Implementation of Decision Aids, ZorgKeuzeLab, Delft, the Netherlands., van Uden-Kraan CF; Santeon, Utrecht, the Netherlands., van der Wees PJ; Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare and Department of Rehabilitation, Nijmegen, the Netherlands., Van den Berg-Vos RM; Department of Neurology, OLVG West, Jan Tooropstraat 164, 1061 AE, Amsterdam, the Netherlands.; Amsterdam UMC, Location AMC, Department of Neurology, Amsterdam, the Netherlands.
Jazyk: angličtina
Zdroj: BMC neurology [BMC Neurol] 2022 Jul 05; Vol. 22 (1), pp. 245. Date of Electronic Publication: 2022 Jul 05.
DOI: 10.1186/s12883-022-02679-1
Abstrakt: Background: Patient involvement in discharge planning of patients with stroke can be accomplished by providing personalized outcome information and promoting shared decision-making. The aim of this study was to develop a patient decision aid (PtDA) for discharge planning of hospitalized patients with stroke.
Methods: A convergent mixed methods design was used, starting with needs assessments among patients with stroke and health care professionals (HCPs). Results of these assessments were used to develop the PtDA with integrated outcome information in several co-creation sessions. Subsequently, acceptability and usability were tested to optimize the PtDA. Development was guided by the International Patient Decision Aids Standards (IPDAS) criteria.
Results: In total, 74 patients and 111 HCPs participated in this study. A three-component PtDA was developed, consisting of: 1) a printed consultation sheet to introduce the options for discharge destinations, containing information that can be specified for each individual patient; 2) an online information and deliberation tool to support patient education and clarification of patient values, containing an integrated "patients-like-me" model with outcome information about discharge destinations; 3) a summary sheet to support actual decision-making during consultation, containing the patient's values and preferences concerning discharge planning. In the acceptability test, all qualifying and certifying IPDAS criteria were fulfilled. The usability test showed that patients and HCPs highly appreciated the PtDA with integrated outcome information.
Conclusions: The developed PtDA was found acceptable and usable by patients and HCPs and is currently under investigation in a clinical trial to determine its effectiveness.
(© 2022. The Author(s).)
Databáze: MEDLINE
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