End-user views of an electronic encounter decision aid linked to routine depression screening
| Autor: | Martha L. Bruce, Michelle Hinn, Stephen J. Bartels, Paul Barr, Glyn Elwyn, Michelle D Dannenberg, Theresa Nguyen, John Carlo M. Bienvenida, James Matthews |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Community-Based Participatory Research Decision support system Decision Making Population Qualitative property Decision Support Techniques Interviews as Topic 03 medical and health sciences 0302 clinical medicine Nursing Humans Mass Screening 030212 general & internal medicine Program Development education User-centered design education.field_of_study Primary Health Care Depression business.industry End user 030503 health policy & services Usability General Medicine Focus Groups Focus group Patient Health Questionnaire Female Patient Participation 0305 other medical science Psychology business |
| Zdroj: | Patient Education and Counseling. 102:555-563 |
| ISSN: | 0738-3991 |
| Popis: | Objective Our aim was to gather community stakeholder input to inform the development of a digital system linking depression screening to decision support. Methods Views and feature requirements were identified through (1) focus groups with patients and consumers with depression, and interviews with primary care clinicians and (2) usability sessions where patients and consumers used the current version of encounter decision aid (eDA) in a primary care waiting room. Qualitative data were analyzed using the framework method. Results We conducted six focus groups with 15 participants, seven clinician interviews and 10 usability sessions. Patients were comfortable completing the Patient Health Questionnaire (PHQ-9) and receiving the electronic eDA in clinic. They felt this would allow patients to prepare for their visit and instill a sense of agency. Participants were comfortable receiving the PHQ-9 results and a subsequent eDA on a tablet in the waiting room. Conclusion Patients with and without depression, as well as clinicians, viewed linking the PHQ-9, results, and eDA positively. Patients were comfortable doing this in the clinic waiting room. Practice implications Linking depression decision support to screening was viewed positively by patients and clinicians, and could help overcome barriers to shared decision-making implementation in this population. |
| Databáze: | OpenAIRE |
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