Shared decision making when patients consider surgery for lumbar herniated disc: development and test of a patient decision aid
| Autor: | Mikkel Østerheden Andersen, Stina Brogård Andersen, Angela Coulter, Leah Y. Carreon, Karina Dahl Steffensen |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Decision Making Health Informatics lcsh:Computer applications to medicine. Medical informatics Health informatics 03 medical and health sciences 0302 clinical medicine Lumbar Spine surgery Health care medicine Humans 030212 general & internal medicine Surgical treatment Shared decision making Baseline study Lumbar Vertebrae business.industry Health Policy Patient Selection Usability Middle Aged Computer Science Applications Surgery Test (assessment) Patient decision aid lcsh:R858-859.7 Lumbar disc herniation Female Patient Participation business Decision Making Shared 030217 neurology & neurosurgery Intervertebral Disc Displacement Research Article |
| Zdroj: | BMC Medical Informatics and Decision Making Andersen, S B, Andersen, M Ø, Carreon, L Y, Coulter, A & Steffensen, K D 2019, ' Shared decision making when patients consider surgery for lumbar herniated disc : development and test of a patient decision aid ', BMC Medical Informatics and Decision Making, vol. 19, 190 . https://doi.org/10.1186/s12911-019-0906-9 BMC Medical Informatics and Decision Making, Vol 19, Iss 1, Pp 1-9 (2019) |
| ISSN: | 1472-6947 |
| DOI: | 10.1186/s12911-019-0906-9 |
| Popis: | Background Shared decision making (SDM) is a systematic approach aimed at improving patient involvement in preference-sensitive health care decisions. Choosing between surgical or non-surgical treatment for lumbar disc herniation, can be difficult as the evidence of a superior treatment is unclear, which makes it a preference-sensitive decision. The objectives of this study was therefore to assess the degree of SDM and afterwards to develop and test a patient decision aid (PtDA) to support SDM during the clinical encounter between surgeon and patient, when patients choose between surgical and non-surgical treatment for Lumbar disc herniation (LDH). Methods The study was conducted in four steps. Assessment of the extent to which SDM was practiced in the spine clinic. Development of a PtDA to support SDM. Testing its usability and acceptability amongst potential users (patients). Pilot-test of its usability in the clinical setting. Results Results from our small baseline study (n = 40) showed that between a third and two-thirds of the patients reported not being fully engaged in a shared decision. A pre-designed template (BESLUTNINGSHJÆLPER™) was adapted to support the decision about whether or not to have surgery for LDH. Testing the prototype with patients led to minor refinements. A subsequent pilot test of its usability in a clinical setting achieved positive responses from both patients and clinicians. Conclusion Our baseline study demonstrated that SDM was not universally practiced in the clinic. The PtDA we have developed was rated as acceptable and usable by both patients and clinicians for helping those with LDH choose between surgical or non- surgical treatment. This tool now requires further testing to assess its effectiveness. |
| Databáze: | OpenAIRE |
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