Cargando…

Refining a brief decision aid in stable CAD: cognitive interviews

BACKGROUND: 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...

Descripción completa

Detalles Bibliográficos
Autores principales: Kelly-Blake, Karen, Clark, Stacie, Dontje, Katherine, Olomu, Adesuwa, Henry, Rebecca C, Rovner, David R, Rothert, Marilyn L, Holmes-Rovner, Margaret
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3927873/
https://www.ncbi.nlm.nih.gov/pubmed/24521210
http://dx.doi.org/10.1186/1472-6947-14-10
_version_ 1782304192298221568
author Kelly-Blake, Karen
Clark, Stacie
Dontje, Katherine
Olomu, Adesuwa
Henry, Rebecca C
Rovner, David R
Rothert, Marilyn L
Holmes-Rovner, Margaret
author_facet Kelly-Blake, Karen
Clark, Stacie
Dontje, Katherine
Olomu, Adesuwa
Henry, Rebecca C
Rovner, David R
Rothert, Marilyn L
Holmes-Rovner, Margaret
author_sort Kelly-Blake, Karen
collection PubMed
description BACKGROUND: 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.
format Online
Article
Text
id pubmed-3927873
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-39278732014-02-19 Refining a brief decision aid in stable CAD: cognitive interviews Kelly-Blake, Karen Clark, Stacie Dontje, Katherine Olomu, Adesuwa Henry, Rebecca C Rovner, David R Rothert, Marilyn L Holmes-Rovner, Margaret BMC Med Inform Decis Mak Research Article BACKGROUND: 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. BioMed Central 2014-02-13 /pmc/articles/PMC3927873/ /pubmed/24521210 http://dx.doi.org/10.1186/1472-6947-14-10 Text en Copyright © 2014 Kelly-Blake et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Research Article
Kelly-Blake, Karen
Clark, Stacie
Dontje, Katherine
Olomu, Adesuwa
Henry, Rebecca C
Rovner, David R
Rothert, Marilyn L
Holmes-Rovner, Margaret
Refining a brief decision aid in stable CAD: cognitive interviews
title Refining a brief decision aid in stable CAD: cognitive interviews
title_full Refining a brief decision aid in stable CAD: cognitive interviews
title_fullStr Refining a brief decision aid in stable CAD: cognitive interviews
title_full_unstemmed Refining a brief decision aid in stable CAD: cognitive interviews
title_short Refining a brief decision aid in stable CAD: cognitive interviews
title_sort refining a brief decision aid in stable cad: cognitive interviews
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3927873/
https://www.ncbi.nlm.nih.gov/pubmed/24521210
http://dx.doi.org/10.1186/1472-6947-14-10
work_keys_str_mv AT kellyblakekaren refiningabriefdecisionaidinstablecadcognitiveinterviews
AT clarkstacie refiningabriefdecisionaidinstablecadcognitiveinterviews
AT dontjekatherine refiningabriefdecisionaidinstablecadcognitiveinterviews
AT olomuadesuwa refiningabriefdecisionaidinstablecadcognitiveinterviews
AT henryrebeccac refiningabriefdecisionaidinstablecadcognitiveinterviews
AT rovnerdavidr refiningabriefdecisionaidinstablecadcognitiveinterviews
AT rothertmarilynl refiningabriefdecisionaidinstablecadcognitiveinterviews
AT holmesrovnermargaret refiningabriefdecisionaidinstablecadcognitiveinterviews