Cargando…
The development of an online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making: a usability and pilot study
An online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making was developed. A two-phase usability test was conducted among 12 couples (N = 22; 2 persons participated without their partner) at risk for hereditary cancer and...
Autores principales: | , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Netherlands
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323089/ https://www.ncbi.nlm.nih.gov/pubmed/29846879 http://dx.doi.org/10.1007/s10689-018-0092-4 |
_version_ | 1783385689220448256 |
---|---|
author | Reumkens, Kelly Tummers, Marly H. E. Gietel-Habets, Joyce J. G. van Kuijk, Sander M. J. Aalfs, Cora M. van Asperen, Christi J. Ausems, Margreet G. E. M. Collée, Margriet Dommering, Charlotte J. Kets, C. Marleen van der Kolk, Lizet E. Oosterwijk, Jan C. Tjan-Heijnen, Vivianne C. G. van der Weijden, Trudy de Die-Smulders, Christine E. M. van Osch, Liesbeth A. D. M. |
author_facet | Reumkens, Kelly Tummers, Marly H. E. Gietel-Habets, Joyce J. G. van Kuijk, Sander M. J. Aalfs, Cora M. van Asperen, Christi J. Ausems, Margreet G. E. M. Collée, Margriet Dommering, Charlotte J. Kets, C. Marleen van der Kolk, Lizet E. Oosterwijk, Jan C. Tjan-Heijnen, Vivianne C. G. van der Weijden, Trudy de Die-Smulders, Christine E. M. van Osch, Liesbeth A. D. M. |
author_sort | Reumkens, Kelly |
collection | PubMed |
description | An online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making was developed. A two-phase usability test was conducted among 12 couples (N = 22; 2 persons participated without their partner) at risk for hereditary cancer and 15 health care providers. Couples and health care providers expressed similar suggestions for improvements, and evaluated the modified decision aid as acceptable, easy to use, and comprehensible. The final decision aid was pilot tested (N = 16) with paired sample t tests comparing main outcomes (decisional conflict, knowledge, realistic expectations regarding the reproductive options and decision self-efficacy) before (T0), immediately (T1) and 2 weeks after (T2) use of the decision aid. Pilot testing indicated decreased decisional conflict scores, increased knowledge, and improved realistic expectations regarding the reproductive options, at T1 and T2. No effect was found for couples’ decision self-efficacy. The positive findings during usability testing were thus reflected in the pilot study. The decision aid will be further evaluated in a nationwide pretest–posttest study to facilitate implementation in the onco-genetic counselling setting. Ultimately, it is expected that the decision aid will enable end-users to make an informed decision. |
format | Online Article Text |
id | pubmed-6323089 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Netherlands |
record_format | MEDLINE/PubMed |
spelling | pubmed-63230892019-01-22 The development of an online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making: a usability and pilot study Reumkens, Kelly Tummers, Marly H. E. Gietel-Habets, Joyce J. G. van Kuijk, Sander M. J. Aalfs, Cora M. van Asperen, Christi J. Ausems, Margreet G. E. M. Collée, Margriet Dommering, Charlotte J. Kets, C. Marleen van der Kolk, Lizet E. Oosterwijk, Jan C. Tjan-Heijnen, Vivianne C. G. van der Weijden, Trudy de Die-Smulders, Christine E. M. van Osch, Liesbeth A. D. M. Fam Cancer Original Article An online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making was developed. A two-phase usability test was conducted among 12 couples (N = 22; 2 persons participated without their partner) at risk for hereditary cancer and 15 health care providers. Couples and health care providers expressed similar suggestions for improvements, and evaluated the modified decision aid as acceptable, easy to use, and comprehensible. The final decision aid was pilot tested (N = 16) with paired sample t tests comparing main outcomes (decisional conflict, knowledge, realistic expectations regarding the reproductive options and decision self-efficacy) before (T0), immediately (T1) and 2 weeks after (T2) use of the decision aid. Pilot testing indicated decreased decisional conflict scores, increased knowledge, and improved realistic expectations regarding the reproductive options, at T1 and T2. No effect was found for couples’ decision self-efficacy. The positive findings during usability testing were thus reflected in the pilot study. The decision aid will be further evaluated in a nationwide pretest–posttest study to facilitate implementation in the onco-genetic counselling setting. Ultimately, it is expected that the decision aid will enable end-users to make an informed decision. Springer Netherlands 2018-05-30 2019 /pmc/articles/PMC6323089/ /pubmed/29846879 http://dx.doi.org/10.1007/s10689-018-0092-4 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article Reumkens, Kelly Tummers, Marly H. E. Gietel-Habets, Joyce J. G. van Kuijk, Sander M. J. Aalfs, Cora M. van Asperen, Christi J. Ausems, Margreet G. E. M. Collée, Margriet Dommering, Charlotte J. Kets, C. Marleen van der Kolk, Lizet E. Oosterwijk, Jan C. Tjan-Heijnen, Vivianne C. G. van der Weijden, Trudy de Die-Smulders, Christine E. M. van Osch, Liesbeth A. D. M. The development of an online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making: a usability and pilot study |
title | The development of an online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making: a usability and pilot study |
title_full | The development of an online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making: a usability and pilot study |
title_fullStr | The development of an online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making: a usability and pilot study |
title_full_unstemmed | The development of an online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making: a usability and pilot study |
title_short | The development of an online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making: a usability and pilot study |
title_sort | development of an online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making: a usability and pilot study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323089/ https://www.ncbi.nlm.nih.gov/pubmed/29846879 http://dx.doi.org/10.1007/s10689-018-0092-4 |
work_keys_str_mv | AT reumkenskelly thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT tummersmarlyhe thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT gietelhabetsjoycejg thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT vankuijksandermj thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT aalfscoram thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT vanasperenchristij thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT ausemsmargreetgem thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT colleemargriet thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT dommeringcharlottej thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT ketscmarleen thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT vanderkolklizete thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT oosterwijkjanc thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT tjanheijnenviviannecg thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT vanderweijdentrudy thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT dediesmulderschristineem thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT vanoschliesbethadm thedevelopmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT reumkenskelly developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT tummersmarlyhe developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT gietelhabetsjoycejg developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT vankuijksandermj developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT aalfscoram developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT vanasperenchristij developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT ausemsmargreetgem developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT colleemargriet developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT dommeringcharlottej developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT ketscmarleen developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT vanderkolklizete developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT oosterwijkjanc developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT tjanheijnenviviannecg developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT vanderweijdentrudy developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT dediesmulderschristineem developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy AT vanoschliesbethadm developmentofanonlinedecisionaidtosupportpersonshavingageneticpredispositiontocancerandtheirpartnersduringreproductivedecisionmakingausabilityandpilotstudy |