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Development and evaluation of a patient decision aid for pediatric interval appendectomy

OBJECTIVE: One option for the treatment of perforated appendicitis in pediatric patients is interval appendectomy (IA). A patient decision aid (PDA) can be useful in the decision-making process regarding IA. The purpose of this study was to evaluate parents’ decisional conflict before and after enga...

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Autores principales: Larocca, Victoria, Oltean, Irina, Grandpierre, Viviane, Nasr, Ahmed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9716827/
https://www.ncbi.nlm.nih.gov/pubmed/36474740
http://dx.doi.org/10.1136/wjps-2022-000466
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author Larocca, Victoria
Oltean, Irina
Grandpierre, Viviane
Nasr, Ahmed
author_facet Larocca, Victoria
Oltean, Irina
Grandpierre, Viviane
Nasr, Ahmed
author_sort Larocca, Victoria
collection PubMed
description OBJECTIVE: One option for the treatment of perforated appendicitis in pediatric patients is interval appendectomy (IA). A patient decision aid (PDA) can be useful in the decision-making process regarding IA. The purpose of this study was to evaluate parents’ decisional conflict before and after engaging with a developed PDA. METHODS: Participants included (a) parents who are considering IA surgery for their child, (b) have not yet had their follow-up appointment postdischarge, and (c) were fluent in either the official languages of English or French. This study used a pretest and post-test design to measure participants’ decisional conflict and treatment option choice. Perceptions and acceptability of the PDA were also assessed. RESULTS: A total of 18 participants completed the study (16 mothers). Major findings include significant decreases in all Decisional Conflict Scale items from pre-PDA to post-PDA engagement, except for one item. The majority of participants perceived the PDA to be useful, easy to find information regarding risks and provided enough information to help them make a decision regarding their child’s treatment. CONCLUSIONS: This is the first study to develop and evaluate a PDA among parents who are making a decision regarding IA surgery. The results showed a significant decrease in decisional conflict after using the PDA. The results also showed that the PDA was generally accepted among parents and had positive perceptions regarding length, content, and balance. The use of PDA for this population can help ease feelings of decisional conflict and equip parents with the information to make informed decisions.
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spelling pubmed-97168272022-12-05 Development and evaluation of a patient decision aid for pediatric interval appendectomy Larocca, Victoria Oltean, Irina Grandpierre, Viviane Nasr, Ahmed World J Pediatr Surg Original Research OBJECTIVE: One option for the treatment of perforated appendicitis in pediatric patients is interval appendectomy (IA). A patient decision aid (PDA) can be useful in the decision-making process regarding IA. The purpose of this study was to evaluate parents’ decisional conflict before and after engaging with a developed PDA. METHODS: Participants included (a) parents who are considering IA surgery for their child, (b) have not yet had their follow-up appointment postdischarge, and (c) were fluent in either the official languages of English or French. This study used a pretest and post-test design to measure participants’ decisional conflict and treatment option choice. Perceptions and acceptability of the PDA were also assessed. RESULTS: A total of 18 participants completed the study (16 mothers). Major findings include significant decreases in all Decisional Conflict Scale items from pre-PDA to post-PDA engagement, except for one item. The majority of participants perceived the PDA to be useful, easy to find information regarding risks and provided enough information to help them make a decision regarding their child’s treatment. CONCLUSIONS: This is the first study to develop and evaluate a PDA among parents who are making a decision regarding IA surgery. The results showed a significant decrease in decisional conflict after using the PDA. The results also showed that the PDA was generally accepted among parents and had positive perceptions regarding length, content, and balance. The use of PDA for this population can help ease feelings of decisional conflict and equip parents with the information to make informed decisions. BMJ Publishing Group 2022-11-08 /pmc/articles/PMC9716827/ /pubmed/36474740 http://dx.doi.org/10.1136/wjps-2022-000466 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Larocca, Victoria
Oltean, Irina
Grandpierre, Viviane
Nasr, Ahmed
Development and evaluation of a patient decision aid for pediatric interval appendectomy
title Development and evaluation of a patient decision aid for pediatric interval appendectomy
title_full Development and evaluation of a patient decision aid for pediatric interval appendectomy
title_fullStr Development and evaluation of a patient decision aid for pediatric interval appendectomy
title_full_unstemmed Development and evaluation of a patient decision aid for pediatric interval appendectomy
title_short Development and evaluation of a patient decision aid for pediatric interval appendectomy
title_sort development and evaluation of a patient decision aid for pediatric interval appendectomy
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9716827/
https://www.ncbi.nlm.nih.gov/pubmed/36474740
http://dx.doi.org/10.1136/wjps-2022-000466
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