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Wikis to facilitate patient participation in developing information leaflets: first experiences.
Tom H van de Belt1, Marjan J Faber, José M L Knijnenburg
1Department of Obstetrics and Gynaecology, Division of Reproductive Medicine, Radboud University Medical Center Nijmegen , Nijmegen , The Netherlands .
Wikis enable patients and healthcare professionals to collaboratively create dynamic patient information. This study found wikis technically feasible for generating patient leaflets, identifying key barriers and facilitators for their use.
Area of Science:
- Health Informatics
- Patient Engagement
- Digital Health Tools
Background:
- Patient-centered care emphasizes involving patients in healthcare decisions and information creation.
- Traditionally, patient information leaflets are developed by healthcare professionals with limited patient input.
- Experienced-based patient knowledge is often underutilized in developing accessible health information.
Purpose of the Study:
- To assess the technical feasibility of using wikis for co-creating dynamic patient information leaflets.
- To explore patient and healthcare professional participation in wiki-based information generation.
- To identify barriers and facilitators influencing wiki adoption and use in patient information development.
Main Methods:
- Utilized an open wiki for intrauterine insemination (IUI) patients and a closed wiki for in vitro fertilization (IVF) patients at a Dutch university clinic.
- Assessed feasibility through analysis of logging data, content, and user experiences via semi-structured interviews.
- Identified barriers and facilitators through qualitative analysis of interview data.
Main Results:
- Wikis allowed simultaneous patient and professional collaboration, overcoming time and location constraints.
- The open IUI wiki received 2957 visits, and the closed IVF wiki had 424 users.
- Researchers identified approximately 28 barriers and 14 facilitators impacting wiki use.
Conclusions:
- Wikis demonstrate significant potential for enhancing patient involvement in creating patient information.
- Future research should focus on interventions to boost active wiki engagement and content quality evaluation.
- Addressing identified barriers is crucial for maximizing the benefits of wiki platforms in patient education.
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