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A 'combined framework' approach to developing a patient decision aid: the PANDAs model
Chirk Jenn Ng1, Nigel Mathers, Alastair Bradley
1Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia. ngcj@um.edu.my.
This study developed a patient decision aid (PtDA) for type 2 diabetes treatment decisions using established frameworks. The PtDA systematically incorporates patient and clinician needs for better shared decision-making.
Area of Science:
- Health Services Research
- Decision Science
- Patient Empowerment
Background:
- Lack of practical research frameworks for patient decision aid (PtDA) development.
- Need for structured approaches to support treatment decisions in type 2 diabetes mellitus.
Purpose of the Study:
- To describe the development of a PtDA for type 2 diabetes treatment decisions.
- To utilize the International Patient Decision Aids (IPDAS) guideline and UK Medical Research Council (UKMRC) frameworks.
Main Methods:
- Mixed-methods approach in a UK general practice setting.
- Expert panel, patient/clinician interviews, and systematic literature review.
- Iterative development using Ottawa Decision Support Framework and pilot testing.
Main Results:
- Systematic and iterative development of the PANDAs PtDA.
- Incorporated patient/clinician needs for information, decisional, emotional, and social support.
- PtDA includes treatment options, pros/cons, value clarification, support, and readiness assessment.
Conclusions:
- Demonstrated feasibility of combining IPDAS and UKMRC frameworks for PtDA development.
- Highlights the potential for a systematic model in developing and evaluating PtDAs.
- Suggests testing this model across diverse healthcare decisions and contexts.
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