Patient decision-making personas: An application of a patient-centered cognitive task analysis (P-CTA)
Richard J Holden1, Carly N Daley2, Robin S Mickelson3
1Department of Medicine, Indiana University School of Medicine, USA; Indiana University Center for Aging Research, Regenstrief Institute, Inc., USA.
Applied Ergonomics
|April 21, 2020
Summary
Patient personas reveal distinct self-care decision-making styles in older adults with heart failure. Understanding these patient personas, like Rule-Following and Researching, aids in designing better support.
Area of Science:
- Health Psychology
- Human-Computer Interaction
- Patient Decision Making
Background:
- Understanding patient decision-making processes is crucial for effective self-care, especially in chronic conditions.
- Cognitive task analysis offers a framework for examining complex decision-making behaviors.
Purpose of the Study:
- To develop patient-centered cognitive task analysis (P-CTA) based personas for self-care decision-making in older adults with chronic heart failure.
- To explore the variability and situational nature of these decision-making personas.
Main Methods:
- Employed patient-centered cognitive task analysis (P-CTA).
- Conducted critical incident and fictitious scenario interviews with 24 older adults with chronic heart failure and 14 support persons.
- Utilized qualitative analysis to identify and define personas.
Main Results:
- Identified three distinct self-care decision-making personas: Rule-Following, Researching, and Disengaging.
- Found that individuals can exhibit different personas depending on the specific situation.
- Rule-Following personas rely on clear guidelines and expert confidence; Researching personas seek information and experiment; Disengaging personas are passive.
Conclusions:
- Patient personas provide valuable insights into the diverse patterns of self-care decision-making.
- The situational nature of personas highlights the need for adaptive support strategies.
- P-CTA is a beneficial methodology for studying and understanding patient decision-making in chronic care contexts.
Related Concept Videos
01:20Decision Making
801
Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
Automatic decision-making is fast, intuitive, and relies on gut feelings...
Automatic decision-making is fast, intuitive, and relies on gut feelings...
801
01:13Patient-centered Care
2.8K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.8K
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
2.2K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
2.2K
01:14Decision Making: Traditional Method
5.0K
The process of hypothesis testing based on the traditional method includes calculating the critical value, testing the value of the test statistic using the sample data, and interpreting these values.
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
5.0K
01:25Critical Thinking II
3.9K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
3.9K
01:30Ethical Dilemmas II
2.1K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.1K