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Development of a Preliminary Question Prompt List as a Communication Tool for Adults With Achalasia: A Modified
Justin Zhuo1, George Triadafilopoulos1, Albert J Bredenoord2
1Stanford Esophageal Multidimensional Program in Innovation and Research Excellence (SEMPIRE), Division of Gastroenterology and Hepatology, Stanford University School of Medicine.
Journal of Clinical Gastroenterology
|February 18, 2022
Summary
A new achalasia-specific Question Prompt List (QPL) was developed by experts to improve patient-physician communication. Patients found the QPL helpful, suggesting its wider use for better understanding of achalasia management.
Area of Science:
- Gastroenterology and patient communication.
Background:
- Question Prompt Lists (QPLs) are structured question sets designed to enhance patient-physician communication.
- They encourage patients to actively participate in consultations by asking relevant questions.
Purpose of the Study:
- To develop a preliminary achalasia-specific QPL.
- The QPL was created by a panel of esophageal experts.
Main Methods:
- A modified Delphi method with two rounds was used to generate and refine questions.
- Experts rated questions using a 5-point Likert scale, with 'essential' or 'important' questions included.
- A pilot study with patients provided feedback on the QPL's utility.
Main Results:
- Nineteen esophageal experts participated in the development process.
- 124 out of 148 initial questions were accepted and reduced to 56, organized into 6 themes.
- In a pilot study, 84.2% of patients found the QPL helpful and recommended its use.
Conclusions:
- This is the first QPL specifically developed for adults with achalasia.
- The QPL was well-received in a small pilot study.
- Further research will refine the QPL based on additional patient feedback to assess usability and feasibility.
