Evaluation and Modification of a Shared Decision-Making Tool for Peanut Allergy Management

Area of Science:

• Allergy and Immunology
• Patient Decision Aids
• Shared Decision-Making

Background:

• Peanut allergy management involves avoidance, with oral immunotherapy now FDA-approved for specific age groups.
• A prior decision aid was developed based on shared decision-making (SDM) principles.
• Refinement was needed to better incorporate patient and caregiver experiences.

Purpose of the Study:

• To refine the content of a peanut allergy treatment decision aid.
• To enhance the tool's reflection of patients' and caregivers' lived experiences.
• To evaluate the revised decision aid's relevance, understandability, and usefulness.

Main Methods:

• An advisory board of allergy experts and patient advocates informed modifications.
• Cognitive debriefing interviews (CDIs) were conducted with adolescents and caregivers.
• Participants evaluated the revised shared decision-making (SDM) tool.

Main Results:

• The revised Peanut Allergy Treatment SDM Tool was understood by participants.
• Participants reported the tool as important and relevant.
• Minor revisions were made based on feedback, supporting content validity.

Conclusions:

• The refined Peanut Allergy Treatment SDM Tool demonstrates content validity.
• The tool effectively incorporates patient and caregiver perspectives.
• This supports improved shared decision-making in peanut allergy treatment.