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Decision Aid for Colectomy in Recurrent Diverticulitis: Development and Usability Study.

Alexander T Hawkins1, Andrea Fa1, Samuel A Younan1

  • 1Division of General Surgery, Section of Colon & Rectal Surgery, Vanderbilt University Medical Center, Nashville, TN, United States.

JMIR Formative Research
|September 3, 2024
PubMed
Summary
This summary is machine-generated.

A new online decision aid (DA) helps patients and surgeons discuss recurrent diverticulitis treatment options. This tool supports individualized care by clarifying risks, benefits, and patient values for better shared decision-making.

Keywords:
AmericaAmericancolectomycommunicationdecision aiddecision-makingdesign sprintdiverticular diseasesdiverticulitiseffectivenessgastrointestinal diagnosispatientpatientsshared decision-makingsurgeonsynopsistooltools

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Area of Science:

  • Gastroenterology
  • Health Informatics
  • Patient Education

Background:

  • Diverticular disease affects millions annually, with treatment decisions for recurrent cases often lacking individualized tools.
  • Current guidelines emphasize personalized treatment recommendations for diverticulitis, yet practical aids are scarce.

Purpose of the Study:

  • To develop an online educational decision aid (DA) for recurrent left-sided diverticulitis.
  • To enhance communication between surgeons and patients regarding treatment choices.

Main Methods:

  • A modified design sprint methodology was employed, involving a multidisciplinary team.
  • The prototype was iteratively refined through mixed-methods assessment, usability testing, and cognitive interviews with patients and surgeons.
  • In-clinic feasibility testing was conducted.

Main Results:

  • A prototype DA, featuring an interactive website and handout, was developed in a 4-day design sprint.
  • The DA includes educational content on diverticulitis, risk-benefit analysis of treatment options (medical management vs. colectomy), and a value clarification exercise.
  • Patients can print a synopsis to guide shared decision-making during clinic appointments.

Conclusions:

  • Design sprint methodology, incorporating stakeholder co-design and user testing, is effective for creating decision aids.
  • The developed DA provides an efficient strategy for supporting patients with recurrent diverticulitis in making critical treatment decisions.