Posttraumatic Stress Disorder Treatment Decision Aid: User-Centered Design Update Approach

Area of Science:

• Mental Health
• Clinical Decision Support
• Health Informatics

Background:

• Posttraumatic Stress Disorder (PTSD) presents significant health and economic burdens, necessitating effective treatment strategies.
• While effective PTSD treatments exist, personalized selection remains challenging.
• Patient Decision Aids (DAs) support shared decision-making by outlining treatment benefits and risks.

Purpose of the Study:

• To describe the collaborative update process for the National Center for PTSD's online Treatment Decision Aid.
• To align the DA with current clinical guidelines and technological advancements.

Main Methods:

• A collaborative update involved an expert panel and consumer input.
• User experience testing focused on task completion for individuals with PTSD.
• Field testing with patients and providers assessed feasibility, satisfaction, and decision-making outcomes.

Main Results:

• Pilot field testing indicated the updated PTSD DA is acceptable, satisfactory, balanced, and feasible.
• The DA was associated with improved decisional conflict and self-efficacy in a small sample.
• Stakeholder feedback informed design choices regarding treatment inclusion, format, and information delivery.

Conclusions:

• The revised PTSD Treatment Decision Aid is freely accessible online.
• The updated DA adheres to International Patient Decision Aid Standards.