开发补充接触和患者决策辅助工具,以共同决策关于心房动中风预防的共同决策
Aubrey E Jones1, Madeleine M McCarty2, Kenzie A Cameron3
1College of Pharmacy, Department of Pharmacotherapy, University of Utah, Salt Lake City, UT, USA.
MDM policy & practice
|January 5, 2024
概括
新的决策辅助工具 (DAs) 支持共享决策,以预防心房动 (AF) 和中风. 这些互补的工具,即遭遇DA和患者DA,是通过用户反来开发的,以改善患者与临床医生的沟通.
科学领域:
- 医疗信息学 医疗信息学
- 患者参与 患者参与
- 心脏病学 心脏病学
背景情况:
- 前庭动 (AF) 需要复杂的中风预防决策.
- 对于AF中风预防的现有决策辅助工具 (DA) 缺乏一个互补的遭遇DA (EDA) 和患者DA (PDA) 配对.
- 共享决策 (SDM) 对于管理AF治疗选择至关重要.
研究的目的:
- 开发和评估用于预防心房动中风的补充性接触和患者决策辅助工具 (DAs).
- 支持患者和临床医生之间关于抗凝选择的共享决策 (SDM).
- 通过代设计和广泛的用户测试,创建以用户为中心的DA.
主要方法:
- 用户为中心的代设计过程用于开发EDA和PDA.
- 通过观察,可用性测试和半结构面试,从患者和专家那里获得反.
- 用户测试涉及33名专家和51名患者在6个机构.
主要成果:
- 两种互补的DA (EDA和PDA) 已开发用于AF中风预防,根据用户反进行了显著的代.
- 关键内容领域包括个性化中风风险,抗凝剂差异和出血风险.
- 用户反导致了解决患者隔离,导航,不同用户体验的内容流,中风风险可视化和决策准备方面的改进.
结论:
- 设计用于并行或单独使用的补充DA代表了在AF中风预防中增强SDM的新方法.
- 广泛的用户测试对于开发高质量,以用户为中心的决策支持工具至关重要.
- 在线DA促进传播,远程医疗整合和内容更新.
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