以用户为中心的患者决策开发 帮助选择早期堕胎方法:多循环混合方法研究研究
Kate J Wahl1, Melissa Brooks2, Logan Trenaman3
1Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada.
Journal of medical Internet research
|April 16, 2024
概括
开发了一个新的基于网络的患者决策辅助工具 (PtDA),以帮助个人在药物治疗或手术堕胎之间做出选择. 该工具被发现可以被患者和医疗保健专业人员使用,并且易于使用.
科学领域:
- 生殖健康 生殖健康
- 医疗信息学 医疗信息学
- 共享的决策方式
背景情况:
- 早期妊娠堕胎提供药物或程序选择,没有单一的临床优越选择.
- 决策是偏好敏感的,依赖于个体患者的价值观.
- 患者决策辅助工具 (PtDAs) 促进了知情,价值观一致的医疗保健选择.
研究的目的:
- 开发和评估基于网络的PtDA在加拿大堕胎护理的可用性.
- 为寻求早孕堕胎的个人提供知情决策的支持.
- 根据用户反调整 PtDA,以改善可访问性和信息.
主要方法:
- 采用以用户为中心的设计方法,整合知识翻译原则.
- 使用关于决策需求和选项风险/收益的证据,开发了一种PtDA原型.
- 可用性通过大声思考采访和基于Web的调查 (系统可用性量表) 与患者和医疗保健专业人员进行评估.
主要成果:
- 开发的PtDA获得了积极的反,达到可用性值.
- 内容分析确定了设计,语言和信息处理方面的改进领域.
- 修订包括一个具有简单语言,疼痛叙述和资源链接的交互式网站;调查参与者证实了可用性.
结论:
- 一个系统地设计的PtDA有效地解决了对有信息,价值观一致的堕胎方法决策的需求.
- 开发过程优先考虑了用户的意见,并承认生殖健康选择中的独特敏感性.
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