医疗保健专业人员和接受肺部康复的个人之间的共同决策干预:采用定性方法的代开发过程
Amy C Barradell1,2,3, Hilary L Bekker4,5, Linzy Houchen-Wolloff1,2
1Department of Respiratory Sciences, University of Leicester, Leicester, United Kingdom.
PloS one
|August 19, 2024
概括
我们开发了一个共享决策干预措施,以帮助COPD患者在肺部康复方面做出明智的选择. 该计划包括患者决策辅助,指导和医疗保健专业人员的提示.
科学领域:
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
- 决策科学 决策科学 决策科学
背景情况:
- 肺部康复 (PR) 的吸收率很低,尽管它对患有慢性阻塞性肺部疾病 (COPD) 的人有好处.
- 共享决策 (SDM) 干预措施,包括患者决策辅助工具 (PtDA),增强医疗保健中的知情和基于价值的选择.
- 需要针对COPD患者和医疗保健专业人员 (HCP) 量身定制的干预措施,以促进PR中的SDM.
研究的目的:
- 为公关开发一种SDM干预方案,使其能够被COPD患者和公关医疗人员所接受.
- 促进有关公关参与的知情和基于价值观的决策.
主要方法:
- 在九个月的时间里,一个代的定性开发过程.
- 利用复杂的干预开发框架和利益相关者的参与.
- 包括原型开发,用COPD患者 (n=4) 和PR HCP (n=8) 进行alpha测试,以及PtDA的最终确定.
主要成果:
- 患者决策辅助 (PtDA) 经历了六次修订,以确保其可接受性,可理解性和可用性.
- 支持组件,包括决策指导培训和公关高职人员的咨询提示,被认为至关重要.
- 该干预旨在整合到现有的公关途径中.
结论:
- 成功开发了一个由三个组成部分组成的SDM干预 (PtDA,决策指导,咨询提示).
- 这种干预措施支持COPD患者对PR做出知情,基于价值观的决策.
- 提供了实施策略,以帮助融入公关服务.
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