Development of a patient decision aid for the treatment of localised prostate cancer: a participatory design approach
Abstract
Aims and objectives: To develop a patient decision aid and to prepare an overview of requirements for implementation. Background: We developed a decision aid that fits the preferences of patients and health care professionals to ensure adequate uptake in clinical practice. Design: A participatory design approach was used to acquire insight into preferences regarding the content and design of a decision aid and into barriers and aspects of the decision aid that facilitate implementation in clinical practice. Methods: Three focus group interviews with patients, their partners and health care professionals were conducted. A prototype of the decision aid was developed and presented to patients (n = 14) and health care professionals (n = 13) in semi‐structured interviews. Patients (n = 5) participated in a usability study. Data were analysed by two independent coders. Results: Health care professionals considered medical information on treatments and side effects as the most important aspect to be included in the decision aid. Patients also focused on nonmedical considerations, such as location. Both expected the decision aid to support patients in making a treatment choice. According to health care professionals, the oncology nurse was the most suitable to discuss the decision aid with patients, while some patients preferred to discuss the patient decision aid with the urologist. The main barrier to implementation of the decision aid was said to be the expectation that it is time and money consuming, while the incorporation of the decision aid into clinical guidelines and basing the content on these guidelines, would promote implementation. Conclusions: By using a participatory design approach a patient decision aid was designed to meet patients' and health care professionals' needs. Insight was also gained on requirements for implementation. Relevance to clinical practice: Wide‐scale implementation of decision aids is desirable. An overview is provided of requirements for implementation to successfully incorporate a decision aid into clinical practice.
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Multiple studies indicated that values or requirements of the to-be-developed eHealth technology can be used to guide usability tests.
“Third, in multiple studies, authors indicated that values or requirements of the to-be-developed eHealth technology can be used to guide usability tests.”
From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [54]
Multiple authors in the included studies indicated that usability tests should be conducted with a broad range of stakeholders, not only end users such as patients, but also caregivers, managers, technology developers, and experts on content and design.
“First, multiple authors indicated that usability tests should be conducted with a broad range of stakeholders: not only end users such as patients, but also caregivers, managers, technology developers, and experts on content and design”
From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [54]
When shaping a multi-method or mixed methods development process, an iterative and flexible development approach is key.
“the lessons learned illustrated that when shaping a multi-method or mixed methods development process, an iterative and flexible development approach is key [33,54,55,64,113,115].”
From Methods for Human-Centered eHealth Development: Narrative Scoping Review (2022) · cites this paper as [54]
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- Authors
- Al‐Itejawi, H. H., van Uden‐Kraan, C. F., Vis, A. N., Nieuwenhuijzen, J. A., Hofstee, M. J., van Moorselaar, R. J. A., & Verdonck‐de Leeuw, I. M.
- Affiliations
- Department of Urology VU University Medical Center Amsterdam The Netherlands
- Department of Otolaryngology/Head and Neck Surgery VU University Medical Center Amsterdam The Netherlands
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Vrije Universiteit Amsterdam (NL)
- Venue
- Journal of Clinical Nursing
- Publisher
- Wiley
- Published
- 2016-02-16
- Volume
- 25
- Issue
- 7-8
- Pages
- 1131-1144
- ISSN
- 0962-1067 (ISSN-L)
- 1365-2702
- OpenAlex
- W2274393825
- Cited by
- 25
- References
- 36
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2021: 5 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 1
- FWCI
- 7.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Nursing (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Prostate Cancer Foundation
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- patient decision aids, localized prostate cancer, participatory design, implementation barriers, patient preferences, healthcare professional perspectives, urologists, treatment selection, clinical guidelines, usability
- MeSH terms
- Aged, Attitude of Health Personnel, Decision Support Techniques, Humans, Male, Middle Aged, Patient Participation, Prostatic Neoplasms, Focus Groups, Patient Selection, Patient Preference
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