Abstract:
BACKGROUND:We describe the results of cognitive interviews to refine the "Making Choices©" Decision Aid (DA) for shared decision-making (SDM) about stress testing in patients with stable coronary artery disease (CAD). METHODS:We conducted a systematic development process to design a DA consistent with International Patient Decision Aid Standards (IPDAS) focused on Alpha testing criteria. Cognitive interviews were conducted with ten stable CAD patients using the "think aloud" interview technique to assess the clarity, usefulness, and design of each page of the DA. RESULTS:Participants identified three main messages: 1) patients have multiple options based on stress tests and they should be discussed with a physician, 2) take care of yourself, 3) the stress test is the gold standard for determining the severity of your heart disease. Revisions corrected the inaccurate assumption of item number three. CONCLUSIONS:Cognitive interviews proved critical for engaging patients in the development process and highlighted the necessity of clear message development and use of design principles that make decision materials easy to read and easy to use. Cognitive interviews appear to contribute critical information from the patient perspective to the overall systematic development process for designing decision aids.
journal_name
BMC Med Inform Decis Makjournal_title
BMC medical informatics and decision makingauthors
Kelly-Blake K,Clark S,Dontje K,Olomu A,Henry RC,Rovner DR,Rothert ML,Holmes-Rovner Mdoi
10.1186/1472-6947-14-10subject
Has Abstractpub_date
2014-02-13 00:00:00pages
10issn
1472-6947pii
1472-6947-14-10journal_volume
14pub_type
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