The development of a decision aid for shared decision making in the Dutch implantable cardioverter defibrillator patient population: A novel approach to patient education
BackgroundCounseling of Implantable Cardioverter-defibrillator (ICD) patients with regard to individual risks and benefits is challenging. An evidence-based decision aid tailored to the needs of Dutch ICD patients is not yet available. The objective of this pilot project was to structurally evaluate...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.946404/full |
| _version_ | 1817983285683290112 |
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| author | Dilek Yilmaz Anastasia D. Egorova Martin J. Schalij Han A. M. Spierenburg Robert A. M. Verbunt Lieselot van Erven |
| author_facet | Dilek Yilmaz Anastasia D. Egorova Martin J. Schalij Han A. M. Spierenburg Robert A. M. Verbunt Lieselot van Erven |
| author_sort | Dilek Yilmaz |
| collection | DOAJ |
| description | BackgroundCounseling of Implantable Cardioverter-defibrillator (ICD) patients with regard to individual risks and benefits is challenging. An evidence-based decision aid tailored to the needs of Dutch ICD patients is not yet available. The objective of this pilot project was to structurally evaluate the current clinical practice in The Netherlands and the ICD patient experience, in order to develop an online decision aid to facilitate shared decision making in ICD procedures.MethodsBetween June 2016 and December 2017, a Dutch web-based decision aid was developed according to the Patient Decision Aid Standards (IPDAS) using the RAND-UCLA/multi-stepped Delphi model. Development process consisted of 5 stages in which the Dutch clinical practice was reviewed (stage 1), patients’ needs and their history of decision making was structurally assessed (stages 2A and B) and a modified Delphi consensus process was performed with an expert panel consisting of representatives from different medical fields (stage 3). Results from stages 1–3 were used to design and structure the content of an online-based decision aid (stage 4) which was finally evaluated in a usability testing by patients in stage 5.Results and conclusionThis study describes the evidence-based approach to the development of the Dutch ICD decision aid. In our population, levels of shared decision-making experience were low. The ICD decision aid was structurally developed for the Dutch ICD patient population. Our upcoming multicenter stepped wedge clustered randomized trial will further evaluate the ICD decision aid in clinical practice. |
| first_indexed | 2024-04-13T23:31:21Z |
| format | Article |
| id | doaj.art-2decde8cf64f47de98443aa222cc3663 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-13T23:31:21Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-2decde8cf64f47de98443aa222cc36632022-12-22T02:24:53ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-10-01910.3389/fcvm.2022.946404946404The development of a decision aid for shared decision making in the Dutch implantable cardioverter defibrillator patient population: A novel approach to patient educationDilek Yilmaz0Anastasia D. Egorova1Martin J. Schalij2Han A. M. Spierenburg3Robert A. M. Verbunt4Lieselot van Erven5Department of Cardiology, Leiden University Medical Center, Leiden, NetherlandsDepartment of Cardiology, Leiden University Medical Center, Leiden, NetherlandsDepartment of Cardiology, Leiden University Medical Center, Leiden, NetherlandsDepartment of Cardiology, Sint Maarten Medical Center, Cay Hill, Sint MaartenDepartment of Cardiology, Maxima Medical Center, Eindhoven, NetherlandsDepartment of Cardiology, Leiden University Medical Center, Leiden, NetherlandsBackgroundCounseling of Implantable Cardioverter-defibrillator (ICD) patients with regard to individual risks and benefits is challenging. An evidence-based decision aid tailored to the needs of Dutch ICD patients is not yet available. The objective of this pilot project was to structurally evaluate the current clinical practice in The Netherlands and the ICD patient experience, in order to develop an online decision aid to facilitate shared decision making in ICD procedures.MethodsBetween June 2016 and December 2017, a Dutch web-based decision aid was developed according to the Patient Decision Aid Standards (IPDAS) using the RAND-UCLA/multi-stepped Delphi model. Development process consisted of 5 stages in which the Dutch clinical practice was reviewed (stage 1), patients’ needs and their history of decision making was structurally assessed (stages 2A and B) and a modified Delphi consensus process was performed with an expert panel consisting of representatives from different medical fields (stage 3). Results from stages 1–3 were used to design and structure the content of an online-based decision aid (stage 4) which was finally evaluated in a usability testing by patients in stage 5.Results and conclusionThis study describes the evidence-based approach to the development of the Dutch ICD decision aid. In our population, levels of shared decision-making experience were low. The ICD decision aid was structurally developed for the Dutch ICD patient population. Our upcoming multicenter stepped wedge clustered randomized trial will further evaluate the ICD decision aid in clinical practice.https://www.frontiersin.org/articles/10.3389/fcvm.2022.946404/fullcardiac geriatricsimplantable cardioverter-defibrillatorshared decision makingdecision aid (DA)decision making |
| spellingShingle | Dilek Yilmaz Anastasia D. Egorova Martin J. Schalij Han A. M. Spierenburg Robert A. M. Verbunt Lieselot van Erven The development of a decision aid for shared decision making in the Dutch implantable cardioverter defibrillator patient population: A novel approach to patient education Frontiers in Cardiovascular Medicine cardiac geriatrics implantable cardioverter-defibrillator shared decision making decision aid (DA) decision making |
| title | The development of a decision aid for shared decision making in the Dutch implantable cardioverter defibrillator patient population: A novel approach to patient education |
| title_full | The development of a decision aid for shared decision making in the Dutch implantable cardioverter defibrillator patient population: A novel approach to patient education |
| title_fullStr | The development of a decision aid for shared decision making in the Dutch implantable cardioverter defibrillator patient population: A novel approach to patient education |
| title_full_unstemmed | The development of a decision aid for shared decision making in the Dutch implantable cardioverter defibrillator patient population: A novel approach to patient education |
| title_short | The development of a decision aid for shared decision making in the Dutch implantable cardioverter defibrillator patient population: A novel approach to patient education |
| title_sort | development of a decision aid for shared decision making in the dutch implantable cardioverter defibrillator patient population a novel approach to patient education |
| topic | cardiac geriatrics implantable cardioverter-defibrillator shared decision making decision aid (DA) decision making |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.946404/full |
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