Abstract
Objective
To develop a web-based decision aid (DA) for the treatment of lower urinary tract symptoms due to benign prostatic hyperplasia (LUTS/BPH).
Methods
From February–September 2014 we performed a four-stage development method: 1: Two-round Delphi consensus method among urologists, 2: Identifying patients’ needs and expectations, 3: Development of DA content and structure, 4: Usability testing with LUTS/BPH patients.
Results
1 (N = 15): Dutch urologists reached consensus on 61% of the statements concerning users’ criteria, decision options, structure, and medical content. 2 (N = 24): Consensus was reached in 69% on statements concerning the need for improvement of information provision, the need for DA development and that the DA should clarify patients’ preferences. 3: DA development based on results from stage 1 and stage 2. 4 (N = 10): Pros of the DA were clear information provision, systematic design and easy to read and re-read.
Conclusion
A LUTS/BPH DA containing VCEs** was developed in cooperation with urologists and patients following a structured 4 stage method and was stated to be well accepted.
Practice Implications
This method can be adopted for the development of DAs to support other medical decision issues.
Keywords: Benign, Prostatic Hyperplasia, Decision Aid, Decision Aid development, Delphi consensus study
To develop a web-based decision aid (DA) for the treatment of lower urinary tract symptoms due to benign prostatic hyperplasia (LUTS/BPH).
Methods
From February–September 2014 we performed a four-stage development method: 1: Two-round Delphi consensus method among urologists, 2: Identifying patients’ needs and expectations, 3: Development of DA content and structure, 4: Usability testing with LUTS/BPH patients.
Results
1 (N = 15): Dutch urologists reached consensus on 61% of the statements concerning users’ criteria, decision options, structure, and medical content. 2 (N = 24): Consensus was reached in 69% on statements concerning the need for improvement of information provision, the need for DA development and that the DA should clarify patients’ preferences. 3: DA development based on results from stage 1 and stage 2. 4 (N = 10): Pros of the DA were clear information provision, systematic design and easy to read and re-read.
Conclusion
A LUTS/BPH DA containing VCEs** was developed in cooperation with urologists and patients following a structured 4 stage method and was stated to be well accepted.
Practice Implications
This method can be adopted for the development of DAs to support other medical decision issues.
Keywords: Benign, Prostatic Hyperplasia, Decision Aid, Decision Aid development, Delphi consensus study
| Original language | English |
|---|---|
| Pages (from-to) | 1249-1256 |
| Journal | Patient Education and Counseling |
| Volume | 99 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - 2016 |