Development of a decision aid for the treatment of benign prostatic hyperplasia: A four stage method using a Delphi consensus study

R.E.D. Lamers, M. Cuypers, M.M. Garvelink, Marieke de Vries, J.L.H.R. Bosch, P.J.M. Kil

Research output: Contribution to journalArticleScientificpeer-review


To develop a web-based decision aid (DA) for the treatment of lower urinary tract symptoms due to benign prostatic hyperplasia (LUTS/BPH).
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.
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.
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 languageEnglish
Pages (from-to)1249-1256
JournalPatient Education and Counseling
Issue number7
Publication statusPublished - 2016


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