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Adapting two American Decision Aids for Mild Traumatic Brain Injury to the Canadian Context Using the Nominal Group Technique.
Ghandour, El Kebir; Lelaidier Hould, Lania; Fortier, Félix-Antoine; Gélinas, Veronique; Melnick, Edward R; Hess, Erik P; Lang, Eddy S; Gravel, Jocelyn; Perry, Jeffrey J; Le Sage, Natalie; Truchon, Catherine; LeBlanc, Annie; Dubrovsky, Alexander Sasha; Gagnon, Marie-Pierre; Ouellet, Marie-Christine; Gagnon, Isabelle; McKenna, Suzanne; Légaré, France; Sauvé, Louise; van de Belt, Tom H; Kavanagh, Éric; Paquette, Laurence; Verrette, Anne-Catherine; Plante, Patrick; Riopelle, Richard J; Archambault, Patrick M.
Afiliación
  • Ghandour EK; Institut National d'excellence en Santé et en Services Sociaux (INESSS), 2535, Boulevard Laurier, 5e étage, Québec, QC, G1V 4M3, Canada. elkebir.ghandour@inesss.qc.ca.
  • Lelaidier Hould L; Centre Intégré de Santé et de Services Sociaux de Chaudière-Appalaches, Lévis, QC, Canada. elkebir.ghandour@inesss.qc.ca.
  • Fortier FA; Centre Intégré de Santé et de Services Sociaux de Chaudière-Appalaches, Lévis, QC, Canada.
  • Gélinas V; Centre Intégré de Santé et de Services Sociaux de Chaudière-Appalaches, Lévis, QC, Canada.
  • Melnick ER; Centre Intégré de Santé et de Services Sociaux de Chaudière-Appalaches, Lévis, QC, Canada.
  • Hess EP; School of Medicine, Yale University, New Haven, CT, USA.
  • Lang ES; Department of Emergency Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Gravel J; Cumming School of Medicine, University of Calgary, Calgary, AL, Canada.
  • Perry JJ; Department of Pediatrics, Université de Montréal, Montreal, QC, Canada.
  • Le Sage N; Department of Emergency Medicine, University of Ottawa, Ottawa, ON, Canada.
  • Truchon C; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
  • LeBlanc A; Department of Family Medicine and Emergency Medicine, Université Laval, Québec, QC, Canada.
  • Dubrovsky AS; Institut National d'excellence en Santé et en Services Sociaux (INESSS), 2535, Boulevard Laurier, 5e étage, Québec, QC, G1V 4M3, Canada.
  • Gagnon MP; Department of Family Medicine and Emergency Medicine, Université Laval, Québec, QC, Canada.
  • Ouellet MC; Pediatrics and Pediatric Emergency Medicine, McGill University, Montreal, QC, Canada.
  • Gagnon I; School of Nursing, Université Laval, Québec, QC, Canada.
  • McKenna S; School of Psychology, Université Laval, Québec, QC, Canada.
  • Légaré F; School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.
  • Sauvé L; Brain Injury Canada, Ottawa, ON, Canada.
  • van de Belt TH; Department of Family Medicine and Emergency Medicine, Université Laval, Québec, QC, Canada.
  • Kavanagh É; TELUQ, Québec, QC, Canada.
  • Paquette L; Radboud University Medical Centre, Nijmegen, The Netherlands.
  • Verrette AC; School of Design, Université Laval, Québec, QC, Canada.
  • Plante P; School of Design, Université Laval, Québec, QC, Canada.
  • Riopelle RJ; School of Design, Université Laval, Québec, QC, Canada.
  • Archambault PM; TELUQ, Québec, QC, Canada.
Patient ; 13(6): 729-743, 2020 12.
Article en En | MEDLINE | ID: mdl-33078377
A mild traumatic brain injury (also called concussion) can happen when the brain moves around in the skull after an impact to the head. A concussion is not a brain bleed and you cannot see a concussion. Concussions do not show up on a computed tomography (CT) scan. Brain bleeds do. Computed tomography scans are specialised X-ray machines that can detect serious brain injuries. Unfortunately, CT scan use also exposes patients to radiation and a future increased risk of cancer.Shared decision making involves health professionals and patients making decisions together based on the best available evidence, health professionals' experience, and patients' values and preferences. Shared decision making improves appropriate diagnostic test use.Two decision aids created in the USA are available to facilitate shared decision making regarding the use of head CT scans for patients with concussion. These decision aids are not fully adapted for use in Canada because the healthcare, social and legal context is different. Our study brought together patients and experts in the field of concussion and shared decision making to analyse these decision aids and propose adaptations that would increase their acceptance in Canadian emergency departments. We used a technique called the Nominal Group Technique to create a consensus about the most important changes to make to both original decision aids. The main adaptations needed for the Canadian context concerned avoiding information about cost and removing any information that does not change clinical management. This project will help us adapt two decision aids for clinical use in Canada and support appropriate CT scan use for patients with concussion.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conmoción Encefálica Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Adult / Child / Humans País/Región como asunto: America do norte Idioma: En Revista: Patient Año: 2020 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Nueva Zelanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conmoción Encefálica Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Adult / Child / Humans País/Región como asunto: America do norte Idioma: En Revista: Patient Año: 2020 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Nueva Zelanda