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Development of a patient decision aid for discharge planning of hospitalized patients with stroke.
Prick, J C M; van Schaik, S M; Deijle, I A; Dahmen, R; Brouwers, P J A M; Hilkens, P H E; Garvelink, M M; Engels, N; Ankersmid, J W; Keus, S H J; The, R; Takahashi, A; van Uden-Kraan, C F; van der Wees, P J; Van den Berg-Vos, R M.
Afiliación
  • Prick JCM; , Santeon, Utrecht, the Netherlands. j.c.m.prick@olvg.nl.
  • van Schaik SM; Department of Neurology, OLVG West, Jan Tooropstraat 164, 1061 AE, Amsterdam, the Netherlands. j.c.m.prick@olvg.nl.
  • Deijle IA; Department of Neurology, OLVG West, Jan Tooropstraat 164, 1061 AE, Amsterdam, the Netherlands.
  • Dahmen R; Department of Quality and Improvement, OLVG, Amsterdam, the Netherlands.
  • Brouwers PJAM; Amsterdam Rehabilitation Research Center/Reade, Amsterdam, the Netherlands.
  • Hilkens PHE; Department of Neurology, Medisch Spectrum Twente, Enschede, the Netherlands.
  • Garvelink MM; Department of Neurology, St. Antonius Hospital, Nieuwegein, the Netherlands.
  • Engels N; Department of Value Based Healthcare, St. Antonius Hospital, Nieuwegein, the Netherlands.
  • Ankersmid JW; , Santeon, Utrecht, the Netherlands.
  • Keus SHJ; , Santeon, Utrecht, the Netherlands.
  • The R; Department of Health Technology and Services Research, Technical Medical Center, University of Twente, Enschede, the Netherlands.
  • Takahashi A; Department of Quality and Improvement, OLVG, Amsterdam, the Netherlands.
  • van Uden-Kraan CF; Development and Implementation of Decision Aids, ZorgKeuzeLab, Delft, the Netherlands.
  • van der Wees PJ; Development and Implementation of Decision Aids, ZorgKeuzeLab, Delft, the Netherlands.
  • Van den Berg-Vos RM; , Santeon, Utrecht, the Netherlands.
BMC Neurol ; 22(1): 245, 2022 Jul 05.
Article en En | MEDLINE | ID: mdl-35790912
BACKGROUND: Patient involvement in discharge planning of patients with stroke can be accomplished by providing personalized outcome information and promoting shared decision-making. The aim of this study was to develop a patient decision aid (PtDA) for discharge planning of hospitalized patients with stroke. METHODS: A convergent mixed methods design was used, starting with needs assessments among patients with stroke and health care professionals (HCPs). Results of these assessments were used to develop the PtDA with integrated outcome information in several co-creation sessions. Subsequently, acceptability and usability were tested to optimize the PtDA. Development was guided by the International Patient Decision Aids Standards (IPDAS) criteria. RESULTS: In total, 74 patients and 111 HCPs participated in this study. A three-component PtDA was developed, consisting of: 1) a printed consultation sheet to introduce the options for discharge destinations, containing information that can be specified for each individual patient; 2) an online information and deliberation tool to support patient education and clarification of patient values, containing an integrated "patients-like-me" model with outcome information about discharge destinations; 3) a summary sheet to support actual decision-making during consultation, containing the patient's values and preferences concerning discharge planning. In the acceptability test, all qualifying and certifying IPDAS criteria were fulfilled. The usability test showed that patients and HCPs highly appreciated the PtDA with integrated outcome information. CONCLUSIONS: The developed PtDA was found acceptable and usable by patients and HCPs and is currently under investigation in a clinical trial to determine its effectiveness.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Accidente Cerebrovascular Tipo de estudio: Guideline / Prognostic_studies Límite: Humans Idioma: En Revista: BMC Neurol Asunto de la revista: NEUROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Accidente Cerebrovascular Tipo de estudio: Guideline / Prognostic_studies Límite: Humans Idioma: En Revista: BMC Neurol Asunto de la revista: NEUROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido