Development of a decision aid for the treatment of benign prostatic hyperplasia: A four stage method using a Delphi consensus study
Lamers,R.E.D. Cuypers,M. Garvelink,M.M. de Vries,Marieke Bosch,J.L.H.R. Kil,P.J.M.
Lamers,R.E.D.
Cuypers,M.
Garvelink,M.M.
de Vries,Marieke
Bosch,J.L.H.R.
Kil,P.J.M.
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
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Date
2016
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Research Projects
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Lamers, R E D, Cuypers, M, Garvelink, M M, de Vries, M, Bosch, J L H R & Kil, P J M 2016, 'Development of a decision aid for the treatment of benign prostatic hyperplasia : A four stage method using a Delphi consensus study', Patient Education and Counseling, vol. 99, no. 7, pp. 1249-1256. https://doi.org/10.1016/j.pec.2016.02.004