Patient decision-making personas: An application of a patient-centered cognitive task analysis (P-CTA).

Personas can be used to understand patterns of variation in patients' performance of cognitive work, particularly self-care decision making. In this study, we used a patient-centered cognitive task analysis (P-CTA) to develop self-care decision-making personas. We collected data from 24 older adults...

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Publicado en:Applied Ergonomics Vol. 87
Autores principales: Holden, Richard J., Daley, Carly N., Mickelson, Robin S., Bolchini, Davide, Toscos, Tammy, Cornet, Victor P., Miller, Amy, Mirro, Michael J.
Formato: Journal Article
Publicado: Elsevier B.V. Sep2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2020
      vid: 87
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      pub: Elsevier B.V.
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        atl: Patient decision-making personas: An application of a patient-centered cognitive task analysis (P-CTA).
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        au:
          Holden, Richard J.
          Daley, Carly N.
          Mickelson, Robin S.
          Bolchini, Davide
          Toscos, Tammy
          Cornet, Victor P.
          Miller, Amy
          Mirro, Michael J.
        affil: Department of Medicine, Indiana University School of Medicine, USA
      sug:
        subj:
          Heart Failure Psychosocial Factors
          Decision Making
          Self Care Psychosocial Factors
          Task Performance and Analysis
          Health Behavior
          Prospective Studies
          Patient Centered Care
          Chronic Disease
          Cross Sectional Studies
          Male
          Aged
          Female
          Clinical Assessment Tools
          Scales
          Aged: 65+ years
          Male
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      ab: Personas can be used to understand patterns of variation in patients' performance of cognitive work, particularly self-care decision making. In this study, we used a patient-centered cognitive task analysis (P-CTA) to develop self-care decision-making personas. We collected data from 24 older adults with chronic heart failure and 14 support persons, using critical incident and fictitious scenario interviews. Qualitative analyses produced three personas but revealed that individuals exemplify different personas across situations. The Rule-Following persona seeks clear rules, exercises caution under uncertainty, and grounds actions in confidence in clinician experts. The Researching persona seeks information to gain better understanding, invents strategies, and conducts experiments independently or with clinicians. The Disengaging persona does not actively seek rules or information and does not attempt to reduce uncertainty or conduct experiments. We discuss the situational nature of personas, their use in design, and the benefits of P-CTA for studying patient decision making.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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