Shared Decision-Making: Process for Design and Implementation of a Decision Aid for Patients With Craniosynostosis.

Objective : To describe the process of developing a craniosynostosis decision aid. Design : We conducted a mixed-methods exploratory study between August 2019 and March 2020 to develop a decision aid about surgical treatment for single suture craniosynostosis. Setting : A single tertiary care academ...

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Publicado en:Cleft Palate Craniofacial Journal Vol. 61; no. 1; pp. 138 - 144
Autores principales: Said, Abdullah M., Zubovic, Ema, Pfeifauf, Kristin D., Skolnick, Gary B., Agboada, Jude, Acayo-Laker, Penina, Naidoo, Sybill D., Politi, Mary C., Smyth, Matthew, Patel, Kamlesh B.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Jan2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2024
      vid: 61
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Shared Decision-Making: Process for Design and Implementation of a Decision Aid for Patients With Craniosynostosis.
      aug:
        au:
          Said, Abdullah M.
          Zubovic, Ema
          Pfeifauf, Kristin D.
          Skolnick, Gary B.
          Agboada, Jude
          Acayo-Laker, Penina
          Naidoo, Sybill D.
          Politi, Mary C.
          Smyth, Matthew
          Patel, Kamlesh B.
        affil: Division of Plastic and Reconstructive Surgery, Department of Surgery, 7548Washington University in St. Louis, St. Louis, MO, USA
      sug:
        subj:
          Implementation Science
          Decision Support Techniques
          Decision Making, Shared
          Craniosynostoses Surgery
          Suture Techniques
          Human
          Multimethod Studies
          Exploratory Research
          Tertiary Health Care
          Academic Medical Centers
          Hospitals, Pediatric
          Surgeons
          Research Personnel
          Clinical Nurse Specialists
          Interviews
          Feedback
          Family Psychosocial Factors
          Family Attitudes Evaluation
      ab: Objective : To describe the process of developing a craniosynostosis decision aid. Design : We conducted a mixed-methods exploratory study between August 2019 and March 2020 to develop a decision aid about surgical treatment for single suture craniosynostosis. Setting : A single tertiary care academic children's hospital. Participants : The decision aid development team consisted of surgeons, research fellows, a clinical nurse practitioner, clinical researchers with expertise in decision science, and a university-affiliated design school. Qualitative interviews (N = 5) were performed with families, clinicians (N = 2), and a helmeting orthotist to provide feedback on decision aid content, format, and usability. Interventions : After cycles of revisions and iterations, 3 related decision aids were designed and approved by the marketing arm of our institution. Distinct booklets were created to enable focused discussion of treatment options for the 3 major types of single suture craniosynostosis (sagittal, metopic, unicoronal). Results : Three decision aids representing the 3 most common forms of single suture craniosynostosis were developed. Clinicians found the decision aids could help facilitate discussions about families' treatment preferences, goals, and concerns. Conclusions : We developed a customizable decision aid for single suture craniosynostosis treatment options. This tool lays the foundation for shared decision-making by assessing family preferences and providing clear, concise, and credible information regarding surgical treatment. Future research can evaluate this tool's impact on patient–clinician discussions about families' goals and preferences for treatment.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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