Assessing patient information needs for new antidiabetic medications to inform shared decision‐making: A best–worst scaling experiment in China.

Background: Shared decision‐making (SDM) is a patient‐centred approach to improve the quality of care. An essential requirement for the SDM process is to be fully aware of patient information needs. Objectives: Our study aimed to assess patient information needs for new antidiabetic medications usin...

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Publicado en:Health Expectations Vol. 27; no. 3; pp. 1 - 11
Autores principales: Xie, Tongling, Meng, Jingyi, Feng, Zhe, Gao, Yue, Chen, Tian, Chen, Yalan, Geng, Jinsong
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2024
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Assessing patient information needs for new antidiabetic medications to inform shared decision‐making: A best–worst scaling experiment in China.
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          Xie, Tongling
          Meng, Jingyi
          Feng, Zhe
          Gao, Yue
          Chen, Tian
          Chen, Yalan
          Geng, Jinsong
        affil: Center for Evidence‐Based Medicine, Nantong University Medical School, Nantong, China
      sug:
        subj:
          Information Needs Evaluation
          Patient Education
          Antibiotics Therapeutic Use
          Decision Making, Shared
          Human
          China
          Surveys
          Diabetes Mellitus, Type 2
          Questionnaires
          Regression
          Data Analysis Software
          Male
          Female
          Middle Age
          Aged
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Shared decision‐making (SDM) is a patient‐centred approach to improve the quality of care. An essential requirement for the SDM process is to be fully aware of patient information needs. Objectives: Our study aimed to assess patient information needs for new antidiabetic medications using the best–worst scaling (BWS) experiment. Methods: BWS tasks were developed according to a literature review and the focus group discussion. We used a balanced incomplete block design and blocking techniques to generate choice sets. The final BWS contains 11 attributes, with 6‐choice scenarios in each block. The one‐to‐one, face‐to‐face BWS survey was conducted among type 2 diabetic patients in Jiangsu Province. Results were analyzed using count‐based analysis and modelling approaches. We also conducted a subgroup analysis to observe preference heterogeneity. Results: Data from 539 patients were available for analysis. The most desired information domain was the comparative effectiveness of new antidiabetic medications. It consists of the incidence of macrovascular complications, the length of extended life years, changes in health‐related quality of life, the incidence of microvascular complications, and the control of glycated haemoglobin. Of all the attributes, the incidence of macrovascular complications was the primary concern. Patients' glycemic control and whether they had diabetes complications exerted a significant influence on their information needs. Conclusions: Information on health benefits is of critical significance for diabetic patients. Patients have different information needs as their disease progresses. Personalized patient decision aids that integrate patient information needs and provide evidence of new antidiabetic medications are worthy of being established. Patient or Public Contribution: Before data collection, a pilot survey was carried out among diabetic patients to provide feedback on the acceptability and intelligibility of the attributes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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