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Title: Development of a novel gout treatment patient decision aid by patient and physician: A qualitative research study
Authors: Meyappan, Meykkumar
Loh, Wei Siong Aaron
Tan, Li Yen
Tan, Sheng Feng Ian
Ho, Pey Ying
Poh, Yih Jia
Tan, Ngiap Chuan
Keywords: gout
patient decision aid
shared decision making
Issue Date: 12-Jan-2021
Publisher: Blackwell Publishing Ltd
Citation: Meyappan, Meykkumar, Loh, Wei Siong Aaron, Tan, Li Yen, Tan, Sheng Feng Ian, Ho, Pey Ying, Poh, Yih Jia, Tan, Ngiap Chuan (2021-01-12). Development of a novel gout treatment patient decision aid by patient and physician: A qualitative research study. Health Expectations. ScholarBank@NUS Repository.
Rights: Attribution 4.0 International
Abstract: Background: Gout treatment is not optimized globally, often due to therapeutic inertia by physicians or poor adherence to urate-lowering medications by patients. A patient decision aid (PDA) to facilitate shared decision making (SDM) in gout treatment may overcome these physician-patient barriers. Objective: The study explored the views of physicians and patients on a novel locally designed gout treatment PDA prototype. Design: Qualitative descriptive design was used to gather data from in-depth-interviews (IDI) and focus group discussions (FGD). Data analysis was via thematic analysis. Emergent themes shaped a revised version of the PDA. Setting and participants: Adult Asian patients with recent acute gout exacerbations and local Primary Care Physicians (PCP) in Singapore were purposefully chosen. 15 patients with gout and 11 PCPs participated across three IDIs and six FGDs, with the investigators exploring their views of a prototype gout treatment PDA. Results: Patients and physicians generally concurred with the content and design of the PDA prototype. However, while patients preferred fewer treatment details, the PCPs desired more information. Patients preferred the display of statistics, while PCPs felt that numbers were not relevant to patients. The latter were hesitant to include treatment options that were unavailable in primary care. Both stakeholders indicated that they would use the PDA during a consultation. PCPs would need further training in SDM, given a lack of understanding of it. Conclusion and patient contribution: Patients will be the prime users of the PDA. While their views differed partially from the physicians, both have jointly developed the novel gout treatment PDA. © 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd.
Source Title: Health Expectations
ISSN: 1369-6513
DOI: 10.1111/hex.13184
Rights: Attribution 4.0 International
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