Decision aids linked to the recommendations in clinical practice guidelines: results of the acceptability of a decision aid for patients with generalized anxiety disorder

Abstract

Background Generalized anxiety disorder (GAD) is one of the most prevalent mental health problems. Patients with GAD have unmet needs related to the information received about their disorder, its treatments and their participation in the decision-making process. The aim of this study is to develop and assess the acceptability of a patient decision aid (PtDA) for patients with GAD. Method The PtDA was developed following the International Patient Decision Aid Standards. The recommendations of the Spanish clinical practice guideline (CPG) for patients with GAD were used as the basis. The first prototype was developed by an expert committee, further improvements were made with patients (n = 2), clinical experts (n = 13) and the project management group (n = 7). The acceptability of this second draft was assessed by patients non-involved in the previous phases (n = 11). Results The final PtDA version included a brief description of GAD and its treatments. Most participants agreed that the PtDA was easy to use, visually appealing and useful. At least half of the participants learned new things about treatments and adverse effects. Conclusions A PtDA was developed for patients with GAD based on recommendations from the Spanish CPG. It was improved and accepted by patients and clinical experts involved. An evaluation of its effectiveness on the shared decision-making process during the clinical encounter is planned.

The Conditional Influences of Organizational Climate on the Relationship between the Number and Types of Implementation Strategies and Lupus Decision Aid Acceptability, Appropriateness, and Feasibility

“…Finally, it is worth noting that respondents in our study reported modest levels of decision-aid acceptability, appropriateness, and feasibility (mean range = 3.3-3.7). Previous research on decision-aids for other clinical conditions (e.g., cancer, mental health) have reported high levels of acceptability and feasibility (39)(40)(41). Likewise, patients in a previous study of the decision-aid (and analyses from this study that are underway) indicate high levels of acceptability from the patient perspective, highlighting some divergence in views.…”

Comparison of analog and digital patient decision aids for the treatment of depression: a scoping review

“…The development, challenges and research of PDAs for patients with depression can gain from taking inspiration from research on PDAs for somatic conditions such as osteoarthritis and cancer and for other mental disorders such as schizophrenia ( 18 ). Research in this area has shown that patients' experiences, understanding as well as quality of SDM was improved when digital PDAs contained visual aids such as icons and bar charts ( 82 , 83 ). Another helpful feature in this context might be that information is presented in different formats such as writing, video and audio ( 84 , 85 ).…”

“…In addition, PDAs can have incorporated communication aids ( 84 ) and instruction sheets for their implementation in the clinical workflow ( 88 ). Finally, an efficient strategy might be to align PDAs and their development directly with clinical practice guidelines so that the PDAs reflect guideline content and guidelines contain passages on SDM and PDAs ( 82 , 87 , 89 ). This effort might be strengthened by collaborating with initiatives and stakeholders focusing on clinical practice guidelines, SDM and implementation of best available evidence ( 82 , 87 ).…”

“…Finally, an efficient strategy might be to align PDAs and their development directly with clinical practice guidelines so that the PDAs reflect guideline content and guidelines contain passages on SDM and PDAs ( 82 , 87 , 89 ). This effort might be strengthened by collaborating with initiatives and stakeholders focusing on clinical practice guidelines, SDM and implementation of best available evidence ( 82 , 87 ). Multistakeholder teams can also help with regular evidence update of information provided in PDAs ( 90 ).…”

Correction to: Decision aids linked to the recommendations in clinical practice guidelines: results of the acceptability of a decision aid for patients with generalized anxiety disorder

“…Following publication of the original article [ 1 ], it was reported that the Given- and Family Names of the authors were transposed. The correct author list is given in this Correction article and the original article [ 1 ] has been updated.…”