TY - JOUR
T1 - A Delphi Method for Development of a Barrett's Esophagus Question Prompt List as a Communication Tool for Optimal Patient-physician Communication
AU - Kamal, Afrin N.
AU - Wang, Chih Hung Jason
AU - Triadafilopoulos, George
AU - Diehl, David L.
AU - Ducoin, Christopher
AU - Dunst, Christy M.
AU - Falk, Gary
AU - Iyer, Prasad G.
AU - Katzka, David A.
AU - Konda, Vani J.A.
AU - Muthusamy, Raman
AU - Otaki, Fouad
AU - Pleskow, Douglas
AU - Rubenstein, Joel H.
AU - Shaheen, Nicholas J.
AU - Sharma, Prateek
AU - Smith, Michael S.
AU - Sujka, Joseph
AU - Swanstrom, Lee L.
AU - Tatum, Roger P.
AU - Trindade, Arvind J.
AU - Ujiki, Michael
AU - Wani, Sachin
AU - Clarke, John O.
N1 - Publisher Copyright:
© 2024 the Author(s). Published by Wolters Kluwer Health, Inc.
PY - 2024/2/3
Y1 - 2024/2/3
N2 - Background Methods: The question prompt list content was derived through a modified Delphi process consisting of 3 rounds. In round 1, experts provided 5 answers to the prompts "What general questions should patients ask when given a new diagnosis of Barrett's esophagus"and "What questions do I not hear patients asking, but given my expertise, I believe they should be asking?"Questions were reviewed and categorized into themes. In round 2, experts rated questions on a 5-point Likert scale. In round 3, experts rerated questions modified or reduced after the previous rounds. Only questions rated as "essential"or "important"were included in Barrett's esophagus question prompt list (BE-QPL). To improve usability, questions were reduced to minimize redundancy and simplified to use language at an eighth-grade level (Fig. 1). Results: Twenty-one esophageal medical and surgical experts participated in both rounds (91% males; median age 52 years). The expert panel comprised of 33% esophagologists, 24% foregut surgeons, and 24% advanced endoscopists, with a median of 15 years in clinical practice. Most (81%), worked in an academic tertiary referral hospital. In this 3-round Delphi technique, 220 questions were proposed in round 1, 122 (55.5%) were accepted into the BE-QPL and reduced down to 76 questions (round 2), and 67 questions (round 3). These 67 questions reached a Flesch Reading Ease of 68.8, interpreted as easily understood by 13 to 15 years olds. Conclusions: With multidisciplinary input, we have developed a physician-derived BE-QPL to optimize patient-physician communication. Future directions will seek patient feedback to distill the questions further to a smaller number and then assess their usability.
AB - Background Methods: The question prompt list content was derived through a modified Delphi process consisting of 3 rounds. In round 1, experts provided 5 answers to the prompts "What general questions should patients ask when given a new diagnosis of Barrett's esophagus"and "What questions do I not hear patients asking, but given my expertise, I believe they should be asking?"Questions were reviewed and categorized into themes. In round 2, experts rated questions on a 5-point Likert scale. In round 3, experts rerated questions modified or reduced after the previous rounds. Only questions rated as "essential"or "important"were included in Barrett's esophagus question prompt list (BE-QPL). To improve usability, questions were reduced to minimize redundancy and simplified to use language at an eighth-grade level (Fig. 1). Results: Twenty-one esophageal medical and surgical experts participated in both rounds (91% males; median age 52 years). The expert panel comprised of 33% esophagologists, 24% foregut surgeons, and 24% advanced endoscopists, with a median of 15 years in clinical practice. Most (81%), worked in an academic tertiary referral hospital. In this 3-round Delphi technique, 220 questions were proposed in round 1, 122 (55.5%) were accepted into the BE-QPL and reduced down to 76 questions (round 2), and 67 questions (round 3). These 67 questions reached a Flesch Reading Ease of 68.8, interpreted as easily understood by 13 to 15 years olds. Conclusions: With multidisciplinary input, we have developed a physician-derived BE-QPL to optimize patient-physician communication. Future directions will seek patient feedback to distill the questions further to a smaller number and then assess their usability.
KW - Barrett's esophagus
KW - patient-physician communication
KW - question prompt list
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U2 - 10.1097/MCG.0000000000001832
DO - 10.1097/MCG.0000000000001832
M3 - Article
C2 - 36753462
AN - SCOPUS:85181760990
SN - 0192-0790
VL - 58
SP - 131
EP - 135
JO - Journal of Clinical Gastroenterology
JF - Journal of Clinical Gastroenterology
IS - 2
ER -