TY - JOUR
T1 - User-centered design and the development of patient decision aids
T2 - Protocol for a systematic review
AU - Witteman, Holly O.
AU - Dansokho, Selma Chipenda
AU - Colquhoun, Heather
AU - Coulter, Angela
AU - Dugas, Michèle
AU - Fagerlin, Angela
AU - Giguere, Anik M.C.
AU - Glouberman, Sholom
AU - Haslett, Lynne
AU - Hoffman, Aubri
AU - Ivers, Noah
AU - Légaré, France
AU - Légaré, Jean
AU - Levin, Carrie
AU - Lopez, Karli
AU - Montori, Victor M.
AU - Provencher, Thierry
AU - Renaud, Jean Sébastien
AU - Sparling, Kerri
AU - Stacey, Dawn
AU - Vaisson, Gratianne
AU - Volk, Robert J.
AU - Witteman, William
N1 - Funding Information:
This study was funded by the Patient-Centered Outcomes Research Institute (PCORI): ME-1306-03174. PCORI had no role in determining the study design, the plans for data collection or analysis, the decision to publish, nor the preparation of this manuscript. HOW is funded by a Research Scholar Junior 1 Career Development Award by the Fonds de Recherche du Québec—Santé. NI is funded by a New Investigator Award by the Canadian Institutes of Health Research as well as a New Investigator Award NIA from the Department of Family and Community Medicine, University of Toronto. FL is funded by a Tier 2 Canada Research Chair in Implementation of Shared Decision Making. DS is funded by a University of Ottawa Research Chair in Knowledge Translation to Patients. The authors gratefully acknowledge the contributions of Issa Bado to this project during a research internship.
Publisher Copyright:
© 2015 Witteman et al.; licensee BioMed Central.
PY - 2015/1/26
Y1 - 2015/1/26
N2 - Background: Providing patient-centered care requires that patients partner in their personal health-care decisions to the full extent desired. Patient decision aids facilitate processes of shared decision-making between patients and their clinicians by presenting relevant scientific information in balanced, understandable ways, helping clarify patients' goals, and guiding decision-making processes. Although international standards stipulate that patients and clinicians should be involved in decision aid development, little is known about how such involvement currently occurs, let alone best practices. This systematic review consisting of three interlinked subreviews seeks to describe current practices of user involvement in the development of patient decision aids, compare these to practices of user-centered design, and identify promising strategies. Methods/design: A research team that includes patient and clinician representatives, decision aid developers, and systematic review method experts will guide this review according to the Cochrane Handbook and PRISMA reporting guidelines. A medical librarian will hand search key references and use a peer-reviewed search strategy to search MEDLINE, EMBASE, PubMed, Web of Science, the Cochrane Library, the ACM library, IEEE Xplore, and Google Scholar. We will identify articles across all languages and years describing the development or evaluation of a patient decision aid, or the application of user-centered design or human-centered design to tools intended for patient use. Two independent reviewers will assess article eligibility and extract data into a matrix using a structured pilot-tested form based on a conceptual framework of user-centered design. We will synthesize evidence to describe how research teams have included users in their development process and compare these practices to user-centered design methods. If data permit, we will develop a measure of the user-centeredness of development processes and identify practices that are likely to be optimal. Discussion: This systematic review will provide evidence of current practices to inform approaches for involving patients and other stakeholders in the development of patient decision aids. We anticipate that the results will help move towards the establishment of best practices for the development of patient-centered tools and, in turn, help improve the experiences of people who face difficult health decisions. Systematic review registration: PROSPERO CRD42014013241.
AB - Background: Providing patient-centered care requires that patients partner in their personal health-care decisions to the full extent desired. Patient decision aids facilitate processes of shared decision-making between patients and their clinicians by presenting relevant scientific information in balanced, understandable ways, helping clarify patients' goals, and guiding decision-making processes. Although international standards stipulate that patients and clinicians should be involved in decision aid development, little is known about how such involvement currently occurs, let alone best practices. This systematic review consisting of three interlinked subreviews seeks to describe current practices of user involvement in the development of patient decision aids, compare these to practices of user-centered design, and identify promising strategies. Methods/design: A research team that includes patient and clinician representatives, decision aid developers, and systematic review method experts will guide this review according to the Cochrane Handbook and PRISMA reporting guidelines. A medical librarian will hand search key references and use a peer-reviewed search strategy to search MEDLINE, EMBASE, PubMed, Web of Science, the Cochrane Library, the ACM library, IEEE Xplore, and Google Scholar. We will identify articles across all languages and years describing the development or evaluation of a patient decision aid, or the application of user-centered design or human-centered design to tools intended for patient use. Two independent reviewers will assess article eligibility and extract data into a matrix using a structured pilot-tested form based on a conceptual framework of user-centered design. We will synthesize evidence to describe how research teams have included users in their development process and compare these practices to user-centered design methods. If data permit, we will develop a measure of the user-centeredness of development processes and identify practices that are likely to be optimal. Discussion: This systematic review will provide evidence of current practices to inform approaches for involving patients and other stakeholders in the development of patient decision aids. We anticipate that the results will help move towards the establishment of best practices for the development of patient-centered tools and, in turn, help improve the experiences of people who face difficult health decisions. Systematic review registration: PROSPERO CRD42014013241.
KW - Counseling
KW - Decision support
KW - Human-centered design
KW - Implementation
KW - Knowledge translation
KW - Patient decision aids
KW - Patient education
KW - Patient partnership
KW - Patient-centered care
KW - Shared decision-making
KW - Stakeholder engagement
KW - User-centered design
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U2 - 10.1186/2046-4053-4-11
DO - 10.1186/2046-4053-4-11
M3 - Article
C2 - 25623074
AN - SCOPUS:84939175171
SN - 2046-4053
VL - 4
JO - Systematic Reviews
JF - Systematic Reviews
IS - 1
M1 - 11
ER -