College of Human Medicine, Michigan State University, East Lansing, USA.
BMC Med Inform Decis Mak. 2014 Feb 13;14:10. doi: 10.1186/1472-6947-14-10.
We describe the results of cognitive interviews to refine the "Making Choices©" Decision Aid (DA) for shared decision-making (SDM) about stress testing in patients with stable coronary artery disease (CAD).
We conducted a systematic development process to design a DA consistent with International Patient Decision Aid Standards (IPDAS) focused on Alpha testing criteria. Cognitive interviews were conducted with ten stable CAD patients using the "think aloud" interview technique to assess the clarity, usefulness, and design of each page of the DA.
Participants identified three main messages: 1) patients have multiple options based on stress tests and they should be discussed with a physician, 2) take care of yourself, 3) the stress test is the gold standard for determining the severity of your heart disease. Revisions corrected the inaccurate assumption of item number three.
Cognitive interviews proved critical for engaging patients in the development process and highlighted the necessity of clear message development and use of design principles that make decision materials easy to read and easy to use. Cognitive interviews appear to contribute critical information from the patient perspective to the overall systematic development process for designing decision aids.
我们描述了认知访谈的结果，以改进“选择决策©”决策辅助工具（DA），用于与稳定型冠状动脉疾病（CAD）患者共同决策（SDM）进行压力测试。
我们进行了系统的开发过程，设计了符合国际患者决策辅助工具标准（IPDAS）的 DA，重点关注 Alpha 测试标准。对 10 名稳定型 CAD 患者进行了认知访谈，使用“出声思考”访谈技术评估 DA 每页的清晰度、有用性和设计。
参与者确定了三个主要信息：1）患者有多种基于压力测试的选择，应与医生讨论；2）照顾好自己；3）压力测试是确定心脏病严重程度的金标准。修订版纠正了第三条信息的不准确假设。
认知访谈对于让患者参与开发过程至关重要，并强调了明确信息开发和使用设计原则的必要性，这使得决策材料易于阅读和使用。认知访谈似乎为设计决策辅助工具的整体系统开发过程提供了来自患者角度的关键信息。
