Stacey Dawn, Ludwig Claire, Archambault Patrick, Babulic Kevin, Edwards Nancy, Lavoie Josée, Sinha Samir, O'Connor Annette M
University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
University of Ottawa, Ottawa, ON, Canada.
Med Decis Making. 2021 Feb;41(2):233-239. doi: 10.1177/0272989X20979693. Epub 2020 Dec 10.
To meet urgent decisional needs of retirement/nursing home residents and their families, our interdisciplinary stakeholder team rapidly developed and disseminated patient decision aids (PtDAs) regarding leaving one's residence during the COVID-19 pandemic. The development steps were as follows: identify urgent decisional needs, develop PtDAs using the Ottawa Decision Support Framework template and minimal International PtDA Standards, obtain stakeholder feedback, broadly disseminate, and incorporate user feedback. Within 2 wk, we developed 2 PtDAs for retirement and nursing home living environments that were informed by decisional needs (identified from public responses to related media reports), current pandemic regulations/guidance, and recent systematic reviews. Within 3 wk of their dissemination (websites, international PtDA inventory, Twitter, Facebook, media interviews), the PtDAs were downloaded 10,000 times, and user feedback was positive. Our expert team showed feasible rapid development and wide dissemination of PtDAs to respond to urgent decisional needs. Development efficiencies included access to a well-tested theory-based PtDA template, recent evidence syntheses, and values-based public responses to media reports. Future research includes methods for rapidly collecting user feedback, facilitating implementation, and measuring use and outcomes.
为满足退休人员/养老院居民及其家人的紧急决策需求，我们的跨学科利益相关者团队迅速开发并传播了关于在新冠疫情期间离开住所的患者决策辅助工具（PtDAs）。开发步骤如下：确定紧急决策需求，使用渥太华决策支持框架模板和最低限度的国际PtDA标准开发PtDAs，获取利益相关者反馈，广泛传播，并纳入用户反馈。在两周内，我们针对退休人员和养老院生活环境开发了2个PtDAs，这些工具以决策需求（从公众对相关媒体报道的回应中确定）、当前疫情规定/指南以及近期系统评价为依据。在传播后的3周内（通过网站、国际PtDA清单、推特、脸书、媒体采访），这些PtDAs被下载了10000次，用户反馈良好。我们的专家团队展示了可行的快速开发和广泛传播PtDAs以应对紧急决策需求的能力。开发效率包括能够使用经过充分测试的基于理论的PtDA模板、近期的证据综合以及基于价值观的公众对媒体报道的回应。未来的研究包括快速收集用户反馈、促进实施以及衡量使用情况和结果的方法。
