LeRouge Cynthia, Nguyen Ann M, Bowen Deborah J
University of Washington, Seattle, WA, USA.
Florida International University, Miami, FL, USA.
Med Care Res Rev. 2022 Apr;79(2):267-280. doi: 10.1177/10775587211012995. Epub 2021 May 6.
The patient decision aid (PDA) is a promising patient engagement tool for use in shared decision making (SDM). Selecting a PDA is an essential precursor to successful SDM implementation. Little is known regarding the organizational stakeholder process for assessing and selecting a PDA. We conducted a qualitative, multicase study within the context of a maternal health decision to identify the criteria used by stakeholders to select a PDA. We further explored the perceived value of PDA certification on PDA selection. We reported the PDA selection criteria within the domains of (1) Design and Functionality, (2) User Fit, (3) Context and Climate, (4) Support, and (5) Strategic Vision and found that certification was perceived to be a valuable screening mechanism for smaller health organizations. Health organizations and researchers may use our PDA selection criteria and conceptual model to plan future deployments of PDAs and patient engagement tools.
患者决策辅助工具（PDA）是一种用于共同决策（SDM）的很有前景的患者参与工具。选择PDA是成功实施SDM的重要前提。关于评估和选择PDA的组织利益相关者过程，我们知之甚少。我们在孕产妇健康决策的背景下进行了一项定性多案例研究，以确定利益相关者选择PDA所使用的标准。我们进一步探讨了PDA认证在PDA选择方面的感知价值。我们报告了在以下领域的PDA选择标准：（1）设计与功能，（2）用户适配性，（3）背景与氛围，（4）支持，以及（5）战略愿景，并发现认证被认为是较小健康组织的一种有价值的筛选机制。健康组织和研究人员可以使用我们的PDA选择标准和概念模型来规划PDA和患者参与工具的未来部署。
