Department of Family and Emergency Medicine, Faculty of Medicine, Laval University, Quebec City, Canada.
VITAM Research Centre, Quebec City, Canada.
Med Decis Making. 2021 Oct;41(7):736-754. doi: 10.1177/0272989X211014163. Epub 2021 Jun 19.
The 2013 update of the evidence informing the quality dimensions behind the International Patient Decision Aid Standards (IPDAS) offered a model process for developers of patient decision aids.
To summarize and update the evidence used to inform the systematic development of patient decision aids from the IPDAS Collaboration.
To provide further details about design and development methods, we summarized findings from a subgroup ( = 283 patient decision aid projects) in a recent systematic review of user involvement by Vaisson et al. Using a new measure of user-centeredness (UCD-11), we then rated the degree of user-centeredness reported in 66 articles describing patient decision aid development and citing the 2013 IPDAS update on systematic development. We contacted the 66 articles' authors to request their self-reports of UCD-11 items.
The 283 development processes varied substantially from minimal iteration cycles to more complex processes, with multiple iterations, needs assessments, and extensive involvement of end users. We summarized minimal, medium, and maximal processes from the data. Authors of 54 of 66 articles (82%) provided self-reported UCD-11 ratings. Self-reported scores were significantly higher than reviewer ratings (reviewers: mean [SD] = 6.45 [3.10]; authors: mean [SD] = 9.62 [1.16], < 0.001).
Decision aid developers have embraced principles of user-centered design in the development of patient decision aids while also underreporting aspects of user involvement in publications about their tools. Templates may reduce the need for extensive development, and new approaches for rapid development of aids have been proposed when a more detailed approach is not feasible. We provide empirically derived benchmark processes and a reporting checklist to support developers in more fully describing their development processes.[Box: see text].
2013 年对国际患者决策辅助标准（IPDAS）背后质量维度的证据进行了更新，为患者决策辅助工具的开发者提供了一个模型流程。
总结和更新 IPDAS 协作中用于系统开发患者决策辅助工具的证据。
为了提供有关设计和开发方法的更多详细信息，我们总结了 Vaisson 等人最近对用户参与情况进行的系统评价中的一个子组（=283 个患者决策辅助项目）的研究结果。使用新的以用户为中心程度（UCD-11）度量标准，我们对 66 篇描述患者决策辅助工具开发并引用 2013 年 IPDAS 系统开发更新的文章中报告的以用户为中心程度进行了评分。我们联系了这 66 篇文章的作者，要求他们报告 UCD-11 项目的自我评估结果。
283 个开发过程差异很大，从最小迭代周期到更复杂的过程，包括多次迭代、需求评估和广泛的最终用户参与。我们从数据中总结了最小、中等和最大的过程。66 篇文章中有 54 篇（82%）的作者提供了自我报告的 UCD-11 评分。自我报告的分数明显高于评审者的评分（评审者：平均[标准差] = 6.45 [3.10]；作者：平均[标准差] = 9.62 [1.16]，<0.001）。
在开发患者决策辅助工具时，决策辅助工具的开发者已经接受了以用户为中心的设计原则，同时在其工具的出版物中对用户参与的各个方面也有少报的情况。模板可能减少对广泛开发的需求，当更详细的方法不可行时，已经提出了用于快速开发辅助工具的新方法。我们提供了经验性衍生的基准过程和报告清单，以支持开发者更全面地描述其开发过程。[框：见文本]。
