Canary Islands Health Research Institute Foundation, Tenerife, Spain.
Facultad de Ciencias de La Salud - Sección de Psicología, University of La Laguna (ULL), Tenerife, Spain.
BMC Med Inform Decis Mak. 2022 Jun 30;22(1):171. doi: 10.1186/s12911-022-01899-2.
Generalized anxiety disorder (GAD) is one of the most prevalent mental health problems. Patients with GAD have unmet needs related to the information received about their disorder, its treatments and their participation in the decision-making process. The aim of this study is to develop and assess the acceptability of a patient decision aid (PtDA) for patients with GAD.
The PtDA was developed following the International Patient Decision Aid Standards. The recommendations of the Spanish clinical practice guideline (CPG) for patients with GAD were used as the basis. The first prototype was developed by an expert committee, further improvements were made with patients (n = 2), clinical experts (n = 13) and the project management group (n = 7). The acceptability of this second draft was assessed by patients non-involved in the previous phases (n = 11).
The final PtDA version included a brief description of GAD and its treatments. Most participants agreed that the PtDA was easy to use, visually appealing and useful. At least half of the participants learned new things about treatments and adverse effects.
A PtDA was developed for patients with GAD based on recommendations from the Spanish CPG. It was improved and accepted by patients and clinical experts involved. An evaluation of its effectiveness on the shared decision-making process during the clinical encounter is planned.
广泛性焦虑障碍（GAD）是最常见的心理健康问题之一。GAD 患者在其疾病相关信息、治疗方案以及参与决策过程方面存在未满足的需求。本研究旨在开发并评估 GAD 患者使用的患者决策辅助工具（PtDA）的可接受性。
PtDA 的开发遵循国际患者决策辅助工具标准。GAD 患者的西班牙临床实践指南（CPG）建议被用作开发的基础。由一个专家委员会制定了第一版原型，然后与患者（n=2）、临床专家（n=13）和项目管理小组（n=7）共同对其进行了进一步的改进。之前没有参与过前几个阶段的患者（n=11）对这第二版草案的可接受性进行了评估。
最终的 PtDA 版本包括对 GAD 及其治疗方法的简要描述。大多数参与者认为 PtDA 使用方便、视觉效果好且有用。至少一半的参与者了解到了有关治疗和不良反应的新知识。
基于西班牙 CPG 的建议，为 GAD 患者开发了 PtDA。它得到了参与的患者和临床专家的改进和认可。计划对其在临床就诊期间对共享决策过程的有效性进行评估。
