Development of a shared decision-making tool to support patients and their healthcare provider in choosing the best inhaler device

Medical education, web and internet Pub Date : 2018-09-15 DOI:10.1183/13993003.CONGRESS-2018.OA1643

E. Metting, L. Dijk, Halima El Messlaki, J. Luers, Janwillem Kock

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引用次数: 5

Abstract

Background: Successful inhaled therapy is hardly achieved in daily practise due to frequent incorrect inhaler use and inadequate adherence. Shared decision making(SDM) by patient and healthcare provider might enhance adherence and self-efficacy in patients. Aim: To develop an online tool that can be used to support the choice of an inhaler that matches patients’ needs and preferences Method: 452 asthma/COPD patients completed a questionnaire (64% female, 74% between 50 and 75 years) with questions about “inhaler satisfaction” and “inhaler preferences” to detect relevant inhaler characteristics. These characteristics were used to develop the online SDM tool. According to the questionnaire we developed an balanced overview of (dis)advantages for each inhaler group. The tool was developed in Qualtrics. Results: Patients considered “dose counter,” “feedback mechanism,” “environmental friendly,” “ Conclusion: It was possible to create an easy to use, online SDM tool. Our tool can empower patients in choosing their inhaler. The efficacy of this tool needs to be evaluated in clinical practice.

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开发共享决策工具，以支持患者及其医疗保健提供者选择最佳吸入器装置

背景:在日常实践中，由于吸入器使用频繁不正确和依从性不足，很难实现成功的吸入治疗。患者和医疗保健提供者共同决策(SDM)可能会提高患者的依从性和自我效能。方法:452例哮喘/慢性阻塞性肺病患者完成了一份问卷(64%为女性，74%在50 - 75岁之间)，问卷中包含“吸入器满意度”和“吸入器偏好”的问题，以发现相关的吸入器特征。利用这些特点开发了在线SDM工具。根据调查问卷，我们对每个吸入器组的(dis)优势进行了平衡的概述。该工具是在Qualtrics中开发的。结果:患者认为“剂量计数器”、“反馈机制”、“环境友好”、“结论:创建一个易于使用的在线SDM工具是可能的。我们的工具可以帮助患者选择他们的吸入器。该工具的疗效需要在临床实践中进行评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Medical education, web and internet

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