Shared Decision Making in Central Centrifugal Cicatricial Alopecia.

IF 3.7 4区 医学 Q1 DERMATOLOGY
Elizabeth Swain, Renee Haughton, Victoria Palmer, Ivie Obeime, Amy McMichael
{"title":"Shared Decision Making in Central Centrifugal Cicatricial Alopecia.","authors":"Elizabeth Swain, Renee Haughton, Victoria Palmer, Ivie Obeime, Amy McMichael","doi":"10.1093/ced/llae535","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Central centrifugal cicatricial alopecia (CCCA) is a primary lymphocytic scarring alopecia which occurs predominantly in Black middle-aged women.1,2 The benefits and prevalence of shared decision-making (SDM) models for CCCA patients have yet to be studied. Our study investigates the role of SDM in the management of CCCA.</p><p><strong>Methods: </strong>SDM processes were measured by the SDM-Q9, the Decisional Regret Scale (DRS), and the Patient Control Preferences Scale (CPS). Members of the Scarring Alopecia Foundation (n=1192) were recruited between June and August of 2023 via a one-time email sent via the Scarring Alopecia Foundation listserv.</p><p><strong>Results: </strong>87 respondents were documented. The CPS (n=87) suggested that most patients (47.6% ; n=41) prefer to share responsibility with their doctor for treatment decisions. The SDM Q-9 (Scored 0-45) and DRS [scored 0-100] demonstrated mean scores of 27.5 (11.5) and 38.4 (19.4), with higher and lesser scores, respectively, demonstrating patient satisfaction with SDM.</p><p><strong>Discussion: </strong>SDM is useful in complex decision-making when there are several medically reasonable alternatives available for treatment. Patients with CCCA may benefit from this model, and investments in resources such as patient decision aids and SDM training for further dermatologists will aid integration into clinical practice.</p><p><strong>Limitation: </strong>There was no method of verifying the CCCA diagnosis for respondents. Additionally, most respondents had tertiary education, which limits generalizability to the wider population. Lastly, the low survey response rate (9.7%) predisposes to nonresponse bias.</p><p><strong>Conclusion: </strong>The CPS, SDM-Q-9, and DRS suggest that patients with CCCA prefer to be involved in management decisions.</p>","PeriodicalId":10324,"journal":{"name":"Clinical and Experimental Dermatology","volume":" ","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical and Experimental Dermatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/ced/llae535","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DERMATOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Central centrifugal cicatricial alopecia (CCCA) is a primary lymphocytic scarring alopecia which occurs predominantly in Black middle-aged women.1,2 The benefits and prevalence of shared decision-making (SDM) models for CCCA patients have yet to be studied. Our study investigates the role of SDM in the management of CCCA.

Methods: SDM processes were measured by the SDM-Q9, the Decisional Regret Scale (DRS), and the Patient Control Preferences Scale (CPS). Members of the Scarring Alopecia Foundation (n=1192) were recruited between June and August of 2023 via a one-time email sent via the Scarring Alopecia Foundation listserv.

Results: 87 respondents were documented. The CPS (n=87) suggested that most patients (47.6% ; n=41) prefer to share responsibility with their doctor for treatment decisions. The SDM Q-9 (Scored 0-45) and DRS [scored 0-100] demonstrated mean scores of 27.5 (11.5) and 38.4 (19.4), with higher and lesser scores, respectively, demonstrating patient satisfaction with SDM.

Discussion: SDM is useful in complex decision-making when there are several medically reasonable alternatives available for treatment. Patients with CCCA may benefit from this model, and investments in resources such as patient decision aids and SDM training for further dermatologists will aid integration into clinical practice.

Limitation: There was no method of verifying the CCCA diagnosis for respondents. Additionally, most respondents had tertiary education, which limits generalizability to the wider population. Lastly, the low survey response rate (9.7%) predisposes to nonresponse bias.

Conclusion: The CPS, SDM-Q-9, and DRS suggest that patients with CCCA prefer to be involved in management decisions.

中央离心式瘢痕性脱发的共同决策。
背景:中心性离心性瘢痕性脱发(CCCA)是一种主要发生于黑人中年妇女的原发性淋巴细胞瘢痕性脱发。共同决策(SDM)模式对CCCA患者的益处和流行程度尚待研究。本研究探讨SDM在CCCA管理中的作用。方法:采用SDM- q9、决策后悔量表(DRS)和患者控制偏好量表(CPS)对SDM过程进行测量。疤痕性脱发基金会的成员(n=1192)是在2023年6月至8月间通过疤痕性脱发基金会的列表服务器发送的一次性电子邮件招募的。结果:87名受访者被记录在案。CPS (n=87)提示大多数患者(47.6%;N =41)更愿意与医生共同承担治疗决定的责任。SDM Q-9(评分0-45)和DRS[评分0-100]的平均得分分别为27.5分(11.5分)和38.4分(19.4分),得分较高和较低,表明患者对SDM满意。讨论:当有几种医学上合理的治疗选择时,SDM在复杂的决策中是有用的。CCCA患者可能会从这种模式中受益,对资源的投资,如患者决策辅助工具和对皮肤科医生的SDM培训,将有助于融入临床实践。局限性:没有验证被调查者CCCA诊断的方法。此外,大多数受访者接受过高等教育,这限制了对更广泛人群的普遍性。最后,低调查回复率(9.7%)容易导致无反应偏差。结论:CPS、SDM-Q-9和DRS提示CCCA患者更倾向于参与管理决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
3.20
自引率
2.40%
发文量
389
审稿时长
3-8 weeks
期刊介绍: Clinical and Experimental Dermatology (CED) is a unique provider of relevant and educational material for practising clinicians and dermatological researchers. We support continuing professional development (CPD) of dermatology specialists to advance the understanding, management and treatment of skin disease in order to improve patient outcomes.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信