Tsung Mou, Tiffany Brown, Ji Young Lee, Stephen D Persell, Kimberly Kenton, Sarah Collins
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引用次数: 0
Abstract
Introduction and hypothesis: Patient decision aid (PDA) use for urinary incontinence (UI) in primary care settings is understudied. We evaluated users' experiences with a specialty-developed UI PDA implemented in primary care. We also examined the association of decision preparedness, perceived usability, and time spent in the PDA with user experience and summarized user feedback.
Methods: This concurrent mixed-methods secondary analysis included women aged ≥18 years with bothersome UI in primary care who accessed a computerized PDA. User experience was assessed using likelihood-to-recommend (LTR) ratings as a global user-experience measure, with ratings of 9-10 categorized as promoter status. Decision preparedness and perceived usability were assessed using validated questionnaire items reflecting decisional conflict and usability domains. Free-text feedback was summarized qualitatively to elaborate opportunities to improve user experience.
Results: Of the 958 users who completed the PDA, 240 (25.1%) provided LTR ratings; the mean LTR was 6.0 (SD 3.5), and 31% were promoters. In multivariable logistic regression adjusting for decision preparedness, perceived usability, and time spent in the PDA, both decision preparedness (aOR 4.92; 95% CI 2.68-9.25) and perceived usability (aOR 1.75; 95% CI 1.22-2.60) were associated with promoter status. Time spent in PDA was not associated with promoter status. Qualitative findings complemented quantitative results by highlighting opportunities to improve clarity, accessibility, and personalization.
Conclusions: Fewer than one-third of the respondents gave the highest likelihood-to-recommend ratings. Decision preparedness and perceived usability were associated with favorable user experience, suggesting that primary care implementation of UI PDAs may require greater attention to decisional readiness, personalization, and integration with clinician discussion.
期刊介绍：
The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion
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