PEC innovation最新文献

{"title":"The acceptability, adoption and feasibility of mobile health interventions for diabetes and hypertension care among Ghanaian healthcare workers","authors":"Pearl Aovare ,&nbsp;Erik Beune ,&nbsp;Felix P. Chilunga ,&nbsp;Nicolas Moens ,&nbsp;Eric P. Moll van Charante ,&nbsp;Charles Agyemang","doi":"10.1016/j.pecinn.2026.100456","DOIUrl":"10.1016/j.pecinn.2026.100456","url":null,"abstract":"<div><h3>Objectives</h3><div>The study explored healthcare workers' experiences using the AfyaPro Connected Care app and identified key enablers and barriers to its adoption for diabetes and hypertension care in Ghana. The study applied the Technology Acceptance Model (TAM) to examine how perceptions of usefulness and ease of use of the app influence adoption and to address the gap in evidence on mHealth uptake by frontline providers in low- and middle-income country (LMIC) health systems.</div></div><div><h3>Methods</h3><div>A qualitative study was conducted with 20 healthcare workers from two healthcare facilities. Semi-structured interviews, guided by the TAM, explored perceptions of the app's usefulness, ease of use, and behavioral intention. The framework was appropriate for examining individual and contextual drivers of technology adoption in resource-constrained healthcare settings. Interviews were transcribed verbatim and analysed thematically.</div></div><div><h3>Results</h3><div>Participants reported positive experiences with the app, noting reduced administrative burden, workflow integration, stronger patient-provider interaction and improved continuity of follow-up. The app enhanced access to specialist care, supported self-monitoring of blood pressure and glucose, and boosted confidence through its intuitive design and structured training. However, challenges persisted, including unstable power and internet connectivity, increased data entry workload, limited patient access and digital literacy, and restricted roles for junior staff. Participants recommended clearer roles, regular supervision, refresher training, and decision-support tools to improve sustainability and equitable adoption.</div></div><div><h3>Innovation</h3><div>This study adopts a user-centered and context-sensitive approach based on provider experiences. It shows how mHealth tools can be fitted into Ghana's healthcare system, where challenges like limited infrastructure and digital literacy affect use. Innovation is seen as adapting tools and systems through digital literacy training, decision-support in provider workflows, and blended care models, helping to build a fairer and more sustainable health system.</div></div><div><h3>Conclusions</h3><div>Healthcare workers found the mHealth app feasible and acceptable. The findings highlight the potential of digital tools to improve chronic disease care in resource-limited settings. The study demonstrates how contextual factors in LMIC settings reshape key TAM constructs, with clear implications for mHealth policy, scale-up strategies, and refinement of technology adoption theory.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100456"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146076784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of physiotherapists' explanation of therapeutic virtual reality on treatment expectations in healthy people and people with chronic musculoskeletal pain: Two online RCTs","authors":"Syl Slatman ,&nbsp;Wim van Lankveld ,&nbsp;J. Bart Staal ,&nbsp;Harry van Goor ,&nbsp;Raymond Ostelo ,&nbsp;Janine Westendorp ,&nbsp;Jesper Knoop","doi":"10.1016/j.pecinn.2025.100443","DOIUrl":"10.1016/j.pecinn.2025.100443","url":null,"abstract":"<div><h3>Objectives</h3><div>Chronic musculoskeletal pain (CMP) is a disabling condition, for which physiotherapy is a common treatment. Therapeutic virtual reality (VR) is an emerging treatment modality in physiotherapy care for patients with CMP. Treatment expectations of patients regarding therapeutic VR influence its effectiveness and could possibly be enhanced by the therapist by using positive language about therapeutic VR. The aim of the current studies was to explore the effect of physiotherapists explaining VR using positive versus neutral language, on treatment expectations of healthy participants (study 1) and patients with CMP (study 2).</div></div><div><h3>Methods</h3><div>Two web-based, double-blinded RCTs were conducted with two groups (healthy participants and patients with CMP), that were randomly allocated to a video explaining therapeutic VR using positive language or neutral language. The primary outcome measures were treatment credibility and expectancy, assessed at baseline and post-intervention. Between-group differences and within-group changes were respectively analyzed using simple linear regression analyses and repeated measures ANOVAs. All analyses were performed separately for healthy participants and patients with CMP.</div></div><div><h3>Results</h3><div>In total, 127 healthy participants (study 1) and 115 patients with CMP (study 2) were included and randomized. We found no between-group difference in treatment expectations between positive versus neutral language videos, neither in healthy participants nor patients with CMP. We found significant within-group changes for treatment expectations in both conditions (positive and neutral language) in healthy participants, and in the positive language condition only in the CMP group.</div></div><div><h3>Conclusions</h3><div>The studies show that any explanation of therapeutic VR (both using positive or neutral language) seems to improve treatment expectations. Unexpectedly, using positive language was not superior to using neutral language. Future research should examine strategies for healthcare providers to set optimal treatment expectations on therapeutic VR in patients with CMP.</div></div><div><h3>Practice implications</h3><div>A brief verbal explanation about therapeutic VR improves treatment expectations in both healthy participants and patients with CMP.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100443"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145555480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of teach-back and plain language acceptability during patient interactions","authors":"Andressa A. Sleiman ,&nbsp;Erin M. Richard ,&nbsp;Daniel Gonzales-Portillo ,&nbsp;Sarah Tallman ,&nbsp;Nicole E. Gravina","doi":"10.1016/j.pecinn.2025.100445","DOIUrl":"10.1016/j.pecinn.2025.100445","url":null,"abstract":"<div><h3>Objective</h3><div>This research investigated participants' acceptability of clinicians' use of teach-back and plain language.</div></div><div><h3>Methods</h3><div>A 30-min survey was administered to 162 undergraduates who watched and rated two doctor-patient interactions explaining multiple sclerosis and diabetes.</div><div>Interactions included jargon only, jargon+teach-back, plain language only, and plain language+teach-back.</div></div><div><h3>Results</h3><div>The results indicated a significant preference for plain language over jargon in both multiple sclerosis [F(1, 157) = 57.73, <em>p</em> &lt; . 001, hp2 = 0.27] and diabetes [F(1, 157) = 63.42, <em>p</em> &lt; .001, hp2 = 0.29]. Teach-back was favored over no teach-back for multiple sclerosis [F(1, 157) = 8.99, <em>p</em> &lt; .01, hp2 = 0.05] but not for diabetes [F(1, 157) = 1.05, n.s.]. Participants reported being more familiar with the diabetes diagnosis.</div></div><div><h3>Conclusion</h3><div>Clinicians should avoid excessive jargon and actively engage patients by employing teach-back questions, especially when discussing unfamiliar information.</div></div><div><h3>Innovation</h3><div>This study advances clinician-patient communication by examining the acceptability of teach-back rather than its effectiveness, addressing a key gap in understanding when such strategies are likely to be adopted in practice. Findings challenge assumptions that teach-back inherently ensures comprehension, emphasizing the necessity of plain-language delivery and offering a replicable framework for evaluating patient acceptability in real-world contexts.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100445"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility evaluation of large language models in anesthesia-specific post-operative care instructions for total knee arthroplasty","authors":"Dhruv Nagesh,&nbsp;Donald P. Keating,&nbsp;Raghu V. Divakaruni,&nbsp;Bryan G. Beutel","doi":"10.1016/j.pecinn.2025.100444","DOIUrl":"10.1016/j.pecinn.2025.100444","url":null,"abstract":"<div><h3>Objective</h3><div>Large language models (LLMs) are increasingly applied in medicine, but their role in peri-operative education is underexplored. This pilot feasibility study compared four LLMs in producing post-operative care instructions for total knee arthroplasty (TKA).</div></div><div><h3>Methods</h3><div>OpenAI GPT-4o, Claude 3.7 Sonnet, DeepSeek R1, and Gemini 2.0 Flash generated instructions from a standardized prompt. Outputs were scored (0 = does not meet, 1 = partially meets, 2 = fully meets) for accuracy, clarity, relevance, consistency, and readability. Accuracy was benchmarked against ERAS, ASA guidelines, and UpToDate. Readability was assessed using Flesch-Kincaid indices.</div></div><div><h3>Results</h3><div>Within this limited sample, Claude, GPT-4o, and DeepSeek R1 demonstrated higher observed accuracy than Gemini, with Claude and GPT-4o showing full alignment with reference standards. Clarity scores were comparable across models. All achieved high relevance and internal consistency. Readability varied, with Gemini generating less readable text and GPT-4o and DeepSeek R1 producing more accessible content.</div></div><div><h3>Conclusion</h3><div>LLMs can generate accurate, relevant, and consistent instructions, supporting their potential use in anesthesia education. Attention to readability and plain-language prompting may further enhance clinical utility.</div></div><div><h3>Innovation</h3><div>This study provides one of the first anesthesia-specific evaluations of multiple LLMs, showing feasibility and opportunities for AI-driven patient communication.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100444"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HoloVAD; A feasibility study of a new patient education tool for patients with a left ventricular assist device","authors":"Sofie E. Bresser,&nbsp;Linda M. de Heer,&nbsp;Irene Louwerse-van Kan,&nbsp;Faiz Ramjankhan,&nbsp;Manon G. van der Meer,&nbsp;Saskia W.M. Weldam","doi":"10.1016/j.pecinn.2025.100450","DOIUrl":"10.1016/j.pecinn.2025.100450","url":null,"abstract":"<div><h3>Objective</h3><div>Patient education for patients with a left ventricular assist device (LVAD) and their loved ones is crucial for improving adherence and reducing complications. HoloVAD is an innovative virtual education tool, which offers a preimplantation experience of life with an LVAD (Holomoves ©, The Netherlands). Our objective is <em>to</em> assess the feasibility, defined as acceptability, usability, and tolerability, of HoloVAD.</div></div><div><h3>Method</h3><div>A cross-sectional, quantitative feasibility study was conducted among patients with an LVAD, and their loved ones.</div></div><div><h3>Results</h3><div>In total 45 participants were included. Six out of the seven acceptability domains of the Unified Theory of Acceptance (UTAUT) were scored positively. With an excellent overall SUS-score (82.5) the HoloVAD application is assessed as usable for both groups, and tolerability is scored as positive at every point of the Virtual Reality Sickness Questionnaire (VRSQ), for both groups.</div></div><div><h3>Conclusion</h3><div>HoloVAD is feasible - defined as being acceptable, usable, and tolerable -and represents a promising and helpful new education tool for the study population.</div></div><div><h3>Innovation</h3><div>An LVAD is life-changing with high complication risks. HoloVAD is innovative because it integrates visualization and interaction through mixed reality, enabling a deeper understanding of life with an LVAD. This study highlights the feasibility of HoloVAD as a novel educational tool for patients and their loved ones.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100450"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145737490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical students' perspectives of patient-centered communication skills training during clinical education: A longitudinal mixed-methods survey study","authors":"Anna M. Kerr ,&nbsp;Mackenzie Atwell ,&nbsp;Samantha Galiffo ,&nbsp;Andrew Fernandez ,&nbsp;Charee M. Thompson","doi":"10.1016/j.pecinn.2025.100451","DOIUrl":"10.1016/j.pecinn.2025.100451","url":null,"abstract":"<div><h3>Objective</h3><div>Using repeated measures, we examined third-year medical students' perceptions of communication skills training (CST) during clinical rotations, focusing on dimensions of patient-centered communication most salient in each subspecialty.</div></div><div><h3>Methods</h3><div>273 third-year students at a large Midwestern medical school completed a four-phase longitudinal mixed-methods survey.</div></div><div><h3>Results</h3><div>By the end of their third year, students reported more confidence in their communication skills, particularly question asking and answering. They reported the most direct communication with patients and the most communication training satisfaction during emergency medicine, primary care, and family medicine rotations. These evaluations were lowest during general surgery rotations. <em>Fostering healing relationships</em> and <em>exchanging information</em> were considered the most salient dimensions of patient-centered communication, particularly during primary care rotations. Conversely, during surgical rotations, time management and efficiency were heavily reinforced. Unsuccessful interactions with patients were often attributed to incompatible goals, expectancy violations, unpredictable interactions, and time constraints.</div></div><div><h3>Conclusion</h3><div>Students would benefit from CST related to advanced patient-centered communication skills such as adapting to challenging interactions and remaining patient-centered within clinical time constraints. Future research can use these results to develop communication curricula that is discipline-specific, focuses on multiple dimensions of patient-centered communication, and reinforces the behaviors most salient during students' current or upcoming clinical tasks.</div></div><div><h3>Innovation</h3><div>This study extends previous work by focusing on student-centered and discipline-specific aspects of CST. Centering the behaviors students consider most relevant is a novel approach to medical education that can increase students' attitudes toward the value of communication skills training, make them more confident, and improve care for their future patients.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"8 ","pages":"Article 100451"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145790158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing a novel theoretical framework to study language services implementation in health care","authors":"Allison Squires ,&nbsp;Lauren Gerchow ,&nbsp;Chenjuan Ma ,&nbsp;Eva Liang ,&nbsp;Sarah Miner","doi":"10.1016/j.pecinn.2025.100427","DOIUrl":"10.1016/j.pecinn.2025.100427","url":null,"abstract":"<div><div>Language services are used to bridge language barriers during healthcare encounters, with the goal of reducing health outcome inequities; however, the implementation of language services in healthcare is understudied. Language Planning Theory has the potential to offer a theoretical framework for studying language services implementation challenges and successes in healthcare. The purpose of this study was to test the three-level view model (3LVM) of Language Planning Theory for studying the implementation of language access services in healthcare. A qualitative secondary analysis of data generated from a study of patients with limited English proficiency receiving home healthcare services and clinicians working for the agency structured this study. Data were analyzed according to the 3LVM using directed content analysis. Results from the analysis provided insights into the factors that generate the need for language services and those that facilitate or hinder their implementation, with the theoretical framework offering clear distinctions. Analyses generated an adapted, healthcare-specific version of the model that includes clinician/staff and patient functions, which proved useful for structuring research about language access services implementation in health care.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100427"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144921301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring patient satisfaction with education using extended reality in orthognathic surgery: Development, validation, and reliability of the 3D orthognathic surgery questionnaire (3DOS-Q)","authors":"Sander J.C. Tabernée Heijtmeijer ,&nbsp;Noa Nicolai ,&nbsp;Nard G. Janssen ,&nbsp;Joël Kortes ,&nbsp;Rick J.J. Pinkster ,&nbsp;Behrus Puladi ,&nbsp;Ashkan Rashad ,&nbsp;O. Vladu ,&nbsp;Peter A.J. Pijpker ,&nbsp;Max J.H. Witjes ,&nbsp;Sarina E.C. Pichardo ,&nbsp;Joep Kraeima","doi":"10.1016/j.pecinn.2025.100429","DOIUrl":"10.1016/j.pecinn.2025.100429","url":null,"abstract":"<div><h3>Objectives</h3><div>The effectiveness of extended reality technologies in improving patient understanding and satisfaction, particularly in orthognathic surgery, remains underexplored. No existing questionnaire specifically assesses patient satisfaction with different 3D model display techniques in this context. Therefore, this research aimed at developing and validating a questionnaire to assess patient satisfaction with preoperative education using 3D models for orthognathic surgery.</div></div><div><h3>Methods</h3><div>Building on a previous questionnaire for trauma patients, an initial questionnaire was developed and adapted for orthognathic surgery patients based on literature and pretesting with patients and specialists (Phase I). The preliminary questionnaire underwent a field psychometric performance test in a randomized controlled trial at three centers specialized in orthognathic surgery (Phase II).</div></div><div><h3>Results</h3><div>Nine patients and six specialists were included (Phase I), which resulted to a preliminary questionnaire consisting of twelve items. A total of 65 patients completed the preliminary questionnaire (Phase II). The final eleven items demonstrated strong psychometric properties, measuring a single distinct factor 4.99, Cronbach's alpha value of 0.87, for the German (α = 0.849) and Dutch (α = 0.836) versions. A Feldt test revealed no significant difference in internal consistency between the two languages (<em>p</em> = 0.401). The items together statistically significantly predicted patient satisfaction (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The final questionnaire has a good validity, total explained variance at 45.5 %.</div></div><div><h3>Innovation</h3><div>The 3DOS-Q demonstrates significant potential as a tool for evaluating patient satisfaction with 3D models, suitable for extended reality technologies, improving patient care, and exploring satisfaction differences across patient groups and display techniques.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100429"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144987982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nonverbal behavior in prognostic communication: A pilot experiment in virtual reality","authors":"Brigitte N. Durieux ,&nbsp;Jonathan Gordon ,&nbsp;Justin J. Sanders ,&nbsp;Ja-Nae Duane ,&nbsp;Danielle Blanch-Hartigan ,&nbsp;Jonathan Ericson","doi":"10.1016/j.pecinn.2025.100424","DOIUrl":"10.1016/j.pecinn.2025.100424","url":null,"abstract":"<div><h3>Context</h3><div>Clinicians' nonverbal behaviors contribute to patients' responses to prognosis communication, yet little empirical evidence supports precise nonverbal behaviors and the mechanisms by which they contribute to perceptions of high-quality communication. Virtual reality (VR) is a promising tool for researching communication, allowing researchers to manipulate nonverbal behaviors in controlled simulation and examine outcomes.</div></div><div><h3>Objectives</h3><div>The goal of this pilot study was to assess whether manipulated changes in avatar doctors' nonverbal behaviors could lead to measurable differences of participant feelings, reactions, or sense of immersion in a VR scenario of prognosis communication.</div></div><div><h3>Methods</h3><div>In this pilot experiment, university student participants were randomized to a short prognosis communication simulation in immersive VR representing one of five nonverbal conditions: No nonverbals, Smile only, Nod only, Lean only, All nonverbals. Outcomes included cognitive (e.g., cognitive load, recall), socioemotional (e.g., emotional valence, satisfaction, anxiety), and immersion and presence.</div></div><div><h3>Results</h3><div>Our sample comprised 229 participants. Pilot experimental findings suggest that some participant responses differed as a result of the manipulation of nonverbal behaviors. However, results did not point to the presence or absence of a particular nonverbal behavior as driving reactions to prognostic communication.</div></div><div><h3>Conclusions</h3><div>VR can allow for experimental manipulation of nonverbal behavior. There is need for further development to optimally conduct sensitive and ecologically valid communication simulations for research, and for research into discrete nonverbal behaviors to improve serious illness communication training and practice.</div></div><div><h3>Innovation</h3><div>VR experimental simulations are a promising tool for building the evidence base of nonverbal behavior in serious illness communication.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100424"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Changeons les Règles!” development and feasibility testing of an encounter decision aid for menstrual management in adolescents and young adults with developmental disabilities","authors":"Dehlia Moussaoui ,&nbsp;Victoria L. Crofts ,&nbsp;Anne-Chantal Héritier-Barras ,&nbsp;Thomas Agoritsas ,&nbsp;Arnaud Merglen ,&nbsp;Michal Yaron","doi":"10.1016/j.pecinn.2025.100430","DOIUrl":"10.1016/j.pecinn.2025.100430","url":null,"abstract":"<div><h3>Objectives</h3><div>To report the developing process and acceptability testing of a decision aid designed for adolescents and young adults with developmental disabilities, focusing on treatment options for menstrual management.</div></div><div><h3>Methods</h3><div>We developed a paper-based encounter decision aid to support shared decision-making about treatment options for menstrual management for adolescents and young adults with developmental disabilities. This tool was designed to be both evidence-based and user-centered. We conducted a feasibility study to assess its acceptability</div></div><div><h3>Results</h3><div>The decision aid was used during consultations with 18 adolescents and young adults with developmental disabilities and their caregivers. Participants reported high levels of acceptability and found the tool helpful in facilitating decision-making. They particularly valued the ability to compare treatment options side by side. The tool also promoted meaningful conversations between patients and clinicians</div></div><div><h3>Conclusions</h3><div>The decision aid was well-accepted and successfully facilitated the discussion about menstrual management options between patients and clinicians. Further research is needed to evaluate its long-term impact on decision making outcomes and patient satisfaction</div></div><div><h3>Innovation</h3><div>This innovative tool may support shared decision-making for adolescents and young adults with developmental disabilities and their caregivers, and provide additional insight on how to engage individuals with developmental disabilities in healthcare decisions.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"7 ","pages":"Article 100430"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145094731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}