开发和测试慢性病患者体验绘图工具箱。

IF 3.4 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Elisabeth M Oehrlein, Silke Schoch, Kelsie Majercak, Laura Elisabeth Gressler, Ryan C Costantino, T Rosie Love, Eleanor M Perfetto
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引用次数: 0

摘要

背景:利益相关者越来越期望研究和医疗服务能够以患者体验为指导并优化患者体验。然而,让患者参与收集有关其经历、优先事项和预期结果的高质量数据的标准化工具尚未公开。本研究的目的是开发并测试一个工具箱,其中包括疾病诊断访谈指南模板和配套资源,以协助研究人员让慢性病患者参与有关其经历的对话:方法:在一个多学科工作组的指导下,进行了一次有针对性的文献综述(PubMed),随后进行了小组讨论,以确定/专题组织患者体验概念、开发概念模型、起草访谈指南模板和面向患者的视觉效果。2020 年 12 月至 2021 年 4 月期间,通过对美国慢性病/潜在致残性疾病患者进行认知访谈(5 人)和试点访谈(30 人),对访谈材料进行了测试/改进。健康素养专家对面向患者的工具进行了适用性/易用性审查。自我报告至少在 6 个月前接受过慢性病诊断的英语成年人参加了 60-90 分钟的访谈:患者体验概念按主题分为三个领域:(1) 诊断前的生活,(2) 获得诊断的经历,(3) 诊断后的生活经历。根据受访者、访谈者和工作组的意见,开发并修订了通俗易懂的同意书模板、访谈指南模板和患者体验概念模型:结论:开发并测试了疾病诊断型患者参与工具箱,以获取患者体验数据。这些材料可根据研究目标进行定制,并由不同的利益相关者加以利用,以确定提高医疗服务和研究以患者为中心的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development and Testing of a Chronic-Disease Patient Experience Mapping Toolbox.

Background: Stakeholders increasingly expect research and care delivery to be guided by and to optimize patient experiences. However, standardized tools to engage patients to gather high-quality data about their experiences, priorities, and desired outcomes are not publicly available. The objective of this study was to develop and test a Toolbox with a disease-agnostic interview guide template and accompanying resources to assist researchers in engaging patients living with chronic disease in a dialogue about their experiences.

Methods: Guided by a multidisciplinary workgroup, a targeted literature review (PubMed) was conducted, followed by group discussions to identify/thematically organize patient experience concepts, development of a conceptual model, and drafting of an interview guide template and patient-facing visual. Materials were tested/refined via cognitive (n = 5) and pilot (n = 30) interviews conducted virtually with US patients diagnosed with chronic/potentially disabling conditions from December 2020 to April 2021. Patient-facing tools were reviewed by health literacy experts for applicability/accessibility. English-speaking adults who self-reported receiving a chronic condition diagnosis at least 6 months prior participated in a 60-90 min interview.

Results: Patient experience concepts were organized thematically under three domains: (1) life before a diagnosis, (2) experiences getting a diagnosis, and (3) experiences living with a diagnosis. A plain language consent sheet template, interview guide template, and patient experience conceptual model were developed and revised based on input from interviewees, interviewers, and the workgroup.

Conclusions: A disease-agnostic patient-engagement Toolbox was developed and tested to capture patient experience data. These materials can be customized based on study objectives and leveraged by various stakeholders to identify opportunities to enhance the patient centricity of healthcare delivery and research.

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来源期刊
Patient-Patient Centered Outcomes Research
Patient-Patient Centered Outcomes Research HEALTH CARE SCIENCES & SERVICES-
CiteScore
6.60
自引率
8.30%
发文量
44
审稿时长
>12 weeks
期刊介绍: The Patient provides a venue for scientifically rigorous, timely, and relevant research to promote the development, evaluation and implementation of therapies, technologies, and innovations that will enhance the patient experience. It is an international forum for research that advances and/or applies qualitative or quantitative methods to promote the generation, synthesis, or interpretation of evidence. The journal has specific interest in receiving original research, reviews and commentaries related to qualitative and mixed methods research, stated-preference methods, patient reported outcomes, and shared decision making. Advances in regulatory science, patient-focused drug development, patient-centered benefit-risk and health technology assessment will also be considered. Additional digital features (including animated abstracts, video abstracts, slide decks, audio slides, instructional videos, infographics, podcasts and animations) can be published with articles; these are designed to increase the visibility, readership and educational value of the journal’s content. In addition, articles published in The Patient may be accompanied by plain language summaries to assist readers who have some knowledge of, but not in-depth expertise in, the area to understand important medical advances. All manuscripts are subject to peer review by international experts.
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