UNASSIGNED: Between October 2016 and July 2019, in-depth interviews were conducted at 2 time points from randomization, ≈7 days (time interval for the decision) and at 90 days; the time interval for determining ICD implantation. Interview findings were categorized by randomized groups, those assigned to 1 of the 2 encounter-based video decision support tools or standard care (without video). Interview participants were purposefully selected to ensure diversity across gender, age, educational background, research site, and randomization group; participants were sampled from 14 academic and community-based electrophysiology clinics in the United States. Data analysis employed applied thematic analysis techniques.
UNASSIGNED: A diverse sample of Black individuals were interviewed at 1 week (n=59; female, 37.3%) and 90 days (n=48; female, 39.6%). The primary factors influencing the decisions of Black individuals considering a primary prevention ICD implantation were (1) their clinicians\' recommendations for ICD implantation; (2) their perception of their cardiac health status; and (3) a desire to prolong their lives for the sake of their families.
UNASSIGNED: These findings offer valuable insights that may guide clinicians in their communication with Black patients during shared decision-making encounters related to ICD implantation.
■在2016年10月至2019年7月之间,在随机分组的2个时间点进行了深入访谈,≈7天(决定的时间间隔)和90天;确定ICD植入的时间间隔。访谈结果按随机分组进行分类,那些分配给2个基于遭遇的视频决策支持工具或标准护理(无视频)中的1个。面试参与者是有目的地选择的,以确保跨性别的多样性,年龄,教育背景,研究地点,和随机分组;参与者来自美国14个学术和社区的电生理学诊所。数据分析采用了主题分析技术。
■在1周时采访了不同的黑人个体样本(n=59;女性,37.3%)和90天(n=48;女性,39.6%)。影响黑人个体考虑一级预防ICD植入的决定的主要因素是(1)他们的临床医生对ICD植入的建议;(2)他们对自己心脏健康状况的看法;(3)为了家人延长生命的愿望。
■这些发现提供了有价值的见解,可以指导临床医生在与ICD植入相关的共同决策过程中与Black患者进行沟通。