%0 Journal Article
%T Improving sustainability of a patient decision aid for systemic treatment of metastatic colorectal cancer: A qualitative study.
%A van Nassau SCMW
%A Voogdt-Pruis HR
%A de Jong VMW
%A Otten HM
%A Valkenburg-van Iersel LB
%A Swarte BJ
%A Buffart TE
%A Pruijt HJ
%A Mekenkamp LJ
%A Koopman M
%A May AM
%J PEC Innov
%V 4
%N 0
%D 2024 Dec
%M 38974934
暂无%R 10.1016/j.pecinn.2024.100300
%X <B>UNASSIGNED: </B>To improve sustainability of a patient decision aid for systemic treatment of metastatic colorectal cancer, we evaluated real-world experiences and identified ways to optimize decision aid content and future implementation.<BR><B>UNASSIGNED: </B>Semi-structured interviews with patients and medical oncologists addressed two main subjects: user experience and decision aid content. Content analysis was applied. Fifteen experts discussed the results and devised improvements based on experience and literature review.<BR><B>UNASSIGNED: </B>Thirteen users were interviewed. They confirmed the relevance of the decision aid for shared decision making. Areas for improvement of content concerned; 1) outdated and missing information, 2) an imbalance in presentation of treatment benefits and harms, and 3) medical oncologists' expressed preference for a more center-specific or patient individualized decision aid, presenting a selection of the guideline recommended treatment options. Key points for improvement of implementation were better alignment within the care pathway, and clear instruction to users.<BR><B>UNASSIGNED: </B>We identified relevant opportunities for improvement of an existing decision aid and developed an updated version and accompanying implementation strategy accordingly.<BR><B>UNASSIGNED: </B>This paper outlines an approach for continued decision aid and implementation strategy development which will add to sustainability. Implementation success of the improved decision aid is currently being studied in a multi-center mixed-methods implementation study.