Application of best practice approaches for designing decision support tools: The preparatory education about clinical trials (PRE-ACT) study

Linda Fleisher, Dominique G. Ruggieri, Suzanne M. Miller, Sharon Manne, Terrance Albrecht, Joanne Buzaglo, Michael A. Collins, Michael Katz, Tyler G. Kinzy, Tasnuva Liu, Cheri Manning, Ellen Specker Charap, Jennifer Millard, Dawn M. Miller, David Poole, Stephanie Raivitch, Nancy Roach, Eric A. Ross, Neal J. Meropol

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Objective: This article describes the rigorous development process and initial feedback of the PRE-ACT (Preparatory Education About Clinical Trials) web-based- intervention designed to improve preparation for decision making in cancer clinical trials. Methods: The multi-step process included stakeholder input, formative research, user testing and feedback. Diverse teams (researchers, advocates and developers) participated including content refinement, identification of actors, and development of video scripts. Patient feedback was provided in the final production period and through a vanguard group ( N= 100) from the randomized trial. Results: Patients/advocates confirmed barriers to cancer clinical trial participation, including lack of awareness and knowledge, fear of side effects, logistical concerns, and mistrust. Patients indicated they liked the tool's user-friendly nature, the organized and comprehensive presentation of the subject matter, and the clarity of the videos. Conclusion: The development process serves as an example of operationalizing best practice approaches and highlights the value of a multi-disciplinary team to develop a theory-based, sophisticated tool that patients found useful in their decision making process.Practice implications Best practice approaches can be addressed and are important to ensure evidence-based tools that are of value to patients and supports the usefulness of a process map in the development of e-health tools.

Original languageEnglish
Pages (from-to)63-71
Number of pages9
JournalPatient Education and Counseling
Volume96
Issue number1
DOIs
StatePublished - Jul 2014

Keywords

  • Cancer
  • Clinical trials
  • Decision aids
  • Decision support tools

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