Abstract
Background: The important role of primary care in promoting healthy lifestyle behaviours needs informed support.
Aim: To elicit views on a 39-item shared decision-making aid (SHARE-D) for lifestyle change and refine it to improve implementation.
Design and setting: Mixed-methods study.
Method: Health professionals, patients and support workers, with experience of managing, or a history of cardio- or cerebrovascular disease were purposively recruited based on age, gender and urban/rural location (n=34). Participants completed a survey, rating the importance of including each item in a decision-aid, designed for use by patients with health professionals, and suggesting modifications. Semi-structured interviews (n=30/34) were conducted and analysed thematically.
Results: Substantial agreement was observed on rating item inclusion. Based on survey and interview data, 9/39 items were removed; 13 were amended. Qualitative themes were: (i) core content of the decision-aid, (ii) barriers to use, (iii) motivation for lifestyle change, and (iv) primary care implementation. ‘Self-reflective’ questions and goal setting were viewed as essential components. The paper-based format, length, clarity and time required were barriers to its use. Optional support considered within the aid was seen as important to motivate change. A digital version, integrated into patient record systems was regarded as critical to implementation. A revised 30-item aid was considered suitable for facilitating brief conversations and promoting patient autonomy.
Conclusions: The SHARE-D decision aid for healthy lifestyle change appears to have good content validity and acceptability. Survey and interview data provided in-depth information to support implementation of a refined version. Further studies should examine its effectiveness.
Aim: To elicit views on a 39-item shared decision-making aid (SHARE-D) for lifestyle change and refine it to improve implementation.
Design and setting: Mixed-methods study.
Method: Health professionals, patients and support workers, with experience of managing, or a history of cardio- or cerebrovascular disease were purposively recruited based on age, gender and urban/rural location (n=34). Participants completed a survey, rating the importance of including each item in a decision-aid, designed for use by patients with health professionals, and suggesting modifications. Semi-structured interviews (n=30/34) were conducted and analysed thematically.
Results: Substantial agreement was observed on rating item inclusion. Based on survey and interview data, 9/39 items were removed; 13 were amended. Qualitative themes were: (i) core content of the decision-aid, (ii) barriers to use, (iii) motivation for lifestyle change, and (iv) primary care implementation. ‘Self-reflective’ questions and goal setting were viewed as essential components. The paper-based format, length, clarity and time required were barriers to its use. Optional support considered within the aid was seen as important to motivate change. A digital version, integrated into patient record systems was regarded as critical to implementation. A revised 30-item aid was considered suitable for facilitating brief conversations and promoting patient autonomy.
Conclusions: The SHARE-D decision aid for healthy lifestyle change appears to have good content validity and acceptability. Survey and interview data provided in-depth information to support implementation of a refined version. Further studies should examine its effectiveness.
| Original language | English |
|---|---|
| Publication status | Published - 03 Nov 2021 |
| Event | CBC Online Conference 2021 : Enabling Behaviour Change to Build Back Better for health and sustainability - UCL, London Duration: 01 Nov 2021 → 03 Nov 2021 |
Conference
| Conference | CBC Online Conference 2021 |
|---|---|
| City | London |
| Period | 01/11/2021 → 03/11/2021 |
