Abstract
Citation: Noordman J, Noordam D, van Treeck J, Prantl K, Pennings P, Borsje P, et al. (2024) Visual decision aids to support communication and shared decision-making: How are they valued and used in practice? PLoS ONE 19(12): e0314732. Editor: Manoelito Ferreira Silva Junior, Universidade Estadual do Sudoeste da Bahia – Campus de Jequie´: Universidade Estadual do Sudoeste da Bahia – Campus de Jequie, BRAZIL Received: December 19, 2023 Accepted: November 14, 2024 Published: December 3, 2024 Copyright: © 2024 Noordman et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: All relevant data are within the manuscript and its Supporting Information files. The transcript/recording data contains potentially identifying or sensitive patient information. Consent for publication of raw data was not obtained and dataset could in theory pose a threat to confidentiality. We adhered to the privacy regulations of the Database Communication (Institutional Review Board): Background It is unknown how visual decision aids support communication and shared decision-making in everyday clinical practice, and how they are perceived by patients with varying levels of health literacy and their healthcare providers. Recently, three visual decision aids have been developed for renal replacement treatment, osteoarthritis of the knee, and osteoarthritis of the hip. This study aims to explore how patients and healthcare providers use and value these visual decision aids. Methods The evaluation of the visual decision aids was performed by coding video-recorded outpatient consultations (n = 35), by conducting reflective practice interviews with healthcare providers (n = 9), and through interviews with patients (n = 29). Consultations were coded using the 5-item OPTION instrument to measure shared decision-making, and self-developed items based on the visual decision aids and user guide. Results Both healthcare providers and patients valued the use of the visual decision aids, especially the overview page with all treatment options. Accordingly, it was observed that most providers mainly used the overview page. However, providers in nephrology discussed the individual treatment pages more often than providers in osteoarthritis care. This study also showed that most providers were unfamiliar with the user guide for the visual decision aids. PLOS ONE | December 3, 2024 1 / 18 PLOS ONE Visual decision aids to support communication and shared decision-making privacyreglement-databank-communicatie-de-zorg Data requests can be send to directie@nivel.nl. Funding: This study was funded by a grant from the Netherlands Organization for Health