Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
BMJ. 2006 Aug 26;333(7565):417. Epub 2006 Aug 14.

Developing a quality criteria framework for patient decision aids: online international Delphi consensus process.

Author information

  • 1Department of General Practice, Centre for Health Sciences Research, Cardiff University, Cardiff CF14 4YS. elwyng@cardiff.ac.uk

Abstract

OBJECTIVE:

To develop a set of quality criteria for patient decision support technologies (decision aids).

DESIGN AND SETTING:

Two stage web based Delphi process using online rating process to enable international collaboration.

PARTICIPANTS:

Individuals from four stakeholder groups (researchers, practitioners, patients, policy makers) representing 14 countries reviewed evidence summaries and rated the importance of 80 criteria in 12 quality domains on a 1 to 9 scale. Second round participants received feedback from the first round and repeated their assessment of the 80 criteria plus three new ones.

MAIN OUTCOME MEASURE:

Aggregate ratings for each criterion calculated using medians weighted to compensate for different numbers in stakeholder groups; criteria rated between 7 and 9 were retained.

RESULTS:

212 nominated people were invited to participate. Of those invited, 122 participated in the first round (77 researchers, 21 patients, 10 practitioners, 14 policy makers); 104/122 (85%) participated in the second round. 74 of 83 criteria were retained in the following domains: systematic development process (9/9 criteria); providing information about options (13/13); presenting probabilities (11/13); clarifying and expressing values (3/3); using patient stories (2/5); guiding/coaching (3/5); disclosing conflicts of interest (5/5); providing internet access (6/6); balanced presentation of options (3/3); using plain language (4/6); basing information on up to date evidence (7/7); and establishing effectiveness (8/8).

CONCLUSIONS:

Criteria were given the highest ratings where evidence existed, and these were retained. Gaps in research were highlighted. Developers, users, and purchasers of patient decision aids now have a checklist for appraising quality. An instrument for measuring quality of decision aids is being developed.

PMID:
16908462
[PubMed - indexed for MEDLINE]
PMCID:
PMC1553508
Free PMC Article

Images from this publication.See all images (2)Free text

Fig 1
Fig 2
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Write to the Help Desk