Supporting the Choice for Conservative and Surgical Treatment in Female Stress Urinary Incontinence: Development and Evaluation of a Patient Decision Aid
ABSTRACT Introduction Making a treatment decision for female stress urinary incontinence (SUI) can be challenging for patients and healthcare providers. Dutch guidelines advise to counsel both pelvic floor muscle therapy and midurethral sling surgery as primary treatment options in uncomplicated mod...
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| Veröffentlicht in: | Neurourology and urodynamics 2024-11, Vol.43 (8), p.2052-2059 |
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| creator | Gerritse, Maria B. E. Vries, Marieke The, Regina Heesakkers, John P. F. A. Lagro‐Janssen, Antoine L. M. Huub van der Vaart, C. Kluivers, Kirsten B. |
| description | ABSTRACT
Introduction
Making a treatment decision for female stress urinary incontinence (SUI) can be challenging for patients and healthcare providers. Dutch guidelines advise to counsel both pelvic floor muscle therapy and midurethral sling surgery as primary treatment options in uncomplicated moderate to severe cases. The use of a patient decision aid (PDA) can support decision‐making, reduce decisional conflict and decisional regret, and increase knowledge. The aim of this study was to develop and evaluate an online PDA for females (SUI).
Methods
This mixed‐methods study was performed in consecutive stages by a multidisciplinary working group. PDA design was based on the International Patient Decision Aids Standards (IPDAS) and on outcomes of needs assessments amongst patients and healthcare providers. Content was based on Dutch guidelines, targeted literature searches and patient information from the Dutch scientific society for gynecology. The concept version was evaluated by patients, patients' advocates, and healthcare providers.
Results
Using the nominal group technique, the working group established the design and format of the PDA. Fifty‐six out of 58 applicable items of the IPDAS were met. The PDA contains information on the condition, advice on lifestyle adaptations, and describes surgical and nonsurgical treatment options. The option grid contains comparisons of the primary treatment options. Furthermore, value clarification exercises and narratives were included. Acceptability and usability evaluation of the concept version was performed by 15 healthcare providers, three patients, and two patients' advocates. Comments were processed in the working group, resulting in the final version of the PDA, which was supported by all assessors.
Conclusion
Our multidisciplinary working group developed an online PDA for women with moderate to severe SUI including conservative and surgical treatment options, based on IPDAS criteria, guidelines, scientific evidence, and needs assessments from patients and healthcare providers. This PDA is supported by patients, healthcare providers, scientific societies, and the Dutch patients' association. The next step is to evaluate and implement this PDA in daily practice.
Trial Registration
ID 2014‐308. |
| doi_str_mv | 10.1002/nau.25578 |
| format | Article |
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Introduction
Making a treatment decision for female stress urinary incontinence (SUI) can be challenging for patients and healthcare providers. Dutch guidelines advise to counsel both pelvic floor muscle therapy and midurethral sling surgery as primary treatment options in uncomplicated moderate to severe cases. The use of a patient decision aid (PDA) can support decision‐making, reduce decisional conflict and decisional regret, and increase knowledge. The aim of this study was to develop and evaluate an online PDA for females (SUI).
Methods
This mixed‐methods study was performed in consecutive stages by a multidisciplinary working group. PDA design was based on the International Patient Decision Aids Standards (IPDAS) and on outcomes of needs assessments amongst patients and healthcare providers. Content was based on Dutch guidelines, targeted literature searches and patient information from the Dutch scientific society for gynecology. The concept version was evaluated by patients, patients' advocates, and healthcare providers.
Results
Using the nominal group technique, the working group established the design and format of the PDA. Fifty‐six out of 58 applicable items of the IPDAS were met. The PDA contains information on the condition, advice on lifestyle adaptations, and describes surgical and nonsurgical treatment options. The option grid contains comparisons of the primary treatment options. Furthermore, value clarification exercises and narratives were included. Acceptability and usability evaluation of the concept version was performed by 15 healthcare providers, three patients, and two patients' advocates. Comments were processed in the working group, resulting in the final version of the PDA, which was supported by all assessors.
Conclusion
Our multidisciplinary working group developed an online PDA for women with moderate to severe SUI including conservative and surgical treatment options, based on IPDAS criteria, guidelines, scientific evidence, and needs assessments from patients and healthcare providers. This PDA is supported by patients, healthcare providers, scientific societies, and the Dutch patients' association. The next step is to evaluate and implement this PDA in daily practice.
Trial Registration
ID 2014‐308.</description><identifier>ISSN: 0733-2467</identifier><identifier>ISSN: 1520-6777</identifier><identifier>EISSN: 1520-6777</identifier><identifier>DOI: 10.1002/nau.25578</identifier><identifier>PMID: 39234766</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Conservative Treatment ; decision aid ; Decision making ; Decision Support Techniques ; development ; Female ; Females ; Gynecology ; Health care ; Humans ; Middle Aged ; midurethral sling ; Netherlands ; Patient Participation ; Patients ; pelvic floor muscle therapy ; shared decision making ; stress urinary incontinence ; Suburethral Slings ; treatment ; Urinary incontinence ; Urinary Incontinence, Stress - surgery ; Urologic Surgical Procedures ; Working groups</subject><ispartof>Neurourology and urodynamics, 2024-11, Vol.43 (8), p.2052-2059</ispartof><rights>2024 The Author(s). published by Wiley Periodicals LLC.</rights><rights>2024 The Author(s). Neurourology and Urodynamics published by Wiley Periodicals LLC.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3488-fb173e4671d0dd85ebe114a678ade75b4722762653be638c005e8c96c108b8c93</cites><orcidid>0000-0002-6489-9970 ; 0000-0002-4681-4304 ; 0000-0003-1570-1945</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fnau.25578$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fnau.25578$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39234766$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gerritse, Maria B. E.</creatorcontrib><creatorcontrib>Vries, Marieke</creatorcontrib><creatorcontrib>The, Regina</creatorcontrib><creatorcontrib>Heesakkers, John P. F. A.</creatorcontrib><creatorcontrib>Lagro‐Janssen, Antoine L. M.</creatorcontrib><creatorcontrib>Huub van der Vaart, C.</creatorcontrib><creatorcontrib>Kluivers, Kirsten B.</creatorcontrib><title>Supporting the Choice for Conservative and Surgical Treatment in Female Stress Urinary Incontinence: Development and Evaluation of a Patient Decision Aid</title><title>Neurourology and urodynamics</title><addtitle>Neurourol Urodyn</addtitle><description>ABSTRACT
Introduction
Making a treatment decision for female stress urinary incontinence (SUI) can be challenging for patients and healthcare providers. Dutch guidelines advise to counsel both pelvic floor muscle therapy and midurethral sling surgery as primary treatment options in uncomplicated moderate to severe cases. The use of a patient decision aid (PDA) can support decision‐making, reduce decisional conflict and decisional regret, and increase knowledge. The aim of this study was to develop and evaluate an online PDA for females (SUI).
Methods
This mixed‐methods study was performed in consecutive stages by a multidisciplinary working group. PDA design was based on the International Patient Decision Aids Standards (IPDAS) and on outcomes of needs assessments amongst patients and healthcare providers. Content was based on Dutch guidelines, targeted literature searches and patient information from the Dutch scientific society for gynecology. The concept version was evaluated by patients, patients' advocates, and healthcare providers.
Results
Using the nominal group technique, the working group established the design and format of the PDA. Fifty‐six out of 58 applicable items of the IPDAS were met. The PDA contains information on the condition, advice on lifestyle adaptations, and describes surgical and nonsurgical treatment options. The option grid contains comparisons of the primary treatment options. Furthermore, value clarification exercises and narratives were included. Acceptability and usability evaluation of the concept version was performed by 15 healthcare providers, three patients, and two patients' advocates. Comments were processed in the working group, resulting in the final version of the PDA, which was supported by all assessors.
Conclusion
Our multidisciplinary working group developed an online PDA for women with moderate to severe SUI including conservative and surgical treatment options, based on IPDAS criteria, guidelines, scientific evidence, and needs assessments from patients and healthcare providers. This PDA is supported by patients, healthcare providers, scientific societies, and the Dutch patients' association. The next step is to evaluate and implement this PDA in daily practice.
Trial Registration
ID 2014‐308.</description><subject>Adult</subject><subject>Conservative Treatment</subject><subject>decision aid</subject><subject>Decision making</subject><subject>Decision Support Techniques</subject><subject>development</subject><subject>Female</subject><subject>Females</subject><subject>Gynecology</subject><subject>Health care</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>midurethral sling</subject><subject>Netherlands</subject><subject>Patient Participation</subject><subject>Patients</subject><subject>pelvic floor muscle therapy</subject><subject>shared decision making</subject><subject>stress urinary incontinence</subject><subject>Suburethral Slings</subject><subject>treatment</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence, Stress - surgery</subject><subject>Urologic Surgical Procedures</subject><subject>Working groups</subject><issn>0733-2467</issn><issn>1520-6777</issn><issn>1520-6777</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kc1O3DAURq0KVAbaRV-gssQGFgH_JLbT3WiAFgm1lYZZR45zA0aJndrJIB6Ft8VhaBeVWPnKPj7Xvh9CXyg5o4Swc6enM1YUUn1AC1owkgkp5R5aEMl5xnIhD9BhjA-EEMXz8iM64CXjuRRigZ7X0zD4MFp3h8d7wKt7bw3g1ge88i5C2OrRbgFr1-D1FO6s0R2-DaDHHtyIrcNX0OsO8HoMECPeBOt0eMLXzniXrOAMfMMXsIXOD69XZtPlVndTEnuHfYs1_p3q-ewCjI3z7tI2n9B-q7sIn9_WI7S5urxd_chufn2_Xi1vMsNzpbK2ppJD-iNtSNOoAmqgNNdCKt2ALOpcMiYFEwWvQXBlCClAmVIYSlSdCn6ETnbeIfg_E8Sx6m000HXagZ9ixdOIy9SDFQk9_g998FNw6XWJoiVRJJczdbqjTPAxBmirIdg-DaWipJrzqlJe1Wteif36ZpzqHpp_5N-AEnC-Ax5tB0_vm6qfy81O-QIXYKAq</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Gerritse, Maria B. E.</creator><creator>Vries, Marieke</creator><creator>The, Regina</creator><creator>Heesakkers, John P. F. A.</creator><creator>Lagro‐Janssen, Antoine L. M.</creator><creator>Huub van der Vaart, C.</creator><creator>Kluivers, Kirsten B.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6489-9970</orcidid><orcidid>https://orcid.org/0000-0002-4681-4304</orcidid><orcidid>https://orcid.org/0000-0003-1570-1945</orcidid></search><sort><creationdate>202411</creationdate><title>Supporting the Choice for Conservative and Surgical Treatment in Female Stress Urinary Incontinence: Development and Evaluation of a Patient Decision Aid</title><author>Gerritse, Maria B. E. ; Vries, Marieke ; The, Regina ; Heesakkers, John P. F. A. ; Lagro‐Janssen, Antoine L. M. ; Huub van der Vaart, C. ; Kluivers, Kirsten B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3488-fb173e4671d0dd85ebe114a678ade75b4722762653be638c005e8c96c108b8c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Conservative Treatment</topic><topic>decision aid</topic><topic>Decision making</topic><topic>Decision Support Techniques</topic><topic>development</topic><topic>Female</topic><topic>Females</topic><topic>Gynecology</topic><topic>Health care</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>midurethral sling</topic><topic>Netherlands</topic><topic>Patient Participation</topic><topic>Patients</topic><topic>pelvic floor muscle therapy</topic><topic>shared decision making</topic><topic>stress urinary incontinence</topic><topic>Suburethral Slings</topic><topic>treatment</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence, Stress - surgery</topic><topic>Urologic Surgical Procedures</topic><topic>Working groups</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gerritse, Maria B. E.</creatorcontrib><creatorcontrib>Vries, Marieke</creatorcontrib><creatorcontrib>The, Regina</creatorcontrib><creatorcontrib>Heesakkers, John P. F. A.</creatorcontrib><creatorcontrib>Lagro‐Janssen, Antoine L. M.</creatorcontrib><creatorcontrib>Huub van der Vaart, C.</creatorcontrib><creatorcontrib>Kluivers, Kirsten B.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Neurourology and urodynamics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gerritse, Maria B. E.</au><au>Vries, Marieke</au><au>The, Regina</au><au>Heesakkers, John P. F. A.</au><au>Lagro‐Janssen, Antoine L. M.</au><au>Huub van der Vaart, C.</au><au>Kluivers, Kirsten B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Supporting the Choice for Conservative and Surgical Treatment in Female Stress Urinary Incontinence: Development and Evaluation of a Patient Decision Aid</atitle><jtitle>Neurourology and urodynamics</jtitle><addtitle>Neurourol Urodyn</addtitle><date>2024-11</date><risdate>2024</risdate><volume>43</volume><issue>8</issue><spage>2052</spage><epage>2059</epage><pages>2052-2059</pages><issn>0733-2467</issn><issn>1520-6777</issn><eissn>1520-6777</eissn><abstract>ABSTRACT
Introduction
Making a treatment decision for female stress urinary incontinence (SUI) can be challenging for patients and healthcare providers. Dutch guidelines advise to counsel both pelvic floor muscle therapy and midurethral sling surgery as primary treatment options in uncomplicated moderate to severe cases. The use of a patient decision aid (PDA) can support decision‐making, reduce decisional conflict and decisional regret, and increase knowledge. The aim of this study was to develop and evaluate an online PDA for females (SUI).
Methods
This mixed‐methods study was performed in consecutive stages by a multidisciplinary working group. PDA design was based on the International Patient Decision Aids Standards (IPDAS) and on outcomes of needs assessments amongst patients and healthcare providers. Content was based on Dutch guidelines, targeted literature searches and patient information from the Dutch scientific society for gynecology. The concept version was evaluated by patients, patients' advocates, and healthcare providers.
Results
Using the nominal group technique, the working group established the design and format of the PDA. Fifty‐six out of 58 applicable items of the IPDAS were met. The PDA contains information on the condition, advice on lifestyle adaptations, and describes surgical and nonsurgical treatment options. The option grid contains comparisons of the primary treatment options. Furthermore, value clarification exercises and narratives were included. Acceptability and usability evaluation of the concept version was performed by 15 healthcare providers, three patients, and two patients' advocates. Comments were processed in the working group, resulting in the final version of the PDA, which was supported by all assessors.
Conclusion
Our multidisciplinary working group developed an online PDA for women with moderate to severe SUI including conservative and surgical treatment options, based on IPDAS criteria, guidelines, scientific evidence, and needs assessments from patients and healthcare providers. This PDA is supported by patients, healthcare providers, scientific societies, and the Dutch patients' association. The next step is to evaluate and implement this PDA in daily practice.
Trial Registration
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Conservative Treatment decision aid Decision making Decision Support Techniques development Female Females Gynecology Health care Humans Middle Aged midurethral sling Netherlands Patient Participation Patients pelvic floor muscle therapy shared decision making stress urinary incontinence Suburethral Slings treatment Urinary incontinence Urinary Incontinence, Stress - surgery Urologic Surgical Procedures Working groups |
| title | Supporting the Choice for Conservative and Surgical Treatment in Female Stress Urinary Incontinence: Development and Evaluation of a Patient Decision Aid |
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