Development and Testing of a Question Prompt List for Common Hand Conditions: An Exploratory Sequential Mixed-Methods Study.
Development and Testing of a Question Prompt List for Common Hand Conditions: An Exploratory Sequential Mixed-Methods Study.
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DOI：
10.1016/j.jhsa.2020.05.015
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Kamal RN
中科院分区：
文献类型：
--
作者：
Satteson ES;Roe AK;Eppler SL;Yao J;Shapiro LM;Kamal RN
问题提示列表（QPL）是一种工具，列出了患者可能想问外科医生的问题。其目的是改善患者与医生的沟通，提高患者的参与度。虽然QPL已经在其他专业中开发，但不存在手部条件。我们试图开发一个QPL用于手外科诊所使用混合方法的设计。我们根据手外科以外的先前工作起草了QPL，然后使用探索性顺序混合方法设计（定性和定量方法）来最终确定QPL。定性评价包括由患者咨询委员会，手治疗师和手外科医生完成的书面问卷，以及使用该工具与临床患者进行的认知访谈。在每个定性分析阶段后对QPL进行修订。然后使用系统可用性评分（SUS）问卷对最终QPL进行定量评价，以评估其可用性。由6名患者、5名手治疗师和6名手外科医生组成的患者咨询委员会完成了书面问卷。13名患者完成了QPL的认知访谈。我们完成了定性数据的内容分析，并将结果纳入QPL。然后，20名患者审查了最终的QPL小册子，并完成了SUS问卷。由此产生的SUS得分为78.8，表明QPL工具的可用性高于平均水平。从多个利益相关者的角度来看，本研究中开发的QPL提供了一种有用的工具，可以在患者与手外科医生会面时吸引和提示患者提出问题，从而有可能改善沟通和以患者为中心的护理。这项研究为临床医生提供了一个用于手外科临床环境的QPL，旨在促进更全面的患者-提供者讨论。
A question prompt list (QPL) is a tool that lists possible questions a patient may want to ask their surgeon. Its purpose is to improve patient-physician communication and increase patient engagement. Although QPLs have been developed in other specialties, one does not exist for hand conditions. We sought to develop a QPL for use in the hand surgery clinic using a mixed-methods design. We drafted a QPL based on prior work outside of hand surgery and then used an exploratory sequential mixed-methods design (both qualitative and quantitative methods) to finalize the QPL. Qualitative evaluation included both a written questionnaire completed by a patient advisory board, hand therapists, and hand surgeons, as well as cognitive interviews conducted with clinic patients using the tool. Revisions to the QPL were made after each phase of qualitative analysis. The final QPL was then evaluated quantitatively using the system usability score (SUS) questionnaire to assess its usability. A patient advisory board consisting of 6 patients, 5 hand therapists, and 6 hand surgeons completed the written questionnaire. Thirteen patients completed a cognitive interview of the QPL. We completed a content analysis of the qualitative data and incorporated the findings into the QPL. Twenty patients then reviewed the final QPL pamphlet and completed the SUS questionnaire. The resulting SUS score of 78.8 indicated above-average usability of the QPL tool. The QPL developed in this study, from the perspective of multiple stakeholders, provides a usable tool to engage and prompt patients in asking questions during their visit with their hand surgeon with the potential to improve communication and patient-centered care. This study provides clinicians with a QPL developed for use in the hand surgery clinic setting, aimed at facilitating more thorough patient-provider discussion.
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10.1007/s13187-013-0456-2
发表时间：
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影响因子：
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发表时间：
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