The development and initial evaluation of conversation cards for optimizing consultations for patients with atopic dermatitis.

Anna Sophie Belling Krontoft, Kirsten Lomborg, Lone Skov
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Abstract

Purpose: Patients with atopic dermatitis (AD) require both skills and support to effectively manage life with the disease. Here, we developed an agenda-setting tool for consultations with patients with AD to establish a collaborative agenda that enhances patient involvement and prioritizes on self-management support.

Materials and methods: Using the design thinking process, we included 64 end-users (patients and healthcare professionals (HCPs)) across the different phases of design thinking. We identified seven overall categories that patients find important to discuss during consultations, which informed the development of a tool for co-creating a consultation agenda (conversation cards, CCs).

Results: Through iterative user testing of the CCs, patients perceived the cards as both inspiring and an invitation from HCPs to openly discuss their needs during consultations. Healthcare professionals have found the CCs easy to use, despite the disruption to the typical consultation process.

Conclusion: In summary, the CCs provide a first-of-its-kind agenda-setting tool for patients with AD. They offer a simple and practical method to establishing a shared agenda that focuses on the patients' needs and are applicable within real-world clinical settings.

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开发并初步评估用于优化特应性皮炎患者咨询的对话卡。
目的:特应性皮炎(AD)患者需要技能和支持才能有效地管理疾病生活。在此,我们开发了一种为特应性皮炎患者提供咨询的议程设置工具,以建立一个合作议程,加强患者参与并优先考虑自我管理支持:使用设计思维过程,我们在设计思维的不同阶段纳入了 64 名最终用户(患者和医疗保健专业人员(HCP))。我们确定了患者认为在咨询过程中需要讨论的七个重要类别,并据此开发了共同创建咨询议程的工具(对话卡,CCs):结果:通过对 CC 的反复用户测试,患者认为对话卡既有启发性,又能让医护人员邀请患者在会诊期间公开讨论他们的需求。医护人员认为,尽管对话卡扰乱了典型的咨询流程,但使用起来还是很方便:总之,CC 为注意力缺失症患者提供了一种首创的议程设置工具。它们提供了一种简单实用的方法来建立以患者需求为中心的共同议程,并且适用于现实世界的临床环境。
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