Athey, R. orcid.org/0000-0003-0908-176X, Bugeja, R., Jones, G. et al. (1 more author) (2025) Impact of patients decision aids on shared decision‐making and patient satisfaction prior to pelvic floor surgery. BJOG: An International Journal of Obstetrics & Gynaecology, 34. S126-S126. ISSN 1470-0328
Abstract
Objective
Evaluate usability and utility of National Institute for Clinical Excellence (NICE) Patient Decision Aid's (PtDA's) for pelvic floor surgery. PtDA's reviewed were uterine prolapse, vault prolapse and stress urinary incontinence (SUI).
Design
Ten women given the PtDA's during routine clinical care were recruited from each cohort and underwent a semi-structured interview with a clinical researcher.
Setting
Urogynaecology outpatients in an NHS tertiary teaching hospital.
Population or Sample
Women considering surgical management of uterine/vault prolapse or SUI. Exclusion criteria included those under 18, unable to communicate in English or not eligible for all surgical options discussed in the PtDA's.
Methods
A qualitative, semi-structured interview evaluating women's opinions of the decision aid and the way in which they utilised the PtDA was conducted. The interviews were recorded and transcribed prior to undertaking thematic analysis utilising NVivo software.
Main Outcome Measure
The outcomes of interest were feedback for content, language, format and usage of the PtDA's and women's usage of PtDA's in decision-making.
Results
Amendments suggested included removal of mesh from the SUI PtDA as this is not routinely available on the NHS and addition of a statement regarding the use of mesh in prolapse surgery. Additional anatomical diagrams were suggested. The need for a robust and regular update system was highlighted as was the provision of foreign language, audio and electronic versions.
Conclusions
PtDA's need updating to ensure relevant content. Clear, detailed and relevant information is required alongside active clinician engagement to reach a mutually agreeable treatment plan.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2025 The Author(s). BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0/ |
Keywords: | PtDA; decision‐making; patient decision aid; stress urinary incontinence; uterine prolapse; vault prolapse |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Medicine and Population Health |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 24 Feb 2025 14:11 |
Last Modified: | 24 Feb 2025 14:11 |
Status: | Published online |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/1471-0528.18103 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:223702 |