Feasibility of web-based decision aids in neurological patients


Til, Janine A. van and Drossaert, Constance H.C. and Renzenbrink, Gerbert J. and Snoek, Govert J. and Dijkstra, Evelien and Stiggelbout, Anne M. and IJzerman, Maarten J. (2010) Feasibility of web-based decision aids in neurological patients. Journal of Telemedicine and Telecare, 16 (1). pp. 48-52. ISSN 1357-633X

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Abstract:Decision aids (DAs) may be helpful in improving patients' participation in medical decision-making. We investigated the potential for web-based DAs in a rehabilitation population. Two self-administered DAs focused on the treatment of acquired ankle-foot impairment in stroke and the treatment of arm-hand function in cervical spinal cord injury (SCI). Data collection comprised a telephone interview and a self-reported paper questionnaire. Of the patients who agreed to participate, 39 stroke patients (44%) and 38 patients with SCI (78%) returned a questionnaire. More than 75% of patients expressed a need for more information about the treatment of disease-related impairment. The DAs were highly appreciated by both patient groups. Nearly all patients expressed a positive attitude towards the use of the web-based DAs in general practice. The DAs had a positive effect on the knowledge about the treatment alternatives in the stroke patients (P = 0.001), although not in the patients with SCI. The DAs reduced patients' conflict about treatment (P < 0.05). The effect of the DAs on patients' desired role in decision-making was limited. Web-based aids are feasible in the rehabilitation population with access to a computer and can improve the knowledge gaps in patients.
Item Type:Article
Copyright:© 2010 Royal Society of Medicine Press
Faculty of Behavioural, Management and Social sciences (BMS)
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Link to this item:http://purl.utwente.nl/publications/71308
Official URL:https://doi.org/10.1258/jtt.2009.001012
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