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@article{Porat:2019:10.1136/bmjopen-2019-030385,
author = {Porat, T and Marshall, I and Sadler, E and Vadillo, MA and McKevitt, C and Wolfe, CDA and Curcin, V},
doi = {10.1136/bmjopen-2019-030385},
journal = {BMJ Open},
title = {Collaborative design of a decision aid for stroke survivors with multimorbidity: a qualitative study in the UK engaging key stakeholders},
url = {http://dx.doi.org/10.1136/bmjopen-2019-030385},
volume = {9},
year = {2019}
}

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TY  - JOUR
AB  - Objectives: Effective secondary stroke prevention strategies are sub-optimally used. Noveldevelopment of interventions to enable healthcare professionals and stroke survivors to manage riskfactors for stroke recurrence are required. We sought to engage key stakeholders in the design andevaluation of an intervention informed by a Learning Health System approach, to improve risk factormanagement and secondary prevention for stroke survivors with multimorbidity.Design: Qualitative, including focus groups, semi-structured interviews and usability evaluations. Datawas audio-recorded, transcribed and coded thematically.Participants: Stroke survivors, carers, health and social care professionals, commissioners, policymakers and researchers.Setting: Stroke survivors were recruited from the South London Stroke Register; health and social careprofessionals through South London general practices and King’s College London (KCL) networks;carers, commissioners, policy-makers and researchers through KCL networks.Results: 53 stakeholders in total participated in focus groups, interviews and usability evaluations.Thirty-seven participated in focus groups and interviews, including stroke survivors and carers (N=11),health and social care professionals (N=16), commissioners and policy-makers (N=6) and researchers(N=4). Sixteen participated in usability evaluations, including stroke survivors (N=8) and generalpractitioners (GPs; N=8). Eight themes informed the collaborative design of DOTT (Deciding onTreatments Together), a decision aid integrated with the electronic health record system, to be usedin primary care during clinical consultations between the healthcare professional and stroke survivor.DOTT aims to facilitate shared decision making on personalised treatments leading to improvedtreatment adherence and risk control. DOTT was found acceptable and usable among stroke survivorsand GPs during a series of evaluations.Conclusions: Adopting a user-centred data-driven design a
AU  - Porat,T
AU  - Marshall,I
AU  - Sadler,E
AU  - Vadillo,MA
AU  - McKevitt,C
AU  - Wolfe,CDA
AU  - Curcin,V
DO  - 10.1136/bmjopen-2019-030385
PY  - 2019///
SN  - 2044-6055
TI  - Collaborative design of a decision aid for stroke survivors with multimorbidity: a qualitative study in the UK engaging key stakeholders
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2019-030385
UR  - http://hdl.handle.net/10044/1/71760
VL  - 9
ER  -

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