PMID- 25857694
OWN - NLM
STAT- MEDLINE
DCOM- 20170113
LR  - 20181113
IS  - 1369-7625 (Electronic)
IS  - 1369-6513 (Print)
IS  - 1369-6513 (Linking)
VI  - 19
IP  - 2
DP  - 2016 Apr
TI  - Mismatch between health-care professionals' and patients' views on a diabetes 
      patient decision aid: a qualitative study.
PG  - 427-36
LID - 10.1111/hex.12366 [doi]
AB  - BACKGROUND: Malaysia is an Asian country with population of diverse culture and 
      health perceptions. Patient decision aid (PDA) is a new tool in Malaysia. 
      Patients' and health-care professionals' (HCPs) expectation of a PDA is unknown. 
      AIM: We aimed to explore patients' and health-care professionals'(HCPs) views on 
      the information needed in a patient decision aid (PDA) on insulin initiation 
      developed for patients with type 2 diabetes mellitus (T2DM). DESIGN: We used a 
      qualitative design and thematic approach. SETTING: Three main primary health-care 
      settings in Malaysia: public university-based primary care clinics, public 
      health-care clinics and private general practices. METHOD: We conducted focus 
      groups and one-to-one interviews with a purposive sample of health professionals 
      and patients with type 2 diabetes. RESULTS: We interviewed 18 patients and 13 
      HCPs. Patients viewed the content of the PDA as simple and clear. However, HCPs 
      felt the PDA might be difficult for patients with low literacy to understand. 
      HCPs thought the PDA was too lengthy. Nevertheless, patients would prefer more 
      information. HCPs tended to focus on benefits of insulin, while patients wanted 
      to know the impact of insulin on their quality of life and practical issues 
      regarding insulin and its side-effects. Patients preferred numbers to weigh the 
      risks and benefits of treatment options. HCPs' views that presenting numbers in a 
      PDA would be too complex for patients to understand. CONCLUSION: It is important 
      to consider including issues related to psycho-social impact of treatment to 
      patients when developing a patient decision aid.
CI  - (c) 2015 John Wiley & Sons Ltd.
FAU - Lee, Ping Yein
AU  - Lee PY
AD  - Department of Family Medicine, Faculty of Medicine and Health Sciences, 
      University Putra Malaysia, Serdang, Selangor, Malaysia.
FAU - Khoo, Ee Ming
AU  - Khoo EM
AD  - Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, 
      Kuala Lumpur, Malaysia.
FAU - Low, Wah Yun
AU  - Low WY
AD  - Dean's Office, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
FAU - Lee, Yew Kong
AU  - Lee YK
AD  - Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, 
      Kuala Lumpur, Malaysia.
FAU - Abdullah, Khatijah Lim
AU  - Abdullah KL
AD  - Department of Nursing Sciences, Faculty of Medicine, University of Malaya, Kuala 
      Lumpur, Malaysia.
FAU - Azmi, Syahidatul Akmal
AU  - Azmi SA
AD  - Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, 
      Kuala Lumpur, Malaysia.
FAU - Ng, Chirk Jenn
AU  - Ng CJ
AD  - Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, 
      Kuala Lumpur, Malaysia.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150406
PL  - England
TA  - Health Expect
JT  - Health expectations : an international journal of public participation in health 
      care and health policy
JID - 9815926
RN  - 0 (Insulin)
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Decision Support Techniques
MH  - Diabetes Mellitus, Type 2/psychology/*therapy
MH  - Female
MH  - Focus Groups
MH  - Health Personnel/*psychology
MH  - Humans
MH  - Insulin/therapeutic use
MH  - Interviews as Topic
MH  - Malaysia
MH  - Male
MH  - Middle Aged
MH  - *Patient Preference
MH  - Primary Health Care
MH  - Qualitative Research
MH  - Quality of Life
PMC - PMC5055270
OTO - NOTNLM
OT  - patient decision aid
OT  - patients' and doctors' view
EDAT- 2015/04/11 06:00
MHDA- 2017/01/14 06:00
PMCR- 2016/04/01
CRDT- 2015/04/11 06:00
PHST- 2015/03/16 00:00 [accepted]
PHST- 2015/04/11 06:00 [entrez]
PHST- 2015/04/11 06:00 [pubmed]
PHST- 2017/01/14 06:00 [medline]
PHST- 2016/04/01 00:00 [pmc-release]
AID - HEX12366 [pii]
AID - 10.1111/hex.12366 [doi]
PST - ppublish
SO  - Health Expect. 2016 Apr;19(2):427-36. doi: 10.1111/hex.12366. Epub 2015 Apr 6.