To develop an online treatment decision aid (OTDA) to assist patients with low-risk prostate cancer (LRPC) and their partners in making treatment decisions.
Navigate, an OTDA for LRPC, was rigorously co-designed by patients with a confirmed diagnosis or at risk of LRPC and their partners, clinicians, researchers and website designers/developers. A theoretical model guided the development process. A mixed methods approach was used incorporating (1) evidence for essential design elements for OTDAs; (2) evidence for treatment options for LRPC; (3) an iterative co-design process involving stakeholder workshops and prototype review; and (4) expert rating using the International Patient Decision Aid Standards (IPDAS). Three co-design workshops with potential users (n = 12) and research and web-design team members (n = 10) were conducted. Results from each workshop informed OTDA modifications to the OTDA for testing in the subsequent workshop. Clinician (n = 6) and consumer (n = 9) feedback on usability and content on the penultimate version was collected.
The initial workshops identified key content and design features that were incorporated into the draft OTDA, re-workshopped and incorporated into the penultimate OTDA. Expert feedback on usability and content was also incorporated into the final OTDA. The final OTDA was deemed comprehensive, clear and appropriate and met all IPDAS criteria.
Navigate is an interactive and acceptable OTDA for Australian men with LRPC designed by men for men using a co-design methodology. The effectiveness of Navigate in assisting patient decision-making is currently being assessed in a randomised controlled trial with patients with LRPC and their partners.
BJUI compass. 2023 Aug 31*** epublish ***
Penelope Schofield, Amelia Hyatt, Alan White, Fiona White, Mark Frydenberg, Suzanne Chambers, Robert Gardiner, Declan G Murphy, Lawrence Cavedon, Jeremy Millar, Natalie Richards, Barbara Murphy, Ilona Juraskova
Department of Psychology Swinburne University of Technology Melbourne Victoria Australia., Health Services Research Department Peter MacCallum Cancer Centre Melbourne Victoria Australia., Department of Urology, Cabrini Institute Cabrini Health Melbourne Victoria Australia., Faculty of Health Sciences Australian Catholic University Brisbane Queensland Australia., School of Medicine University of Queensland St Lucia Queensland Australia., Sir Peter MacCallum Department of Oncology University of Melbourne Parkville Victoria Australia., School of Computing Technologies RMIT University Melbourne Victoria Australia., Radiation Oncology, Alfred Health Melbourne Victoria Australia., School of Psychological Sciences University of Melbourne Parkville Victoria Australia., Centre for Medical Psychology and Evidence-based Decision-making (CeMPED), School of Psychology University of Sydney Sydney New South Wales Australia.