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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2014

Open Access 01-12-2014 | Study protocol

Development of a patient decision aid for people with refractory angina: protocol for a three-phase pilot study

Authors: Michael Hugh McGillion, Sandra Lee Carroll, Kelly Metcalfe, Heather Mary Arthur, Joseph Charles Victor, Robert McKelvie, Etienne Marc Jolicoeur, Marie-Gabrielle Lessard, James Stone, Nelson Svorkdal, John George Hanlon, Ada Andrade, Joel Niznick, Louise Malysh, William McDonald, Bonnie Stevens, Peter Coyte, Dawn Stacey

Published in: Health and Quality of Life Outcomes | Issue 1/2014

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Abstract

Background

Refractory angina is a severe chronic disease, defined as angina which cannot be controlled by usual treatments for heart disease. This disease is frightening, debilitating, and difficult to manage. Many people suffering refractory have inadequate pain relief, continually revisit emergency departments for help, undergo repeated cardiac investigations, and struggle with obtaining appropriate care. There is no clear framework to help people understand the risks and benefits of available treatment options in Canada. Some treatments for refractory angina are invasive, while others are not covered by provincial health insurance plans. Effective care for refractory angina sufferers in Canada is critically underdeveloped; it is important that healthcare professionals and refractory angina sufferers alike understand the treatment options and their implications. This proposal builds on the recent Canadian practice guidelines for the management of refractory angina. We propose to develop a decision support tool in order to help people suffering from refractory angina make well-informed decisions about their healthcare and reduce their uncertainty about treatment options.

Methods

This project will be conducted in three phases: a) development of the support tool with input from clinical experts, the Canadian refractory angina guidelines, and people living with refractory angina, b) pilot testing of the usability of the tool, and c) formal preliminary evaluation of the effectiveness of the support tool to help people make informed decisions about treatment options.

Discussion

A decision support tool for refractory angina is needed and the available data suggest that by developing such a tool, we may be able to help refractory angina sufferers better understand their condition and the effectiveness of available treatment options (in their respective clinical settings) as well as their implications (e.g. risks vs. benefits). By virtue of this tool, we may also be able to facilitate identification and inclusion of patients’ values and preferences in the decision making process. This is particularly important as refractory angina is an intractable condition, necessitating that the selected course of treatment be lifelong. This study will yield a much needed patient decision aid for people living with refractory angina and pilot data to support a subsequent effectiveness study.
Appendix
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Metadata
Title
Development of a patient decision aid for people with refractory angina: protocol for a three-phase pilot study
Authors
Michael Hugh McGillion
Sandra Lee Carroll
Kelly Metcalfe
Heather Mary Arthur
Joseph Charles Victor
Robert McKelvie
Etienne Marc Jolicoeur
Marie-Gabrielle Lessard
James Stone
Nelson Svorkdal
John George Hanlon
Ada Andrade
Joel Niznick
Louise Malysh
William McDonald
Bonnie Stevens
Peter Coyte
Dawn Stacey
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2014
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-12-93

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