TY - JOUR
T1 - Development and pilot testing of a conversation aid to support the evaluation of patients with thyroid nodules
AU - Singh Ospina, Naykky M.
AU - Bagautdinova, Diliara
AU - Hargraves, Ian
AU - Barb, Diana
AU - Subbarayan, Sreevidya
AU - Srihari, Ashok
AU - Wang, Shu
AU - Maraka, Spyridoula
AU - Bylund, Carma L.
AU - Treise, Debbie
AU - Montori, Victor
AU - Brito, Juan P.
N1 - Publisher Copyright:
© 2021 John Wiley & Sons Ltd.
PY - 2022/4
Y1 - 2022/4
N2 - Objective: To support patient-centred care and the collaboration of patients and clinicians, we developed and pilot tested a conversation aid for patients with thyroid nodules. Design, Patient and Measurements: We developed a web-based Thyroid NOdule Conversation aid (TNOC) following a human-centred design. A proof of concept observational pre–post study was conducted (TNOC vs. usual care [UC]) to assess the impact of TNOC on the quality of conversations. Data sources included recordings of clinical visits, post-encounter surveys and review of electronic health records. Summary statistics and group comparisons are reported. Results: Sixty-five patients were analysed (32 in the UC and 33 in the TNOC cohort). Most patients were women (89%) with a median age of 57 years and were incidentally found to have a thyroid nodule (62%). Most thyroid nodules were at low risk for thyroid cancer (71%) and the median size was 1.4 cm. At baseline, the groups were similar except for higher numeracy in the TNOC cohort. The use of TNOC was associated with increased involvement of patients in the decision-making process, clinician satisfaction and discussion of relevant topics for decision making. In addition, decreased decisional conflict and fewer thyroid biopsies as the next management step were noted in the TNOC cohort. No differences in terms of knowledge transfer, length of consultation, thyroid cancer risk perception or concern for thyroid cancer diagnosis were found. Conclusion: In this pilot observational study, using TNOC in clinical practice was feasible and seemed to help the collaboration of patients and clinicians.
AB - Objective: To support patient-centred care and the collaboration of patients and clinicians, we developed and pilot tested a conversation aid for patients with thyroid nodules. Design, Patient and Measurements: We developed a web-based Thyroid NOdule Conversation aid (TNOC) following a human-centred design. A proof of concept observational pre–post study was conducted (TNOC vs. usual care [UC]) to assess the impact of TNOC on the quality of conversations. Data sources included recordings of clinical visits, post-encounter surveys and review of electronic health records. Summary statistics and group comparisons are reported. Results: Sixty-five patients were analysed (32 in the UC and 33 in the TNOC cohort). Most patients were women (89%) with a median age of 57 years and were incidentally found to have a thyroid nodule (62%). Most thyroid nodules were at low risk for thyroid cancer (71%) and the median size was 1.4 cm. At baseline, the groups were similar except for higher numeracy in the TNOC cohort. The use of TNOC was associated with increased involvement of patients in the decision-making process, clinician satisfaction and discussion of relevant topics for decision making. In addition, decreased decisional conflict and fewer thyroid biopsies as the next management step were noted in the TNOC cohort. No differences in terms of knowledge transfer, length of consultation, thyroid cancer risk perception or concern for thyroid cancer diagnosis were found. Conclusion: In this pilot observational study, using TNOC in clinical practice was feasible and seemed to help the collaboration of patients and clinicians.
KW - conversation aids
KW - shared decision making
KW - thyroid cancer
KW - thyroid nodules
UR - http://www.scopus.com/inward/record.url?scp=85115953387&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85115953387&partnerID=8YFLogxK
U2 - 10.1111/cen.14599
DO - 10.1111/cen.14599
M3 - Article
C2 - 34590734
AN - SCOPUS:85115953387
SN - 0300-0664
VL - 96
SP - 627
EP - 636
JO - Clinical Endocrinology
JF - Clinical Endocrinology
IS - 4
ER -