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Adapting two American Decision Aids for Mild Traumatic Brain Injury to the Canadian Context Using the Nominal Group Technique [r-libre/2101]

Ghandour, El Kebir; Hould, Lania Lelaidier; Fortier, Félix-Antoine; Gélinas, Véronique; Melnick, Edward R.; Hess, Erik P.; Lang, Eddy S.; Gravel, Jocelyn; Perry, Jeffrey J.; Le Sage, Natalie; Truchon, Catherine; LeBlanc, Annie; Dubrovsky, Alexander Sasha; Gagnon, Marie-Pierre; Ouellet, Marie-Christine; Gagnon, Isabelle; McKenna, Suzanne; Légaré, France; Sauvé, Louise; van de Belt, Tom H.; Kavanagh, Éric; Paquette, Laurence; Verrette, Anne-Catherine; Plante, Patrick; Riopelle, Richard J., & Archambault, Patrick M. (2020). Adapting two American Decision Aids for Mild Traumatic Brain Injury to the Canadian Context Using the Nominal Group Technique. The Patient - Patient-Centered Outcomes Research, 1-15. https://doi.org/10.1007/s40271-020-00459-y

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[img]  PDF - Ghandour2020_Article_AdaptingTwoAmericanDecisionAid.pdf
Content : Published Version
License : Creative Commons Attribution Non-commercial.
Item Type: Journal Articles
Refereed: Yes
Status: Published
Abstract: A mild traumatic brain injury (also called concussion) can happen when the brain moves around in the skull after an impact to the head. A concussion is not a brain bleed and you cannot see a concussion. Concussions do not show up on a computed tomography (CT) scan. Brain bleeds do. Computed tomography scans are specialised X-ray machines that can detect serious brain injuries. Unfortunately, CT scan use also exposes patients to radiation and a future increased risk of cancer. Shared decision making involves health professionals and patients making decisions together based on the best available evidence, health professionals’ experience, and patients’ values and preferences. Shared decision making improves appropriate diagnostic test use. Two decision aids created in the USA are available to facilitate shared decision making regarding the use of head CT scans for patients with concussion. These decision aids are not fully adapted for use in Canada because the healthcare, social and legal context is different. Our study brought together patients and experts in the field of concussion and shared decision making to analyse these decision aids and propose adaptations that would increase their acceptance in Canadian emergency departments. We used a technique called the Nominal Group Technique to create a consensus about the most important changes to make to both original decision aids. The main adaptations needed for the Canadian context concerned avoiding information about cost and removing any information that does not change clinical management. This project will help us adapt two decision aids for clinical use in Canada and support appropriate CT scan use for patients with concussion.
Official URL: https://link.springer.com/article/10.1007%2Fs40271...
Depositor: Plante, Patrick
Owner / Manager: Patrick Plante
Deposited: 27 Oct 2020 14:48
Last Modified: 27 Oct 2020 14:48

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