Gabriel Bilodeau|Holly O. Witteman|France Légaré|Juliette Lafontaine-Bruneau|Philippe Voyer|Edeltraut Kröger|Marie?Claude Tremblay|Anik Giguère
Reducing complexity of patient decision aids for community-based older adults with dementia and their caregivers: multiple case study of Decision Boxes
Centres Intégré Universitaires de Santé et de Services Sociaux|Université Laval|Université Laval|Centre Hospitalier Universitaire de Québec|Université Laval|Partners In Care|Université Laval|Université Laval|Centres Intégré Universitaires de Santé et de Services Sociaux|Université Laval|Centres Intégré Universitaires de Santé et de Services Sociaux|Centres Intégré Universitaires de Santé et de Services Sociaux|Université Laval
identify patient decision aids features limit complexity older adults dementia family caregiversmixed method multiple case study within usercentred design ucd approachcommunitybased healthcare province quebec canada23 older persons aged 65 years dementia 27 family caregiversduring three ucd evaluationmodification rounds participants identified strengths weaknesses patient decision aids content visual design influenced complexity weaknesses content included lack understanding decision aids purpose target audience missing information irrelevant content issues terminology sentence structure weaknesses visual design included critics decision aids general layout density length navigation lack pictures response design team implemented series practical features design strategies comprising clear expression patient decision aids purpose simple text picture personal stories systematic frequent use pictograms illustrating key points helping structure patient decision aids general layout glossary removal scientific references main document personal stories clarify difficult concepts contact section facilitate implementation selected option grade ratings convey quality evidence values clarification exercise formatted checklist presented beginning document streamline navigation involvement panel patientcaregiver partners guide expression patient priorities editing text sixth grade reading level ucd process optimise comprehensiveness relevance content training patientscaregivers shared decisionmakingthe revised template patient decision aids designed meet needs adults living dementia caregivers better may translate fewer evaluationmodification rounds