Meaningful conversations in living with and treating chronic conditions: development of the ICAN discussion aid

摘要: The needs of the growing population complex patients with multiple chronic conditions calls for a different approach to care. Clinical teams need acknowledge, respect, and support work that do capacity they mobilize enact this work, adapt self-manage. Tools enable care are needed. Using user-centered design principles, we set out create discussion aid use by patients, clinicians, other health professionals during clinical encounters. We observed encounters, visited patient homes, dialogued groups. then developed tested prototypes in routine practice. Then refined final prototype extensive stakeholder feedback. From process resulted ICAN Discussion Aid, tool completed reviewed consultation which classified domains contribute as sources burden or satisfaction; demands were also help burden. review facilitated generates hypotheses regarding why some treatment plans may be problematic not enacted patient’s situation. successfully created elucidate share insights about have plan enacted. Next steps involve evaluation impact Aid on encounters variety ICAN-informed patient-important outcomes.