Table 1 Results of the alpha-testing phase and 2nd steering group
SUNDAE Check-list | Alpha-testing Results | Steering group | |
|---|---|---|---|
Participants (FG + II) | Physicians (II) | Changes made | |
Explicit description of the decision | ✗ Reformulate the title in interrogative form ✓ No need to specify the revocable nature of the decision and the possibility of re-consultation, which must be clarified orally by the doctor | ⇨ Modified title ⇨ Polarized distribution of information according to the decision | |
Description of the health problem | ✗ Need for a clearer definition of uUTI ✗ Diagram of bladder not very useful and difficult to identify | ✓ Validation of symptoms description | ⇨ Improved definition of uUTI, addition of the term inflammation ⇨ Removed the bladder diagram |
Information on options, their benefits, risks, and consequences | ✓ Overall positive to help in decision-making ✓ Layout validation ✗ Improving the visibility of adverse events and their link to antibiotics ✗ Term “several weeks” not precise enough | ✓ Suitable information ✓ Information on the risk of pyelonephritis is relevant because it is not well known ✓ Interest of the precision on the absence of risk on fertility ✗ Provide information on alternative treatments to antibiotics ✗ Improve the reading of information by changing the formatting of the text | ⇨ Adjusting for recurrence, complication, and adverse event rates using data from the literature ⇨ Improved description of adverse reactions ⇨ Clarification on the low level of evidence for alternative treatments (cranberry, hydration) ⇨ Improved, more spacious page layout |
Numerical probabilities | ✓ Validation of the pictograms ✓ Good understanding of adverse reaction data | ✓ Validation of the pictograms | ⇨ Adjustment using data from the literature ⇨ Addition of bibliographical references ⇨ Adding the PtDA update date |
Clarification of values (implicit and explicit) | ✓ Validation of the values explored ✓ Validation of the concept of slider left blank but needs to be explained | ⇨ Legend for the blank slider | |
Guidance in deliberation | ✗ Add a color gradient to the sliders, and don’t put the slider in the center by default ✓ Slider format and polarization validation ✗ Non-contributing final slider ✗ Make it clear that the patient’s decision is made orally with her doctor | ✗ Coloring the sliders | ⇨ Changing the slider graphics ⇨ Final slider replaced by a sentence encouraging deliberation with the doctor |
Guidance in communication | ✗ Reading of the PtDA to be accompanied by the doctor | ✗ Fear of a difficulty of use due to lack of time, in particular with the sliders | ⇨ Elements to be included in training to use the PtDA |
Reading and comprehension level | ✓ Understandable slider terms ✗ Prefer the term “drinking water” to “hydration” | ⇨ Clarification of the definition of resistance ⇨ Replacing the term hydration | |
Other | ✗ Enhance contrast, favor a uniform background ✓ Pink color validation | ✗ Enhance contrast | ⇨ Improved contrast |