Skip to main content

Table 1 The 10 step-process of booklet development (see reference [16])

From: Improving patient self-reporting of antihypertensive adverse drug events in primary care: a stepped wedge cluster randomised trial

N°

Steps

Participants

1

Literature review - Selection of items on high blood pressure management and the use of antihypertensive drugs

Work group A: General practitioners (4), public health practitioners (2)

2

First round of Delphi survey (27 experts) -

First validation of selected items for the booklet

Work group B: Patients (2), general practitioners (11), public health practitioners (2), cardiologist (1), geriatrician (2), psychologist (1), economist (1), pharmacists (2), nurse (1) ethicist (1), pharmacovigilance practitioners (2) and internist (1)

3

Development of the initial layout of the booklet

Work group A

4

Second round of Delphi survey - Reiteration of equivocal items

Work group B

5

Third round of Delphi survey - Achieving expert consensus on items

Validation of the 1rst version of the booklet

Work group B

6

Independent review of the booklet -

Certification of the conformity of the given information with current scientific data and simplification of medical terminology

Anthropologist (1) and independant general practitioner (1)

7

Readability assessment (Rudolf Flesch test)

and Computer graphics work

Validation of the 2nd version of the booklet

Work group A and Computer graphics designer (1)

8

Qualitative study in primary care (Observation of consultations and

semi-directed individual interviews of patients and general practitioners) – Assessment of understanding and acceptability of the booklet

General practitioners of various populations of patients (7), healthcare assistants (2) and patients (13).

Patients from 44 to 86 y: employees (6), liberal profession (1), labourers (4), craftsman (1), intermediate profession (1)

9

Linguistic work - in accordance with the principles of controlled language and understandable by the target population

Linguist (1) and Work group A

10

Computer graphics work

Validation of the 3rd version of the booklet

Computer graphics designer (1)

and Work group A