Cultural adaptation and validation of patient decision aids: a scoping review

Figures & data

Figure 1 Flowchart of the search and the selection process.

Abbreviation: DA, decision aid.

Table 1 Summary of selected studies’ research objectives, procedures, and decision aids

References, location	Research objectives	Decision aids
		Developed	Adapted	Procedures	Type	Content	Purpose
Akl et al,^Citation31 USA	To develop and pilot test a DA for COPD patients considering inhaled steroid therapy	X		UT	Computer-based; available online and on CD-ROM	Information about COPD Information about treatment options Values and preferences clarification component	To elicit preferred decision-making model and help patients make specific, deliberative choices among inhaled steroid therapy options for COPD
Berry et al,^Citation25 USA	To explore and enhance usability and cultural appropriateness of a Spanish personal P3P DA for Latino men diagnosed with prostate cancer		X	AO; T; LA; CA; UT; A; CNV	Computer-based; web-based	Questions on patient medical information Customized educational interventions (text, graphics, video)	To prepare men with localized prostate cancer to understand and evaluate care options, communicate personal priorities to health care providers, and make a choice consistent with personal values and medical factors
Coudeyre et al,^Citation28 France	To translate and culturally adapt to the French health care system, a decision-making tool for patient orientation (to inpatient rehabilitation or a direct return home) after total hip or knee arthroplasty		X	T; LA; CA; CNV	Interpersonal counseling program combined with a score	Questions on patient medical information Question on patient preference	To provide a recommendation regarding patient orientation to inpatient rehabilitation or a direct return home after total hip or knee arthroplasty
Fatima et al,^Citation32 Canada	To validate a decision aid to assist patients in choosing between antithrombotic agents (anti-platelets, warfarin, direct-acting oral anticoagulants)	X		UT; A	Written and visual (graphic) materials	Information about atrial fibrillation Information about treatment options	To improve patient knowledge of treatment choices for atrial fibrillation and help patients be more comfortable and confident with their treatment decision
Garvelink et al,^Citation29 the Netherlands	To develop and pilot test the acceptability and understanding of a decision aid concerning fertility preservation for women with breast cancer	X		UT; A; CNV	Computer-based; web-based	Informational pages Values clarification component	To inform patients about fertility preservation, prepare patients for a counseling consultation, and enable decision making concerning fertility preservation
Jull et al,^Citation26 Canada	To describe the adaptation and usability testing of a shared decision-making tool, the Ottawa Personal Decision Guide, to support decision making by Aboriginal women		X	ACC; LA; CA; UT; A; CNV	Written material; adaptation resulted in an interpersonal counseling program with written material	Section on decisional needs Section on decision support Section on decision quality	To guide people through health and social decisions
Ko et al,^Citation24 USA	To describe the cultural and linguistic adaptation process of a colorectal cancer screening DA for Spanish-speaking Latinos		X	AO; ACC; T; LA; CA; CNV	Computer-based; web-based	On-screen narrator Information about cancer and screening Educational interventions (text, vignettes, animations)	To inform patients about colorectal cancer screening, prepare patients for a counseling consultation, and enable decision making concerning colorectal cancer screening
Lau et al,^Citation33 USA	To develop and assess the usability and acceptability of a DA for lung cancer screening	X		UT; A; CNV	Computer-based; web-based	Questions on patient medical information Information about cancer and screening Individual lung cancer risk modeling Values clarification component	To assist patients in making informed decisions regarding lung cancer screening
Lawrence et al,^Citation27 USA	To develop and test the validity and reliability of a cross-cultural (European American and Mexican American) DA for screening mammography	X	X	T; LA; CA; TR; CNV; CSV	Interpersonal counseling program combined with written and visual (graphic) materials	Information about cancer and screening	To provide understandable information enabling women to make informed decisions about breast cancer screening
Orlando et al,^Citation30 USA	To develop and validate a family health history decision support program called MeTree	X		UT; CNV; CRV	Computer-based; web-based	Questions on family health history Individual risk-stratified screening and preventive care strategies	To gather family health history from patients and generate decision support for patients and providers
Anhang Price et al,^Citation34 USA	To validate a consumer website based on a pediatric algorithm: assessment of the usability and safety of a DA called SORT helping parents and adult caregivers determine if a child with influenza-like illness requires immediate care in an emergency department	X		UT; CRV	Computer-based; web-based	Questions on patient medical information Individual recommendation based on risk assessment	To help parents and adult caregivers determine if a child with influenza-like illness requires immediate care in an emergency department
Sebban et al,^Citation35 France	To design and validate a bedside decision instrument to be used by patients with chronic myeloid leukemia and their physicians in deciding between the therapeutic alternatives of bone marrow transplantation and conservative management during the early phase of disease	X		UT; A; TR; CSV	Oral presentations of information, combined with written and visual materials	Scenario-based DA Information about cancer and treatment options	To elicit patient preferences regarding two treatment options for chronic myeloid leukemia
Volk et al,^Citation36 USA	To develop and field test a brief, video-based patient decision aid about lung cancer screening	X		A	Video material	On-screen narrator Information about cancer and screening Values clarification component	To enable informed decision-making about lung cancer screening

Abbreviations: A, exploration of DA acceptability; ACC, assessment of the new cultural context; AO, appraisal of the original DA; CA, cultural adaptation; CNV, content validity; COPD, chronic obstructive pulmonary disease; CRV, criterion validity; CSV, construct validity; DA, decision aid; LA, linguistic adaptation; P3P, patient profile prostate; T, translation; TR, test-retest reliability; UT, usability testing.

Figure 2 Flowchart of the four adaptation and validation phases and related procedures.

Abbreviation: DA, decision aid.

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BerryDLHalpennyBBoscoJLFBruyereJJrSandaMGUsability evaluation and adaptation of the e-health Personal Patient Profile-Prostate decision aid for Spanish-speaking Latino menBMC Med Inform Decis Mak2015155626204920

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FatimaSHolbrookASchulmanSParkSTroyanSCurnewGDevelopment and validation of a decision aid for choosing among antithrombotic agents for atrial fibrillationThromb Res201614514314827388221

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GarvelinkMMter KuileMMFischerMJDevelopment of a decision aid about fertility preservation for women with breast cancer in the NetherlandsJ Psychosom Obstet Gynaecol201334417017824188788

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JullJGilesAMinwaashin Lodge, The Aboriginal Women’s Support CentreBoyerYStaceyDCultural adaptation of a shared decision making tool with Aboriginal women: a qualitative studyBMC Med Inform Decis Mak201515125889846

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LauYKCaverlyTJCherngSTDevelopment and validation of a personalized, web-based decision aid for lung cancer screening using mixed methods: a study protocolJMIR Res Protoc201434e7825532218

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OrlandoLABuchananAHHahnSEDevelopment and validation of a primary care-based family health history and decision support program (MeTree)N C Med J201374428729624044145

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Anhang PriceRFagbuyiDHarrisRFeasibility of web-based self-triage by parents of children with influenza-like illness: a cautionary taleJAMA Pediatr2013167211211823254373

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SebbanCBrowmanGGafniADesign and validation of a bedside decision instrument to elicit a patient’s preference concerning allogenic bone marrow transplantation in chronic myeloid leukemiaAm J Hematol19954842212277717368

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VolkRJLinderSKLealVBFeasibility of a patient decision aid about lung cancer screening with low-dose computed tomographyPrev Med201462606324518006

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