A personalized biomedical risk assessment infographic for people who smoke with COPD: a qualitative study

Addiction Science & Clinical Practice

Teresa To¹  Laura Nimmon²  Zafar Zafari³  Smita Pakhale⁴  Parisa Ghanouni⁵  Samir Gupta⁶  Puru Panchal⁷  Mohsen Sadatsafavi⁸  Don Sin⁹ 

[1] Child Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, ON, Canada;Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC, Canada;Centre for Health Education Scholarship, University of British Columbia, Vancouver, BC, Canada;Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD, USA;Division of Respiratory Medicine, The Ottawa Hospital, Ottawa, ON, Canada;Faculty of Health, School of Occupational Therapy, Halifax, NS, Canada;Keenan Research Center, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, University of Toronto, Toronto, ON, Canada;Division of Respirology, Department of Medicine, St. Michael’s Hospital, Suite 6044, Bond Wing, 30 Bond St, M5B 1W8, Toronto, ON, Canada;Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada;Respiratory Evaluation Sciences Program, Collaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada;UBC Centre for Heart Lung Innovation, St Paul’s Hospital, Providence Building, Vancouver, BC, Canada;Division of Respiratory Medicine, Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada;UBC Centre for Heart Lung Innovation, St Paul’s Hospital, Providence Building, Vancouver, BC, Canada;Division of Respiratory Medicine, Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada;

关键词: Behaviour change;    Biomedical risk assessment;    Smoking cessation;    COPD;    Infographic;    Motivation to quit;    Qualitative content analysis;   

DOI  :  10.1186/s13722-021-00283-1

来源: Springer

【 摘 要 】

BackgroundChronic obstructive pulmonary disease (COPD) causes 3 million deaths each year, yet 38% of COPD patients continue to smoke. Despite proof of effectiveness and universal guideline recommendations, smoking cessation interventions are underused in practice. We sought to develop an infographic featuring personalized biomedical risk assessment through future lung function decline prediction (with vs without ongoing smoking) to both prompt and enhance clinician delivery of smoking cessation advice and pharmacotherapy, and augment patient motivation to quit.MethodsWe recruited patients with COPD and pulmonologists from a quaternary care center in Toronto, Canada. Infographic prototype content and design was based on best evidence. After face validation, the prototype was optimized through rapid-cycle design. Each cycle consisted of: (1) infographic testing in a moderated focus group and a clinician interview (recorded/transcribed) (with questionnaire completion); (2) review of transcripts for emergent/critical findings; and (3) infographic modifications to address findings (until no new critical findings emerged). We performed iterative transcript analysis after each cycle and a summative qualitative transcript analysis with quantitative (descriptive) questionnaire analysis.ResultsStopping criteria were met after 4 cycles, involving 20 patients (58% male) and 4 pulmonologists (50% male). The following qualitative themes emerged: Tool content (infographic content preferences); Tool Design (infographic design preferences); Advantages of Infographic Messaging (benefits of an infographic over other approaches); Impact of Tool on Determinants of Smoking Cessation Advice Delivery (impact on barriers and enablers to delivery of smoking cessation advice in practice); and Barriers and Enablers to Quitting (impact on barriers and enablers to quitting). Patient Likert scale ratings of infographic content and format/usability were highly positive, with improvements in scores for 20/21 questions through the design process. Providers scored the infographic at 77.8% (“superior”) on the Suitability Assessment of Materials questionnaire.ConclusionsWe developed a user preference-based personalized biomedical risk assessment infographic to drive smoking cessation in patients with COPD. Our findings suggest that this tool could impact behavioural determinants of provider smoking-cessation advice delivery, while increasing patient quit motivation. Impacts of the tool on provider care, patient motivation to quit, and smoking cessation success should now be evaluated in real-world settings.

【 授权许可】

CC BY