ArticleDigital health
A web-based, user-centered decision aid to support parental choices in myopia control: A development and usability study.
Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
5 authors.
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Abstract
Background: Childhood myopia, intensified by rapid technological advancements, is an escalating public health issue. Shared decision-making (SDM) facilitates collaborative treatment engagement and adherence, contributing to the mitigation of myopia progression. Objective: This study developed and evaluated a web-based decision aid aimed at assisting parents in making informed, value-aligned decisions. Methods: Following the International Patient Decision Aid Standards framework, we conducted a two-phase process: development (scoping, stakeholder engagement, and content planning) and testing (prototype creation and alpha and beta testing with external users) to develop the Childhood Myopia Shared Decision-Making Aid (CMSDM) to support informed and value-congruent treatment decisions. The study involved 55 parents, 12 ophthalmologists, 3 school nurses, 2 health education teachers, and 20 optometrists. Results: CMSDM comprises two decision aids (myopia treatment and optical correction) with six components: (1) Introduction-stating the purpose of the tool; (2) Comparison-outlining treatment options with pros and cons; (3) Consideration-prompting value reflection; (4) Understanding-clarifying key points; (5) Decision-guiding informed choice; and (6) Submission-sharing the decision with the ophthalmologist. A review from five experts provided the aid with a content validity index of 0.85, demonstrating consensus on content relevance. Users reported a mean System Usability Scale score of 85, indicating excellent usability. The use of CMSDM was associated with improved parental knowledge (t = 2.31, p < 0.01; Cohen's Conclusions: CMSDM, the first SDM aid for childhood myopia, supports informed parental choice. Its effectiveness should be further examined in randomized controlled trials.
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