TY - JOUR T1 - Refining a primary care shared decision-making aid for lifestyle change: mixed methods study JF - BJGP Open JO - BJGP Open DO - 10.3399/BJGPO.2021.0100 SP - BJGPO.2021.0100 AU - Neil Heron AU - Seán R O’Connor AU - Frank Kee AU - David R Thompson AU - Margaret Cupples AU - Michael Donnelly Y1 - 2021/11/30 UR - http://bjgpopen.org/content/early/2021/11/24/BJGPO.2021.0100.abstract N2 - Background The important role of primary care in promoting healthy lifestyle behaviours needs informed support.Aim To elicit views on a 39-item shared decision-making (SDM) aid (SHARE-D) for lifestyle change and refine it to improve implementation.Design & setting Mixed methods study.Method Health professionals, patients, and support workers, with experience of managing, or a history of, cardio- or cerebrovascular disease, were purposively recruited based on age, gender, and urban/rural location (n = 34). Participants completed a survey, rating the importance of including each item in a decision-aid, designed for use by patients with health professionals, and suggesting modifications. Semi-structured interviews (n = 30/34) were conducted and analysed thematically.Results Substantial agreement was observed on rating item inclusion. Based on survey and interview data, 9/39 items were removed; 13 were amended. Qualitative themes were: (i) core content of the decision-aid, (ii) barriers to use, (iii) motivation for lifestyle change, and (iv) primary care implementation. ‘Self-reflective’ questions and goal setting were viewed as essential components. The paper-based format, length, clarity, and time required were barriers to its use. Optional support considered within the aid was seen as important to motivate change. A digital version, integrated into patient record systems was regarded as critical to implementation. A revised 30-item aid was considered suitable for facilitating brief conversations and promoting patient autonomy.Conclusion The SHARE-D decision aid for healthy lifestyle change appears to have good content validity and acceptability. Survey and interview data provided in-depth information to support implementation of a refined version. Further studies should examine its effectiveness. ER -