Lupus & antiphospholipid syndrome

Barriers to and facilitators of sustaining a systemic lupus erythematosus (SLE) patient decision aid in regular rheumatology outpatient care in the USA

Rheumatology (Oxford)Published Qualitative interview study

Study context

Population
Clinicians, administrators and information technology (IT) professionals from 15 geographically diverse US rheumatology clinics that took part in an SLE patient decision aid (DA) implementation trial15 rheumatology clinics
Outcome
Barriers to and facilitators of sustaining an SLE patient DA in routine rheumatology outpatient care
Methodological detailssemi-structured interviews, thematic coding (NVivo), nested in a large-scale DA implementation trial, multicentre
  • Semi-structured interviews
  • Thematic coding (NVivo)
  • Nested in a large-scale DA implementation trial
  • Multicentre

Main finding

As reported in the abstract

Factors influencing DA sustainability
  • Facilitator: user-friendly design of the DA
  • Facilitator: effective in simplifying complex medical information, aiding informed decision-making for patients with SLE
  • Barrier: inconsistent staff knowledge about the DA
  • Barrier: difficulty integrating the DA into clinical workflows
  • Barrier: lack of executive and physician champions
  • Barrier: lack of structured training and communication strategies
  • Concerns about availability of staff support and the technological capabilities needed to maintain DA use

Original publication

Barriers to and facilitators of sustaining a systemic lupus erythematosus (SLE) patient decision aid in regular rheumatology outpatient care in the USA. Rheumatology (Oxford). Published 28 January 2025. doi:10.1093/rheumatology/keaf043

Composed by AI from the published abstract and checked against it. How Briefs are made →

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