|
1
|
McLean D, McBride O, Samardzic T, Sisic M, Dellavalle RP, Tan J. Impact of a hidradenitis suppurativa patient decision aid on treatment decision making: A randomized controlled trial. JAAD Int 2021; 1:190-199. [PMID: 34409339 PMCID: PMC8361909 DOI: 10.1016/j.jdin.2020.09.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/05/2020] [Indexed: 11/29/2022] Open
Abstract
Background Patient decision aids are tools that facilitate shared decision making when clinical evidence and patient values and preferences inform the process. Evidence-based guidelines have been developed for clinicians in hidradenitis suppurativa management. To address treatment decision-making needs of hidradenitis suppurativa patients, we developed a hidradenitis suppurativa patient decision aid. Objective To assess the efficacy of the hidradenitis suppurativa patient decision aid during treatment decision making. Methods An online, participant-blinded, parallel-group, randomized controlled trial of the hidradenitis suppurativa patient decision aid versus Mayo Clinic hidradenitis suppurativa website content (Mayo) was conducted with hidradenitis suppurativa patients. Outcomes were knowledge, decisional conflict, and preparation for decision making. Results Forty participants fulfilled inclusion criteria and were randomized to hidradenitis suppurativa patient decision aid or Mayo. In the hidradenitis suppurativa patient decision aid group, data from 16 and 15 participants were analyzed at phases 1 and 2, respectively. In the Mayo group, data from 15 and 13 participants were analyzed at phases 1 and 2, respectively. Increased knowledge (P < .01) and preparation for decision making (P < .01), as well as reduced decisional conflict (P < .01), were observed in the hidradenitis suppurativa patient decision aid compared with the Mayo group. Limitations The online methodology and recruitment from online hidradenitis suppurativa support groups limits generalizability of findings. Conclusion A hidradenitis suppurativa patient decision aid increased knowledge and preparation for decision making and reduced decisional conflict.
Collapse
Affiliation(s)
- Donna McLean
- Windsor Clinical Research Inc, Windsor, Ontario, Canada
| | | | | | - Mia Sisic
- Windsor Clinical Research Inc, Windsor, Ontario, Canada.,University of Windsor, Windsor, Ontario, Canada
| | - Robert P Dellavalle
- Dermatology Service, Eastern Colorado Health Care System, US Department of Veteran Affairs, Aurora, Colorado.,Department of Dermatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado.,Department of Epidemiology, Colorado School of Public Health, Aurora, Colorado
| | - Jerry Tan
- Windsor Clinical Research Inc, Windsor, Ontario, Canada.,University of Windsor, Windsor, Ontario, Canada.,Schulich School of Medicine, Western University, Windsor, Ontario, Canada
| |
Collapse
|
|
2
|
McBride O, McLean D, Samardzic T, Yannuzzi C, Guilbault S, Sayed C, Resnik B, Sisic M, Dellavalle RP, Tan J. Development of a hidradenitis suppurativa patient decision aid. Dermatol Online J 2020; 26:13030/qt18p1n8tt. [PMID: 33342169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 05/09/2020] [Accepted: 07/03/2020] [Indexed: 06/12/2023] Open
Abstract
BACKGROUND Patient decision aids (PDAs) are tools that facilitate informed shared decision-making between patients and health care providers. To address a previously identified need in treatment decision-making in hidradenitis suppurativa (HS), we developed an HS-PDA. METHODS Development of the HS-PDA was based on International Patient Decision Aids Standards. Evidence was derived from the North American Clinical Management Guidelines for HS. RESULTS Content from guidelines was transformed into patient-friendly language and reviewed by three physicians and two patient representatives. Feedback on HS-PDA content, presentation and practicality was obtained from 7 HS patients and 5 physicians. Revisions were made following thematic analysis. All patients felt the content on treatment options contained the right amount of information and 5 found it helpful to see these options contextualized to their values. Each stated they would use the HS-PDA during treatment decision-making. Three and four physicians respectively indicated the content was accurate and language was patient-friendly. LIMITATIONS Small sample sizes may limit generalizability. CONCLUSION This HS-PDA was developed in accordance with international standards based on current HS guidelines with input from patients and physicians. It is available online without cost.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | | | - Jerry Tan
- Windsor Clinical Research Inc., Windsor, Ontario University of Windsor, Windsor, Ontario Schulich School of Medicine, Western University, Windsor, Ontario.
| |
Collapse
|
|
3
|
McBride O, McLean D, Samardzic T, Yannuzzi C, Guilbault S, Sayed C, Resnik B, Sisic M, Dellavalle RP, Tan J. Development of a hidradenitis suppurativa patient decision aid. Dermatol Online J 2020. [DOI: 10.5070/d32611047214] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
|
|
4
|
Butt M, Sisic M, Silva C, Naik H, Esmann S, Jemec G, Kirby J. 529 The associations of depression and coping methods on health-related quality of life for those with hidradenitis suppurativa. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
|
|
5
|
Affiliation(s)
- Joslyn S Kirby
- Department of Dermatology, Penn State Milton S Hershey Medical Center, Hershey, Pennsylvania
| | - Mia Sisic
- Department of Psychology, University of Windsor, Windsor, Ontario, Canada
| | - Jerry Tan
- Department of Medicine, University of Western Ontario, London, Ontario, Canada
| |
Collapse
|
|
6
|
Mehdizadeh A, Alavi A, Alhusayen R, Bauer B, Bechara FG, Bourcier M, Brassard A, Djamei V, Dutz J, George R, Ghias M, Gooderham M, Hamzavi I, Hoffman LK, Hou A, Hu H, Kimball AB, Kirchhof M, Kryzskaya D, Liy Wong MDC, Lowes MA, Lynde CW, McLellen C, Prens E, Prens L, Rogalska T, Sibbald RG, Sisic M, Tan MG, Wong DD. Proceeding report of the Symposium on Hidradenitis Suppurativa Advances (SHSA). Exp Dermatol 2017; 27:104-112. [DOI: 10.1111/exd.13445] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/29/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Ali Mehdizadeh
- University of Toronto Dalla Lana School of Public Health; Toronto ON Canada
| | | | | | - Boris Bauer
- Universitatsklinikum Wurzburg; Wurzburg Germany
| | | | | | - Alain Brassard
- Department of Dermatology; University of Alberta; Edmonton AB Canada
| | - Vahid Djamei
- Dermatology, Information Systems (Business Informatics); Information Science University of Zürich; Zürich Switzerland
| | - Jan Dutz
- Department of Dermatology & Skin Science; University of British Columbia; Vancouver BC Canada
| | - Ralph George
- Division of General Surgery; University of Toronto; Toronto ON Canada
| | - Mondana Ghias
- Montefiore Hospital and Medical Center; Bronx NY USA
| | | | | | | | - Angela Hou
- New York University Langone Medical Center; NewYork; NY USA
| | - Howard Hu
- University of Toronto Dalla Lana School of Public Health; Toronto ON Canada
| | | | - Mark Kirchhof
- Division of Dermatology; Department of Medicine; University of Ottawa; Ottawa ON Canada
| | - Darya Kryzskaya
- Division of Pediatric Dermatology; Montreal Children's Hospital; McGill University Health Center; Montreal QC Canada
| | | | | | - Charles W. Lynde
- Department of Medicine; University of Toronto; Toronto ON Canada
| | | | - Errol Prens
- Dermatology; Erasmus MC; Rotterdam The Netherlands
| | | | - Tetyana Rogalska
- Department of Family Medicine; University of Ottawa; Ottawa ON Canada
| | | | - Mia Sisic
- University of Windsor; Windsor ON Canada
| | - Marcus G. Tan
- Department of Medicine; University of Toronto; Toronto ON Canada
| | - Dennis D. Wong
- Department of Medicine; University of Toronto; Toronto ON Canada
| |
Collapse
|
|
7
|
Abstract
Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease with adverse physical and psychosocial impacts. The development of an HS quality-of-life measure, HS-QoL, has been recently described. Objective: This study was designed to validate the HS-QoL. Method: Fifty-five patients with HS from 4 dermatology clinics completed the 30-minute online survey. Item reduction, reliability (internal consistency), and correlation analysis (to assess convergent validity) were conducted. Results: The HS-QoL was reduced from 53 items to 44 items, resulting in a 7-subscale questionnaire. All subscales demonstrated excellent internal consistency, except for the support subscale, which had adequate internal consistency. All 7 HS-QoL subscales were related to other measures of QoL, life satisfaction, and mental health, which demonstrates convergent validity. Conclusion: The 44-item HS-QoL demonstrated strong preliminary evidence of reliability (internal consistency) and convergent validity.
Collapse
Affiliation(s)
- Chelsea McLellan
- Department of Psychology, University of Windsor, Windsor, ON, Canada
- Windsor Clinical Research, Inc, Windsor, ON, Canada
| | - Mia Sisic
- Department of Psychology, University of Windsor, Windsor, ON, Canada
- Windsor Clinical Research, Inc, Windsor, ON, Canada
| | | | - Jerry Tan
- Department of Psychology, University of Windsor, Windsor, ON, Canada
- Windsor Clinical Research, Inc, Windsor, ON, Canada
- Department of Medicine, University of Western Ontario, London, ON, Canada
| |
Collapse
|
|
8
|
Liu CW, Reed A, Sisic M, Tan J. Reconsidering Accuracy of Acne Self-Reports. J Cutan Med Surg 2017; 21:359. [PMID: 28903585 DOI: 10.1177/1203475417698697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Cheng-Wei Liu
- 1 Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada
| | - Andrea Reed
- 2 Windsor Clinical Research, Windsor, Ontario, Canada
| | - Mia Sisic
- 3 Department of Psychology, University of Windsor, Windsor, Ontario, Canada
| | - Jerry Tan
- 4 Faculty of Medicine, Western University, London, Ontario, Canada
| |
Collapse
|
|
9
|
Abstract
BACKGROUND Sexual assault and intimate partner violence have never been examined in individuals with hidradenitis suppurativa. The research is important, because prior studies show higher incidences of intimate partner violence and sexual assault in individuals with disabilities, and hidradenitis suppurativa meets criteria for a disability. OBJECTIVES The objective of the study is to examine whether individuals with hidradenitis suppurativa are at significantly higher risk of intimate partner violence and sexual assault compared with individuals who have acne, a recognised disability. METHODS Participants who met criteria for hidradenitis suppurativa and acne were recruited from a mid-sized university and a dermatology clinic. Participants spoke English and were over the age of sexual consent. Group (hidradenitis suppurativa and acne) differences on intimate partner violence and sexual assault were analysed. Victimisation within the past 12 months was measured using the Checklist for Controlling Behaviours, a measure of intimate partner violence, as well as the Sexual Experiences Survey-Short Form Victim, a measure of sexual assault. RESULTS In total, 243 participants (n = 128 for hidradenitis suppurativa; n = 115 for acne) were surveyed. Individuals with hidradenitis suppurativa were significantly more likely to report being victimised by intimate partner violence. CONCLUSIONS Intimate partner violence was more frequently observed in individuals with hidradenitis suppurativa. Health care providers should be aware of this issue when interacting with patients with hidradenitis suppurativa.
Collapse
Affiliation(s)
- Mia Sisic
- 1 Department of Psychology, University of Windsor, Windsor, Ontario, Canada
| | - Jerry Tan
- 2 Department of Medicine, University of Western Ontario, London, Ontario, Canada, and Windsor Clinical Research, Inc, Windsor, Ontario, Canada
| | | |
Collapse
|
|
10
|
Sisic M, Tan J, Lafreniere K. 376 Hidradenitis suppurativa and intimate partner violence. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.02.393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
|
11
|
Abstract
BACKGROUND Hidradenitis suppurativa (HS) is a chronic skin disorder with adverse impacts on both physical and psychosocial well-being. There is presently no validated HS-specific quality-of-life (QoL) measure. OBJECTIVE The objective of this study is to develop a QoL instrument for HS (HS-QoL) in accordance with recommended standards. METHODS Patient interviews (concept elicitation) and expert input were used to develop the conceptual framework for outcomes perceived important to patients with HS. A HS-QoL-v1 measure was developed, and cognitive interviews with patients were conducted for pilot testing. RESULTS Concept elicitation interviews with patients with HS (n = 21) generated 12 themes. Most frequently reported were impacts on daily activities and symptoms due to HS. These themes, along with literature review and input from clinical experts, informed development of the HS-QoL-v1. Nine cognitive interviews were conducted in a pilot test and resulted in the HS-QoL-v2 measure. CONCLUSION The HS-QoL-v2 is a preliminary QoL instrument for which further psychometric validation and establishment of clinimetric properties will be undertaken.
Collapse
Affiliation(s)
- Mia Sisic
- 1 Department of Psychology, University of Windsor, Windsor, Ontario, Canada
| | | | | | - Lisa Plant
- 1 Department of Psychology, University of Windsor, Windsor, Ontario, Canada
| | - Chelsea McLellan
- 1 Department of Psychology, University of Windsor, Windsor, Ontario, Canada
| | - Jerry Tan
- 3 Windsor Clinical Research, Inc, Windsor, Ontario, Canada.,4 Department of Medicine, University of Western Ontario, London, Ontario, Canada
| |
Collapse
|
|
12
|
Orr ES, Sisic M, Ross C, Simmering MG, Arseneault JM, Orr RR. The influence of shyness on the use of Facebook in an undergraduate sample. ACTA ACUST UNITED AC 2009; 12:337-40. [PMID: 19250019 DOI: 10.1089/cpb.2008.0214] [Citation(s) in RCA: 178] [Impact Index Per Article: 11.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Researchers have suggested that individual differences will help to determine which online communication tools appeal to and are used by different individuals. With respect to the domain of computer-mediated communication, shyness is a particular personality trait of interest, as forums provide opportunities for social interactions that shy individuals might otherwise avoid. The present study investigated the personality trait of shyness and its relation with certain features of an online communication tool (Facebook). We hypothesized that shyness would be significantly related to the quantity of time spent on Facebook, the number of contacts added to one's Facebook profile, and attitudes toward Facebook. Our findings supported that shyness was significantly positively correlated with the time spent on Facebook and having favorable attitudes toward the social networking site. Furthermore, shyness was significantly negatively correlated with the number of Facebook "Friends.'' Limitations of the present study and suggestions for future research are addressed.
Collapse
Affiliation(s)
- Emily S Orr
- Department of Psychology, University of Windsor, Windsor, Ontario, Canada.
| | | | | | | | | | | |
Collapse
|
|
13
|
|