title: Longitudinal feasibility of MINDSET: a clinic decision aid for epilepsy self-management.
abstract: The purpose of this paper is to report on the development and feasibility of the longitudinal version of MINDSET, a clinical tool to assist patients and health-care providers in epilepsy self-management. A previous study described the feasibility of using MINDSET to identify and prioritize self-management issues during a clinic visit. This paper describes the development of the longitudinal version of MINDSET and feasibility test over multiple visits with a printed action plan for goal setting and the capacity for monitoring changes in self-management. Feasibility was assessed based on 1) postvisit patient and provider interviews addressing ease of use and usefulness, patient/provider communication, and shared decision-making and 2) the capacity of the tool to monitor epilepsy characteristics and self-management over time. Results indicate MINDSET feasibility for 1) identifying and facilitating discussion of self-management issues during clinic visits, 2) providing a printable list of prioritized issues and tailored self-management goals, and 3) tracking changes in epilepsy characteristics and self-management over time.
authors.affiliation: The University of Texas Health Science Center at Houston, School of Public Health, 1200 Herman Pressler, Houston, TX 77030, USA. Electronic address: charles.e.begley@uth.tmc.edu.
authors.forename: Charles
authors.initials: C
authors.lastname: Begley
authors.affiliation: The University of Texas Health Science Center at Houston, School of Public Health, 1200 Herman Pressler, Houston, TX 77030, USA.
authors.forename: Ross
authors.initials: R
authors.lastname: Shegog
authors.affiliation: The University of Texas Health Science Center at Houston, School of Public Health, 1200 Herman Pressler, Houston, TX 77030, USA.
authors.forename: Angelique
authors.initials: A
authors.lastname: Harding
authors.affiliation: Baylor College of Medicine, Harris Health System Neurology, Smith Clinic, 2525-A Holly Hall, Houston, TX 77054, USA.
authors.forename: Corey
authors.initials: C
authors.lastname: Goldsmith
authors.affiliation: The University of Texas Health Science Center at Houston, School of Medicine, Neurology Adult Clinic, 6410 Fannin St., #1014, Houston, TX 77030, USA.
authors.forename: Omotola
authors.initials: O
authors.lastname: Hope
authors.affiliation: Kelsey-Seybold Neurology Clinic, Main Campus, 2727 West Holcombe Blvd, Houston, TX 77025, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Newmark
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D003142:Communication; D003657:Decision Making; D003661:Decision Support Techniques; D004827:Epilepsy / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D006282:Health Personnel; D006801:Humans; D008137:Longitudinal Studies; D011369:Professional-Patient Relations; D012648:Self Care / Q000379:methods*
keywords: Clinical care; Decision support; Self-management