title: Development of a decision aid for the treatment of benign prostatic hyperplasia: A four stage method using a Delphi consensus study.
abstract: To develop a web-based decision aid (DA) for the treatment of lower urinary tract symptoms due to benign prostatic hyperplasia (LUTS/BPH).
  
  
  
  From February-September 2014 we performed a four-stage development method: 1: Two-round Delphi consensus method among urologists, 2: Identifying patients' needs and expectations, 3: Development of DA content and structure, 4: Usability testing with LUTS/BPH patients.
  
  
  
  1 (N=15): Dutch urologists reached consensus on 61% of the statements concerning users' criteria, decision options, structure, and medical content. 2 (N=24): Consensus was reached in 69% on statements concerning the need for improvement of information provision, the need for DA development and that the DA should clarify patients' preferences. 3: DA development based on results from stage 1 and stage 2. 4 (N=10): Pros of the DA were clear information provision, systematic design and easy to read and re-read.
  
  
  
  A LUTS/BPH DA containing VCEs(**) was developed in cooperation with urologists and patients following a structured 4 stage method and was stated to be well accepted.
  
  
  
  This method can be adopted for the development of DAs to support other medical decision issues.
authors.affiliation: Department of Urology, St. Elisabeth Hospital, Hilvarenbeekseweg 60, 5022 GC Tilburg, The Netherlands. Electronic address: r.lamers@elisabeth.nl.
authors.forename: Romy E D
authors.initials: RED
authors.lastname: Lamers
authors.affiliation: Department of Social Psychology, Tilburg University, Warandelaan 2, 5037 AB Tilburg, The Netherlands. Electronic address: m.cuypers@uvt.nl.
authors.forename: Maarten
authors.initials: M
authors.lastname: Cuypers
authors.affiliation: CRCHUQ, Québec, Canada. Electronic address: mirjam-marjolein.garvelink.1@ulaval.ca.
authors.forename: Mirjam M
authors.initials: MM
authors.lastname: Garvelink
authors.affiliation: Department of Social Psychology, Tilburg University, Warandelaan 2, 5037 AB Tilburg, The Netherlands; Radboud University, Institute for Computing and Information Sciences (iCIS), Nijmegen, The Netherlands. Electronic address: M.deVries@cs.ru.nl.
authors.forename: Marieke
authors.initials: M
authors.lastname: de Vries
authors.affiliation: Department of Urology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands. Electronic address: J.L.H.R.Bosch@umcutrecht.nl.
authors.forename: J L H Ruud
authors.initials: JLHR
authors.lastname: Bosch
authors.affiliation: Department of Urology, St. Elisabeth Hospital, Hilvarenbeekseweg 60, 5022 GC Tilburg, The Netherlands. Electronic address: p.kil@elisabeth.nl.
authors.forename: Paul J M
authors.initials: PJM
authors.lastname: Kil
mesh_terms: D003661:Decision Support Techniques; D003697:Delphi Technique; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D011470:Prostatic Hyperplasia / Q000175:diagnosis / Q000628:therapy*; D011795:Surveys and Questionnaires
keywords: Benign Prostatic Hyperplasia; Decision Aid; Decision Aid development; Delphi consensus study