title: 'To use or not to use': a qualitative study to evaluate experiences of healthcare providers and patients with the assessment of burden of COPD (ABC) tool.
abstract: In the management of chronic conditions, such as chronic obstructive pulmonary disease (COPD), there is a shift from doctor-driven care to patient-centred integrated care with active involvement of and self-management by the patient. A recently developed tool, the assessment of burden of COPD (ABC) tool, can be used in this transition to facilitate self-management support and shared decision-making. We performed a qualitative study, in which we collected and analysed the data using the methods of conventional content analyses. We performed in-depth interviews consisting of mainly open questions. Fifteen healthcare providers and 21 patients were interviewed who had worked with the ABC tool in daily care. In general, participants responded positively to the tool. Healthcare providers felt the visual representation provided was effective and comprehensible for patients and provided them with insight into their disease, a finding that patients confirmed. If patients were allowed to choose between a consultation with or without the ABC tool, the majority would prefer using the tool: it provides them with an overview and insight, which makes it easier to discuss all relevant topics related to COPD. The tool can provide structure in consultations, and is compatible with the concepts of 'motivational interviewing' and 'individualised care-planning'. Suggestions for improvement related to content and layout. So far, the tool has only been available as a stand-alone online program, that is not connected to the electronic medical record systems. It was therefore suggested that the tool be integrated into the systems to enhance its usability and its uptake by healthcare providers.
authors.affiliation: CAPHRI School for Public Health and Primary Care, Department of Family medicine, Maastricht University, Maastricht, The Netherlands.
authors.forename: Annerika H M
authors.initials: AH
authors.lastname: Slok
authors.affiliation: CAPHRI School for Public Health and Primary Care, Department of Family medicine, Maastricht University, Maastricht, The Netherlands.
authors.forename: Mascha
authors.initials: M
authors.lastname: Twellaar
authors.affiliation: CAPHRI School for Public Health and Primary Care, Department of Family medicine, Maastricht University, Maastricht, The Netherlands.
authors.forename: Leslie
authors.initials: L
authors.lastname: Jutbo
authors.affiliation: CAPHRI School for Public Health and Primary Care, Department of Family medicine, Maastricht University, Maastricht, The Netherlands.|Institute of General Practice, Medical Faculty of The Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
authors.forename: Daniel
authors.initials: D
authors.lastname: Kotz
authors.affiliation: Leiden University Medical Centre, Department of Public Health and Primary Care, Leiden, The Netherlands.
authors.forename: Niels H
authors.initials: NH
authors.lastname: Chavannes
authors.affiliation: Lung Foundation Netherlands, Amersfoort, The Netherlands.
authors.forename: Sebastiaan
authors.initials: S
authors.lastname: Holverda
authors.affiliation: Huisartsencoöperatie PreventZorg, Bilthoven, The Netherlands.
authors.forename: Philippe L
authors.initials: PL
authors.lastname: Salomé
authors.affiliation: Department of Pulmonary Diseases, Radboud University medical centre, Nijmegen, The Netherlands.
authors.forename: P N Richard
authors.initials: PN
authors.lastname: Dekhuijzen
authors.affiliation: Erasmus University Rotterdam, Institute for Health Policy and Management/Institute for Medical Technology Assessment, Rotterdam, The Netherlands.
authors.forename: Maureen P M H
authors.initials: MP
authors.lastname: Rutten-van Mölken
authors.affiliation: PICASSO Care Optimisation Program, Alkmaar, The Netherlands.
authors.forename: Denise
authors.initials: D
authors.lastname: Schuiten
authors.affiliation: Sint Franciscus Vlietland Groep, Department of Pulmonology and SZT Centre of Excellence for Asthma & COPD, Rotterdam, The Netherlands.
authors.forename: Johannes C C M
authors.initials: JC
authors.lastname: In 't Veen
authors.affiliation: CAPHRI School for Public Health and Primary Care, Department of Family medicine, Maastricht University, Maastricht, The Netherlands.
authors.forename: Onno C P
authors.initials: OC
authors.lastname: van Schayck
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D017281:Cost of Illness; D005260:Female; D058005:General Practitioners; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing; D009726:Nurses; D010347:Patient Care Planning; D018802:Patient-Centered Care; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis* / Q000503:physiopathology; D000072106:Pulmonologists; D036301:Qualitative Research