Canada Research Chair in Shared Decision Making and Knowledge Translation

France Légaré contributes to an article led by El Kebir Ghandour on adapting American decision aids on brain injuries to the Canadian context

The objective of the study was to create a consensus among Canadian mild traumatic brain injury and emergency medicine experts on modifications required to adapt two American decision aids about head CT use for adult and paediatric mild traumatic brain injury to the Canadian context. The authors invited 21 Canadian stakeholders and the two authors of the American decision aids to a Nominal Group Technique consensus meeting to generate suggestions for adapting the decision aids. A total of 84 ideas were generated. Participants highlighted the need to clarify the purpose of the decision aids, the nature of the problem being addressed and the target population. The tools require sociocultural adaptation, better identification of their target population, better description of the advantages and risks of using head CT, modification of the visual and written representation of the risk of brain injury and head CT use, and locally adapted patient follow-up plans. Future steps include prototyping the two adapted decision aids, conducting formative evaluations with actual emergency department patients and clinicians, and measuring the impact of the adapted tools on CT scan use.

By Titilayo Agbadje, 28/10/2020