023 Chat-GP: partnering with consumers, clinicians & stakeholders to codesign shared decision making resources for heart health checks

Abstract

<h3>Introduction</h3> Despite strong evidence that decision aids support shared decision making, effective implementation, adaption and updating of these resources is a significant gap. The CHAT-GP (Communicating Heart disease risk Assessment using Translational strategies in General Practice) partnership project aimed to work with consumers, clinicians and stakeholders to codesign and implement shared decision making support for heart health checks in Australia. <h3>Methods</h3> Phase 1 involved working with GPs and patients to codesign decision aids and integrate them with clinical guidelines for heart health checks. Phase 2 explored wider implementation strategies with non-profits, health services and government, to identify and test different ways to reach end users. Phase 3 involved working with an expert guideline committee, and adapting the resources to revised guidelines to meet the health literacy needs of different groups. <h3>Results</h3> Phase 1 resulted in a suite of acceptable and effective decision aids that improved knowledge amongst GPs and patients with varying health literacy levels. Phase 2 identified and tested opportunities to integrate the decision aids into clinical software, education and quality improvement programs, resulting in over 80,000 uses across 16 health service regions. Phase 3 led to a clinical recommendation to use decision aids in the national cardiovascular disease prevention guidelines, integration of IPDAS elements into the clinical risk assessment tool, and two new shared decision making support websites for Aboriginal and Torres Strait Islander communities and consumers with low health literacy. <h3>Discussion</h3> The CHAT-GP project demonstrates partnerships with multiple groups to codesign and implement decision aids for heart health checks into different systems. This required adaption of the resources to ensure their ongoing relevance with evolving evidence, guidelines and priority group needs. <h3>Conclusion</h3> The findings show how long term partnerships across multiple sectors and end user groups can be used to effectively implement shared decision making resources.

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