• Yoriko Aoki and Kazuhiro Nakayama.
• Department of Gerontological Nursing, Faculty of Medicine, University of Toyama, Toyama-shi, Toyama-ken, Japan.
• Medicine (Baltimore). 2022 Oct 14; 101 (41): e30934.

BackgroundOlder adults affected by stroke must face a difficult choice between receiving post-discharge care at home or in a facility. This study aimed to develop a decision aid (DA) to help older adults and their families choose the place of post-discharge care based on their values.MethodsValues and data for designing the DA were obtained through interviews with older stroke patients and their families, a questionnaire survey of various health professionals, and a review of patients' medical records. Next, a prototypic DA was prepared and tested for comprehensibility and usability using the 12-item International Patient Decision Aid Standards instrument.ResultsThe DA was developed based on the following 6 values that were common among older stroke patients and their families: "activities of daily living," "services and fees," "emergencies," "family support," "environment," and "home renovation." The prototype met the criteria in the comprehensibility and usability tests.ConclusionOlder stroke patients can use the DA to think through the evidence-based information matching their own values to make a more satisfactory decision. The effectiveness of this DA should further be investigated in clinical settings.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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