• Patient Prefer Adher · Jan 2023

    Shared Decision-Making in Allergen Immunotherapy (AIT) Options Using a Questionnaire for Respiratory Allergic Patients: A Delphi Consensus Study.

    • Mónica Antón, Nieves Cabañes, Salvador Fernández-Meléndez, Mar Fernández-Nieto, Gloria Jiménez-Ferrera, Antonio Letrán, Paula Méndez-Brea, Javier Montoro, Francisco Moreno, Pilar Mur-Gimeno, Virginia Rodríguez-Vázquez, Ana Rosado, Inmaculada Sánchez-Guerrero, Jose Mª Vega-Chicote, and Carmen Vidal.
    • Allergy Department, Hospital Universitario San Juan de Alicante, Alicante, Spain.
    • Patient Prefer Adher. 2023 Jan 1; 17: 177117821771-1782.

    PurposeThe objective of this study was to develop and validate a questionnaire, through a Delphi consensus, to be used by allergists in their routine clinical practice to assess the preferences of patients starting allergen immunotherapy (AIT) treatment using an objective approach.Patients And MethodsA Delphi consensus-driven process was used. The scientific committee, composed of 15 allergists, led the study and participated in the preparation of the questionnaire. Two-hundred panelists from different Spanish regions were invited to complete a 16-item questionnaire on a nine-point Likert scale covering six topic blocks. Consensus was achieved if ≥66.6% of panelists reached agreement or disagreement.ResultsOf the 200 experts invited to participate in the Delphi process, a total of 195 (97.5%) answered the questionnaire. The panel experts reached a consensus on "agreement" on a total of 12 of the 16 (75.0%) items, covering a total of six categories: (a) patient knowledge (2 questions), (b) barriers to patient adherence (3 questions), (c) patient behavior (4 questions), (d) future actions (3 questions), (e) treatment costs (2 questions), and (f) final patient preferences (2 questions).ConclusionThis Delphi consensus study validated a set of twelve recommended questions for patients objectively assessing their preferences and suitability for the most common AIT options available. The questionnaire intends to assist allergists in making an objective, unconditioned decision regarding the best AIT option for each patient, after informing them about the different routes.© 2023 Antón et al.

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