Longitudinal feasibility of MINDSET: a clinic decision aid for epilepsy self-management

Epilepsy Behav. 2015 Mar:44:143-50. doi: 10.1016/j.yebeh.2014.12.031. Epub 2015 Feb 20.

Abstract

The purpose of this paper is to report on the development and feasibility of the longitudinal version of MINDSET, a clinical tool to assist patients and health-care providers in epilepsy self-management. A previous study described the feasibility of using MINDSET to identify and prioritize self-management issues during a clinic visit. This paper describes the development of the longitudinal version of MINDSET and feasibility test over multiple visits with a printed action plan for goal setting and the capacity for monitoring changes in self-management. Feasibility was assessed based on 1) postvisit patient and provider interviews addressing ease of use and usefulness, patient/provider communication, and shared decision-making and 2) the capacity of the tool to monitor epilepsy characteristics and self-management over time. Results indicate MINDSET feasibility for 1) identifying and facilitating discussion of self-management issues during clinic visits, 2) providing a printable list of prioritized issues and tailored self-management goals, and 3) tracking changes in epilepsy characteristics and self-management over time.

Keywords: Clinical care; Decision support; Self-management.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Ambulatory Care Facilities
  • Communication*
  • Decision Making*
  • Decision Support Techniques*
  • Epilepsy / therapy*
  • Feasibility Studies
  • Female
  • Health Personnel
  • Humans
  • Longitudinal Studies
  • Professional-Patient Relations
  • Self Care / methods*