Development and Pilot Usefulness Testing of an Interactive Computerized Patient Decision Aid for Intraocular Lens Selection Before Cataract Surgery

Chong-Bin Tsai,1,2 Chien-Liang Fang,3,4 Ming-Shan Chen,5,6 Min-Yueh Yen,1 Chi-Yen Yeh,7 Zhi-Ming Lai,7 Mei-Ling Hsu,7 Shan-Tair Wang8 1Department of Ophthalmology, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi City, Taiwan; 2Department of Optometry, College of Medical and Health Science, Asia University, Taichung, Taiwan; 3Division of Plastic and Reconstruction Surgery, Department of Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi City, Taiwan; 4Department of Food Nutrition and Health Biotechnology, College of Medical and Health Science, Asia University, Taichung City, Taiwan; 5Department of Anesthesiology, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi City, Taiwan; 6Department of Biotechnology, Asia University, Taichung City, Taiwan; 7Department of Information Technology, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi City, Taiwan; 8Department of Medical Research, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi City, TaiwanCorrespondence: Chong-Bin Tsai, Department of Ophthalmology, Ditmanson Medical Foundation Chiayi Christian Hospital, No. 539 Zhongxiao Road, East District, Chiayi City, 60002, Taiwan, Tel +886-5-2765041 ext 8503, Fax +886-5-2774511, Email cbtsai@gmail.comPurpose: Modern cataract surgeries aim to treat impaired vision and also improve quality of life. An appropriate pre-operative selection of the intraocular lens is important to post-operative quality of life. Patients often have difficulty in choosing the best fit for individual needs. Patient decision aids (PDAs) are useful tools to assist patients in such decision-making process. However, most PDAs are paper-based and lack user interaction. This study is aimed to develop and evaluate an interactive computerized patient decision aid (cPDA) to help patients in the selection of an appropriate intraocular lens model before cataract surgery.Materials and Methods: Patients and their families who were ma