Key result
Patient involvement in MY-CHOICE for IHD reveals preferences for chronic pain and shared decision-making modules.
Why the study?
Ischemic heart disease is often accompanied by comorbid anxiety and depression, prompting the development of MY-CHOICE, a guided internet-based psychological intervention, using patient and public involvement.
Involving patients with ischemic heart disease and comorbid anxiety/depression in the development of an eHealth psychological intervention identified critical needs for modules on chronic pain and shared decision-making.
Answers are grounded in this paper and cite their sources.
Patient involvement refines IHD eHealth tools; hypothesis-generating pending outcome trials.
Ischemic heart disease (IHD) is a leading cause of mortality that is very often accompanied by comorbid anxiety and depression. The aim of this study was to develop MY-CHOICE, a guided internet-based psychological intervention for the treatment of anxiety and depression in IHD patients using patient and public involvement (PPI). We used the framework recommended by the Medical Research Counsel for developing and evaluating complex interventions to develop MY-CHOICE. Patient representatives with IHD and comorbid anxiety and/or depression ( n = 5) were recruited from Odense University Hospital and invited to a series of workshops to gather their feedback on the MY-CHOICE prototype. The workshops used the MUST method for the planning, facilitation, data generation and analysis. The MoSCoW principles were used to help the patient representatives in prioritizing among their suggestions. Data were collected by means of audio recordings and observational notes. This study revealed the need for new treatment modules, including how to manage chronic pain and how to navigate the healthcare system. The patient representatives emphasized the importance of shared decision-making in customizing treatment to individual preferences and needs. MY-CHOICE represents a patient focused approach to improving mental health in patients with IHD. By integrating patient feedback through PPI, MY-CHOICE aims to deliver tailored psychological treatment, possibly increasing relevance and adherence. This study highlights the necessity of addressing comprehensive needs in IHD patients, including chronic pain, and emphasizes the importance of using shared decision-making to optimize patient engagement and adherence to treatment. • The study used Patient Public involvement (PPI) to qualify an eHealth intervention. • The PPI revealed the preference for new treatment modules. • Shared Decision Making was also uncovered to be important for the participants. • The findings suggest that involving patient representatives might be beneficial.
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Ahm et al. (2025) studied Ischemic heart disease with comorbid anxiety and/or depression (n=5). MY-CHOICE (guided internet-based psychological intervention) was evaluated on Feedback on the MY-CHOICE prototype. Involving 5 patient representatives in developing the MY-CHOICE psychological intervention for IHD revealed preferences for new modules on chronic pain management and shared decision-making.
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