Modifications made to the tool and its use as a result of the research findings
| Component | Modification made |
|---|---|
| Standard gamble | |
| Training | Standardised example `scripts' were produced and made available |
| Screen presentation | • Refinements to screen titles and introductory screens to ensure this was presented and received as a theoretical exercise |
| • Refinement of health state descriptions | |
| Facilities added | • “Check” screens were built in to ensure patients understood the task and to confirm their responses as well as additional screens for “extreme” responses |
| • Means of indicating to clinicians when health state values are completed and logged | |
| Risk factor | |
| Screen presentation | • Standardised definitions of risk factors made available to users |
| • Refinement of screen colours | |
| • Refinements of presentation of numerical risk and capacity to display baseline risk after treatment or after risk factor reduction | |
| Facilities added | • Capacity to present 5 year risk in addition to annual figures |
| • Capacity to determine the impact on the risk of stroke, and need for warfarin, were the patient to achieve his/her target for smoking cessation and blood pressure control | |
| End game | |
| • Simplification of output screens and removal of “sensitivity analysis” facility | |
| • Refinements to wording | |
| • Introduction of aspirin as alternative if the choice is not to take warfarin (and later enhanced in the patient information leaflet) |