My Heart and CKD: Pathway to Implementing a Decision Aid for Patients With CKD and Coronary Artery Disease.
| Title: | My Heart and CKD: Pathway to Implementing a Decision Aid for Patients With CKD and Coronary Artery Disease. |
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| Authors: | Babione JN; Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada.; Javaheri P; Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada.; Kruger D; Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada.; Wilson T; Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada.; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, AB, Canada.; Pearson W; Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada.; Loth M; Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada.; March V; Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada.; Gerber W; Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada.; Har BJ; Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, AB, Canada.; Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, AB, Canada.; Graham MM; Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.; Mazankowski Heart Institute, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.; Wilton SB; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, AB, Canada.; Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, AB, Canada.; Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, AB, Canada.; O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, AB, Canada.; Lewis KB; School of Nursing, University of Ottawa, ON, Canada.; University of Ottawa Heart Institute, University of Ottawa, ON, Canada.; James MT; Department of Medicine, Cumming School of Medicine, University of Calgary, AB, Canada.; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, AB, Canada.; Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, AB, Canada.; O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, AB, Canada. |
| Source: | Canadian journal of kidney health and disease [Can J Kidney Health Dis] 2026 Feb 28; Vol. 13, pp. 20543581251389602. Date of Electronic Publication: 2026 Feb 28 (Print Publication: 2026). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: SAGE Publications Country of Publication: England NLM ID: 101640242 Publication Model: eCollection Cited Medium: Print ISSN: 2054-3581 (Print) Linking ISSN: 20543581 NLM ISO Abbreviation: Can J Kidney Health Dis Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Publication: London : SAGE Publications; Original Publication: London : BioMed Central, 2014- |
| Abstract: | Background: Patients with chronic kidney disease (CKD) at times must decide whether to take an invasive approach to management of coronary artery disease (CAD), which involves procedures such as angiography, angioplasty, and surgery, versus attempt management with medications alone. My Heart and CKD is a decision aid to support shared decision-making (SDM) between patients and their care providers in these situations. This report describes the pathway to implement My Heart and CKD , and key learnings that have emerged through this process.; Methods: Human-centered design was used to develop the decision aid while concurrently identifying design features that could facilitate its incorporation within patient-physician clinical encounters. Interviews exploring use of the decision aid with patients and care providers were qualitatively analyzed according to the theoretical domains framework to identify barriers and facilitators to implementation. Simulated encounters between patient and physicians were used for pre-clinical testing and to identify additional training and resources that could support effective implementation.; Key Findings: Implementation insights overlapped with decision-aid design input and influenced key design elements of My Heart and CKD as well as the development of implementation strategies to facilitate its clinical use. An overarching theme that influenced development and implementation was the concept that the decision aid be designed for use by patients and physicians together, to support the bidirectional communication and relationship building intended with SDM. This influenced design features to support varying use preferences and contexts, encompassing both digital and paper-based forms for use. Implementation considerations also influenced order and arrangement of content in My Heart and CKD to enhance integration of all stages of SDM into varying clinical environments. Additional training and implementation resources, including an accredited continuous medical education program for care providers, were identified as additional facilitators necessary to support implementation.; Limitations: Clinical evaluation has not yet been completed.; Implications: My Heart and CKD is intended to support personalized, patient-centered care by providing patients with CKD and CAD and their care providers with tools to engage in SDM. Further research will evaluate the effectiveness of its implementation and impact on the quality of decision-making.; (© The Author(s) 2026.) |
| Competing Interests: | The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Contributed Indexing: | Keywords: chronic kidney disease; coronary artery disease; decision aid; shared decision-making |
| Entry Date(s): | Date Created: 20260305 Date Completed: 20260305 Latest Revision: 20260305 |
| Update Code: | 20260305 |
| PubMed Central ID: | PMC12954009 |
| DOI: | 10.1177/20543581251389602 |
| PMID: | 41783131 |
| Database: | MEDLINE |
Journal Article