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310 Cultural adaptation of patient decision aids: a scoping review
  1. Jingyuan Zhang1,2,3,
  2. Xuejing Li1,2,3,
  3. Xiangdi Liu1,2,3,
  4. Yiyi Yin1,2,3,
  5. Dan Yang1,2,3,
  6. Sihan Chen1,2,3,
  7. Yajuan Yang1,2,3,
  8. Meiqi Meng1,2,3,
  9. Yufang Hao1,2,3
  1. 1School of Nursing, Beijing University of Chinese Medicine, Beijing, People’s Republic of China
  2. 2Beijing University of Chinese Medicine Collaborating Center of Joanna Briggs Institute, Beijing, People’s Republic of China
  3. 3Beijing University of Chinese Medicine Best Practice Spotlight Organization, Beijing, People’s Republic of China


Introduction The purpose of this comprehensive review is to construct a localized process for developing patient decision aids based on current research and to explore the methodology involved.

Methods A systematic search was conducted in databases including PubMed, Cochrane Library, EMBASE, CINAHL, Web of Science, CNKI, WANFANG, VIP, and SinoMed. The search was performed from the inception of the databases until April 2023, with key terms focusing on patient decision aids and localization. Literature related to the localization of patient decision aids, including themes such as ’translation, localization, cross-cultural adaptation, cultural fit, cultural adjustment, adaptation,’ was included.

Results A total of 25 articles were included, from which a nine-step process for localizing patient decision aids was synthesized. The steps included posing decision questions, assessing and selecting the original PDA (Patient Decision Aid), conducting a cultural background assessment, translation, cultural adaptation, generating an initial PDA draft, conducting acceptability testing, feasibility testing, and making adjustments for use.

Discussion Our process is based on our research objectives and priorities, and is very clear in terms of methodology and direction of thinking.

Conclusion The focus of this study lies in the steps of cross-cultural adaptation and usability testing within the overall process of localization. This paper presents a localized process for decision aids development and specific methods for usability testing, providing directions for future research.

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