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155 A systematic review of patients’ personal attributes when choosing maintenance compression therapy for chronic venous insufficiency
  1. Marie-Chantal Loiselle1,
  2. J Houde2,
  3. V Brassard3
  1. 1University of Sherbrooke – Canada
  2. 2Quebec Heart And Lung Institute -Laval University – Canada
  3. 3Integrated University Health And Social Services C -Canada

Abstract

Introduction An increasing number of people with chronic venous insufficiency have various options for maintenance compression therapy (MCT) including compression socks, custom adjustable Velcro compression devices, and in some situations elasticated tubular support bandages. However, there is limited research that compares the effectiveness of these different MCT options. The decision-making process is further complicated, by patient considerations like compression tolerance, functional limitations, and financial constraints, as well as the resources required to obtain or apply compression and professional-related factors such as skills, knowledge, and attitudes. Additionally, healthcare teams may recommend alternative compression garments if MCTs are challenging for the patient to put on or if the patient‘s condition or leg shape requires a different option. It is important to consider how patients perceive their options when making decisions about their healthcare. Our study aimed to improve decision support through decision aids and decision coaching. To design effective decision support interventions, our objective was to identify personal attributes that influenced patients’ decision-making regarding MCT.

Method We conducted a systematic review of scientific papers and website publications from professional associations to identify the personal attributes that influence patients’ decision-making regarding MCT.

Results No studies were found on the subject. However, 14 studies on barriers and facilitators to the use of MCT provided some information on personal attributes. Our analysis identified nine themes related to decision-making, including efficacy, the shape of the patient‘s leg, cost, product lifetime, ease of application, compression adjustment, comfort, aesthetics, and compatibility with footwear.

Discussion This study is the first to identify a comprehensive set of personal attributes relative to choosing an MCT therapy.

Conclusion These themes should be considered when designing decision support interventions, and further research is needed to better understand how patients perceive the various attributes of MCT.

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