Form #7 Consumer or Patient Focus Group Guide -- Aware without u

Consumer or Patients Focus Group Guides -- Aware without Use

Moderator’s Topic Guide – Those who are aware of CER and have self-reported non-use in their survey responses.

ROAD MAP of Discussion

Introduction and Warm-Up	10
General Perceptions	10
Awareness of Research	20
Awareness of Understanding	20
Behavior Change/Use	15
Research Benefits	10
False Close	5
Close	5
Total	90 -95

1. Introduction (10 minutes)

(a) Introduction

(i) Thanks for attending the teleconference/webinar.

(ii) Your participation is important.

(iii) Describe what a focus group is – like an opinion survey, but very general, broad questions.

(b) Purpose

(i) We will be discussing your experiences in making health care decisions for your family and yourself.

(ii) You already participated in a telephone survey x months ago, and in that survey you indicated you were aware of Patient Centered Outcomes Research.

(iii) Ground Rules (go over verbally)

1. I am interested in all your ideas, comments, and suggestions.

2. Please be in a quiet place where you will not be interrupted.

3. There is no right or wrong answers.

4. All comments, both positive and negative, are welcome.

5. Please feel free to disagree with one another. We would like to have many points of view.

6. Please turn off cell phones.

7. Please use your first name only.

(c) Procedure

(i) Explain the use of audiotape. All comments are confidential, to be used for research purposes only as explained in the consent form you signed.

(ii) I want this to be a group discussion, so you need not wait for me to call on you. Please speak one at a time so that the recorder can pick up everything. Please state your name before you speak so I know who is talking.

(iii) We have a lot of ground to cover, so I may change the subject or move ahead. Please stop me if you want to add something.

(iv) When it comes to our health and our experiences surrounding our health, there is a lot we can discuss; however, in the interest of our discussion and so I get you out of here on time, please stay focused on the questions I will be asking.

Warm-up

Let’s do introductions. Please introduce yourself, one at a time, first name only.

• Tell us your first name

• Tell us your favorite vacation spot

General perceptions on how you make medical decisions (10 minutes)

I’d like you to think about a time when you had to make a choice about the right medicine or the best health care treatment for yourself or a family member. This can be a variety of situations such as learning of a life-threatening or serious diagnosis, learning that a loved one has a chronic condition like asthma or diabetes, or perhaps an elective procedure such as cataract surgery or a hysterectomy.

1. As you were deciding, what types of information did you want/need to make the decision? What concerned you the most when making the decision? Did anyone help you make the decision? (Probe for physicians or medical staff.)

   1. Did you use any resources to help you make the decision? (Probe for internet, specific Web sites, brochures etc…)

2. Did you feel you were able to get the information you needed to make the best decisions? Do you feel you had sufficient information?

   1. Was there other information that would have been useful to you? (Probe for sources – doctor, family members, online, comparisons of information.) What additional resources would you have liked to have?

   2. What prevented you from getting the information? (Probe for: I didn’t know where to look, I didn’t know it existed, I felt intimidated, etc.)

Awareness of the Research (20 minutes)

I want to talk now about PCOR, which stands for Patient Centered Outcomes Research, also known as comparative effectiveness research. PCOR provides health care decision-makers—including patients and doctors—with current, scientific and evidence-based information that compares the benefits and risks of different treatment options, including possible side effects of treatment options. PCOR is designed to help people make informed health care decisions and allows the patient’s voice to be heard in choosing the best options. PCOR compares drugs, medical devices, tests, surgeries, and other ways to deliver health care. (Note to Moderator: Have the definition displayed so participants can see it.)

3. When you participated in the survey, you indicated that you are aware of Patient Centered Outcomes Research. How and when did you first hear about PCOR?

   1. How long have you been aware of PCOR? (Probe for a year, 6-9 months, longer than a year.)

   2. How did you become aware of it (Probe for health care provider [if so, what type of provider: RN, NP, PA, MD?]; TV; radio; print; advertisement; social media avenue; conference; membership organization; Web sites [which ones])?

4. In your opinion, do you feel there is a need for research that compares medical treatment options? Please tell me more about that.

5. Have you heard about the Effective Health Care Program (EHCP)? (Note to Moderator: if no one is familiar, describe here and post it so people can see it.)

The Effective Health Care Program (EHCP) funds individual researchers, research centers, and academic organizations to work together with the Federal Agency for Healthcare Research and Quality (AHRQ) to produce PCOR, also known as comparative effectiveness research, for clinicians, consumers, and policymakers. The EHCP funds the research that produces PCOR.

1. Of those of you that are familiar with the EHCP, tell me about what you know or have heard about it? Where did you learn about the program?

2. Some of you mentioned that you have been exposed to PCOR through certain Web sites (responses from Q3 above).

   1. (If they are familiar with EHCP) Have you been to the EHCP Web site? If not, do you think you would you visit it? Tell me about more about that?

   2. (If they have been exposed to PCOR through Web sites mentioned in Q3) Have you visited the AHRQ Web sites that mention PCOR? If not, do you think you would visit the Web site? Tell me more about that?

3. PCOR and the EHCP are federally sponsored programs. Does that make a difference to you in any way? (Probe for use, non-use, trust, credibility.)

Is your awareness about PCOR general information or on a specific topic?

Understanding of the Research (20 minutes)

Let’s talk about understanding PCOR and the methods to best convey what PCOR is.

6. Of those of you who learned about PCOR from a health care provider, was it explained to you clearly? What could the provider do or say to make it clearer? Did you follow up with another source, such as a Web site or another provider, to understand it better? If no, would you in retrospect?

7. Of those of you who learned about PCOR through another source such as TV, radio, print, advertisement, social media, conference, membership organization, Web site, etc. was it clear to you what PCOR is after seeing or hearing it through these sources? What would make it clearer to understand what PCOR is? (Probe for better visuals, word choice, time of day, Web site.)

8. Of those of you that first learned about PCOR through through TV, radio, print, advertisement, social media topic, conference, membership organization, Web sites etc. were you interested in learning more about PCOR?

If yes, tell me about that?

1. The information was unclear and you needed to find out more to understand.

2. You were interested in learning more

3. Other.

If no, tell me about that?

4. You were not interested in learning more.

5. The information provided was clear enough that you did not need to find out more.

6. You thought PCOR would not address your family member’s or your condition.

7. Your physician had already provided information.

8. You had prior use and comfort level with PCOR.

9. Other.

6. Do you feel comfortable explaining PCOR to a family member or friend? If not, tell me about that?

7. What do you think is the best way to help consumers understand PCOR? Probe for health care provider, TV, radio, brochure in provider’s office, etc…

Behavior Change/Use (15 minutes)

6. Tell me about why did you have decided to not use PCOR in your health care decisionmaking process?

7. Have you used PCOR in the past, but are not using this research now? Tell me about that.

8. If you brought PCOR to your provider’s attention, how did your provider respond? Was your provider receptive or respond unfavorably? Did that influence your decision not to use PCOR?

9. Did anyone think PCOR was not available for your medical condition? Tell me about why you thought it was not available. ? Where did you look for information?

10. Would you be more likely to use PCOR if the information was easier to access or more readily available? If yes, what would make getting access to the information easier? (Probe for Internet, physicians, TV, radio, brochures etc.) How would you like to access it?

11. Would you recommend PCOR to a friend or family member? Why?

12. Would you use PCOR in the future? Tell me about that.

    1. If no, why? (Probe for severe illness, not enough research on that topic, physician recommendations, it didn’t help them make decision last time)

Research Benefits (10 minutes)

Let’s talk about some of the benefits of PCOR.

6. Earlier, some of you mentioned that you would use PCOR because… Are there any other benefits of using PCOR that we have not discussed?

7. Do you feel there are any disadvantages to PCOR? What are they? Do you think that by using PCOR your health outcomes would be different? Tell me about that. Do you think your healthcare costs would be different?

False Close (5 minutes)

Before we end, I’m going to check with the observers to see if there are any follow-up questions; meanwhile, please think about if there’s anything else you’d like to say about the discussion we had that has not yet been shared.

Closing

Ask questions from observers/listeners.

Does anyone have any comments?

Thank you so much for participating in the focus group. Your time is very much appreciated, and your insights have been very helpful. We will be mailing your incentive in the mail.

Thank you.

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