Abstract
Decision aids (DAs) have been shown to increase decision quality in randomized controlled trials. This study compared the effectiveness of two different decision aids with different modes of delivery. Patients with angiogram-proven coronary artery disease (CAD) were eligible to participate and randomly assigned to either a booklet/DVD DA or an online DA. Participants completed a survey after viewing the material that assessed patients' knowledge, treatment preferences, use of and satisfaction with the tool, and open-ended reflections on the treatment decision-making process. Of the 62 patients screened, 34 agreed to participate and were randomly assigned to a group. Of those, 28 (15/17 booklet/DVD and 13/17 online) participants completed the survey. Patients were more likely to report reviewing all of the booklet/DVD DA compared with the online DA (60 vs. 31%, P=0.15). Knowledge scores were significantly higher in the booklet/DVD DA group than the online DA group (67 vs. 47%, P=0.018). Participants in both arms felt it was very or extremely important that doctors give patients materials like these before a catheterization (93% for booklet/DVD DA and 85% for online, P=0.54). Patients' qualitative feedback highlighted significant...Continue Reading
References
Oct 9, 2004·Health Affairs·Annette M O'ConnorAnn Barry Flood
Oct 9, 2004·Health Affairs·Karen R SepuchaAlbert G Mulley
Mar 28, 2006·BMC Family Practice·Nancy S MorrisBenjamin Littenberg
Oct 7, 2006·Patient Education and Counseling·Karen SepuchaAlbert G Mulley
Mar 28, 2007·The New England Journal of Medicine·William E BodenUNKNOWN COURAGE Trial Research Group
Aug 23, 2008·Patient Education and Counseling·Karen R SepuchaAlbert G Mulley
Sep 8, 2010·Annals of Internal Medicine·Michael B RothbergMarc J Schweiger
May 14, 2011·American Journal of Preventive Medicine·David P MillerMichael P Pignone
Nov 11, 2011·Journal of the American College of Cardiology·Glenn N LevineUNKNOWN Society for Cardiovascular Angiography and Interventions
Mar 7, 2012·Circulation·Larry A AllenUNKNOWN Council on Cardiovascular Surgery and Anesthesia
Apr 13, 2012·Circulation. Cardiovascular Quality and Outcomes·Jon-David SchwalmMadhu K Natarajan
Dec 12, 2012·PloS One·Megan CoylewrightHenry H Ting
Oct 24, 2013·Vaccine·S ShourieL Hammond
Dec 20, 2013·Journal of Medical Internet Research·Masahito JimboMack Thomas Ruffin
Jan 1, 2013·BMC Medical Informatics and Decision Making·Aubri S HoffmanHilary Llewellyn-Thomas
Jun 11, 2015·Journal of Midwifery & Women's Health·Allison ShortenRobin Whittemore
Feb 9, 2016·Internet Interventions : the Application of Information Technology in Mental and Behavioural Health·Linda FleisherPeter C Raich
Apr 6, 2016·Health Affairs·Karen R SepuchaSreekanth K Chaguturu
Nov 3, 2016·Circulation. Cardiovascular Quality and Outcomes·Megan CoylewrightHenry H Ting
Apr 20, 2017·BMJ : British Medical Journal·Natalie Joseph-WilliamsRichard Thomson