Effect of the statin choice encounter decision aid in Spanish patients with type 2 diabetes: A randomized trial

Patient Education and Counseling
Lilisbeth Perestelo-PérezPedro Serrano-Aguilar

Abstract

Statin choice, an encounter decision aid (DA), was developed in the USA to facilitate shared decision making between patients and clinicians about the use of statins to reduce cardiovascular risk. We aimed to assess the efficacy of this DA, compared to usual primary care, in Spanish patients with type 2 diabetes. Cluster randomized trial with 29 clinicians and 168 patients. Knowledge of statins, cardiovascular risk perception, decisional conflict, anxiety and satisfaction with the decision making process were assessed immediately after intervention, and self-reported adherence at three months. Intervention significantly improved knowledge (p=0.01), perception of the 10-year risk of myocardial infarction without (p=0.01) and with statins (p=0.08), and satisfaction (p=0.01). There were no significant differences in decisional conflict, anxiety, consultation time or adherence, although more intervention patients reported taking all pills during the last week (92.7% vs. 81%; p=0.19). The statin choice DA improved the quality of decision making about statins. This trial contributes to the body of evidence substantiating the efficacy of statin choice and extending it to Spanish clinicians and their patients with type 2 diabetes. This...Continue Reading

Associated Clinical Trials

Aug 16, 2019·Anders Elkær Jensen

References

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Citations

Apr 23, 2016·Diabetic Medicine : a Journal of the British Diabetic Association·V SerranoV M Montori
Feb 27, 2016·The Lancet. Diabetes & Endocrinology·Rene Rodriguez-GutierrezJuan P Brito
Jun 18, 2016·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Elbert S HuangMarshall H Chin
Jul 20, 2018·The Cochrane Database of Systematic Reviews·France LégaréNorbert Donner-Banzhoff
Feb 23, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·T KaragiannisA Tsapas
Mar 16, 2017·The Cochrane Database of Systematic Reviews·Kunal N KarmaliMark D Huffman
Mar 16, 2017·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Lilisbeth Perestelo-PerezPedro Serrano-Aguilar
Jan 12, 2019·BMC Medical Informatics and Decision Making·Lilisbeth Perestelo-PerezPedro Serrano-Aguilar
Jun 22, 2021·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Holly O WittemanRobert J Volk

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