Pilot Study Examining Feasibility and Comparing the Effectiveness of Decision Aids for Hip and Knee Osteoarthritis: A Randomized Trial

MDM Policy & Practice
Mahima ManglaKaren R Sepucha

Abstract

Background. There are many patient decision aids (DAs) available, yet there is limited evidence on comparative effectiveness of different tools. Objective. To examine feasibility of a study protocol and gather preliminary data on comparative effectiveness. Methods. Adult patients seeing a surgeon to discuss treatment for hip or knee osteoarthritis were randomized to hip and knee DAs from two vendors. Pre-visit survey included Hip/Knee Decision Quality Instrument, DA usage, health literacy, and quality of life (EQ-5D). Surgical status was ascertained 6 months post-visit. We examined response rates, eligibility, and compared the two DAs on amount of use, knowledge scores, and receipt of preferred treatment. Results. Overall response rate was 58/74 (78%) and did not differ by study arm. More patients in DA-A group reported reviewing all the DAs (64.5% DA-A v. 24.0% DA-B, P = 0.003). Knowledge scores were similar across arms (55.2% DA-A v. 48.8% DA-B, P = 0.4). For DA-B, knowledge scores were higher for those who reviewed all the DAs compared with those who did not (80% knowledge v. 39% knowledge, respectively, P = 0.004), while scores for DA-A did not vary by usage (62% knowledge v. 53% knowledge, respectively, P = 0.3). A similar...Continue Reading

References

Apr 17, 2001·Annals of Internal Medicine·D G AltmanUNKNOWN CONSORT GROUP (Consolidated Standards of Reporting Trials)
Aug 9, 2001·Annals of Medicine·R Rabin, F de Charro
May 28, 2010·Arthritis Care & Research·Jeffrey N KatzAndreas H Gomoll
Dec 30, 2010·Acta Orthopaedica·Karl-Åke Jansson, Fredrik Granath
Jul 7, 2011·BMC Musculoskeletal Disorders·Karen R SepuchaCarrie A Levin
Nov 8, 2011·Clinical Orthopaedics and Related Research·James SloverKarl Koenig
Aug 22, 2013·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Natalie Joseph-WilliamsGlyn Elwyn
Sep 21, 2013·The Journal of Bone and Joint Surgery. American Volume·Kevin J BozicJames I Huddleston
Oct 31, 2013·Patient Education and Counseling·Jane H BriceDarren A DeWalt
Jan 1, 2013·BMC Medical Informatics and Decision Making·Kirsten J McCafferyStacey L Sheridan
Jun 22, 2016·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Jennifer ShueJames D Slover

❮ Previous
Next ❯

Citations

Oct 23, 2020·Arthritis Care & Research·Simon DécaryJennifer L Barton
Aug 27, 2021·Journal of Patient Experience·Aaron AlokozaiAtul F Kamath

❮ Previous
Next ❯

Methods Mentioned

BETA
Replacement Surgery

Clinical Trials Mentioned

NCT02729831

Software Mentioned

Health Dialog

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Medical Decision Making : an International Journal of the Society for Medical Decision Making
Karen R SepuchaThomas D Cha
Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
Rachel A FreedmanMara A Schonberg
Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
Deb Feldman-StewartTim Whelan
© 2022 Meta ULC. All rights reserved