Protocol for a randomised trial evaluating the comparative effectiveness of strategies to promote shared decision making for hip and knee osteoarthritis (DECIDE-OA study)

BMJ Open
Mahima ManglaKaren Sepucha

Abstract

There are several different interventions available to promote shared decision making (SDM); however, little is known about the comparative effectiveness of different approaches. To examine the impact of patient-directed and physician-directed decision support strategies on the quality of treatment decisions for hip and knee osteoarthritis (OA). A 2×2 factorial randomised controlled trial. One academic medical centre, one community hospital and one orthopaedic specialty hospital. The enrolment targets were 8 surgeons and 1120 patients diagnosed with hip or knee OA. Patients were randomly assigned to receive one of two different decision aids (DAs) stratified by site. The DAs varied in length, content and the level of detail regarding treatment options. Both DAs were available by paper or online.Surgeons were randomly assigned to receive a report detailing patients' goals and treatment preferences at the time of the visit or not. Eligible patients received their assigned DA before their visit and completed three surveys: before the visit (timepoint (T)1), 1-week postvisit (T2) and 6 months from either the visit date or surgery date for patients who underwent surgery (T3). Study staff and participating surgeons were not blinded, ...Continue Reading

Associated Clinical Trials

Citations

Jan 21, 2021·International Journal of Environmental Research and Public Health·Geert van der SluisThomas J Hoogeboom

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Methods Mentioned

BETA
X-ray

Clinical Trials Mentioned

NCT02729831

Software Mentioned

Health
DECIDE
REDCap
Health Dialog
OA
SAS
Research Electronic Data Capture ( REDCap )
Healthwise

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