The Effect of Review of a Decision Aid Prior to the Appointment on Decisional Conflict Compared to Usual Care in the Treatment of Trapeziometacarpal (TMC) Arthritis
| Status: | Completed |
|---|---|
| Conditions: | Arthritis |
| Therapuetic Areas: | Rheumatology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/11/2019 |
| Start Date: | May 13, 2016 |
| End Date: | November 2017 |
A Randomized Trial Measuring the Effect of Review of a Decision Aid Prior to the Appointment on Decisional Conflict Compared to Usual Care in the Treatment of Trapeziometacarpal (TMC) Arthritis
The investigators plan a prospective randomized controlled study that compares whether the
use of a decision aid results in different scores on variables reflective of the
decision-making process, behavior, health outcomes, communication, and healthcare system.
use of a decision aid results in different scores on variables reflective of the
decision-making process, behavior, health outcomes, communication, and healthcare system.
Decision aids (shared decision making tools—websites, videos, or pamphlets) are interventions
to prepare patients to make more informed decisions and satisfying decisions that match their
preferences and values. With greater understanding of the risks and benefits of the treatment
options patients may make a more informed choice.
Decision aids - delivered online, on paper, or on video - increase patient participation in
the decision-making process,1 and can result in a decrease in discretionary surgery for knee
osteoarthritis, herniated disk, and benign prostatic hypertrophy.2-4 They also reduce
decisional conflict. Relatively few studies have investigated the influence of decision aids
in orthopedic or hand surgery. Decision aids might affect decisional conflict, satisfaction,
and outcomes in hand surgery where many treatments are discretionary and address quality of
life.
Utilizing the Ottawa Decision Support Framework- an evidence-based, practical theory used to
guide the development of decision aids - and the International Patient Decision Aid Standards
criteria the investigators developed a decision aid for trapeziometacarpal arthritis.
to prepare patients to make more informed decisions and satisfying decisions that match their
preferences and values. With greater understanding of the risks and benefits of the treatment
options patients may make a more informed choice.
Decision aids - delivered online, on paper, or on video - increase patient participation in
the decision-making process,1 and can result in a decrease in discretionary surgery for knee
osteoarthritis, herniated disk, and benign prostatic hypertrophy.2-4 They also reduce
decisional conflict. Relatively few studies have investigated the influence of decision aids
in orthopedic or hand surgery. Decision aids might affect decisional conflict, satisfaction,
and outcomes in hand surgery where many treatments are discretionary and address quality of
life.
Utilizing the Ottawa Decision Support Framework- an evidence-based, practical theory used to
guide the development of decision aids - and the International Patient Decision Aid Standards
criteria the investigators developed a decision aid for trapeziometacarpal arthritis.
Inclusion Criteria:
- at least 18 years of age
- English-speaking
- Diagnosis of trapeziometacarpal (TMC) arthritis
Exclusion Criteria:
- Prior surgical intervention for trapeziometacarpal (TMC) arthritis
- Previously accessed or used the online TMC arthritis Decision Aid (DA)
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