Comparative Effectiveness of Decision Aids for Stable Chest Discomfort

Mass General Brigham

Status: Completed

Conditions: Coronary Artery Disease; Stable Angina

Treatments: Behavioral: Online decision aid; Behavioral: Video decision aid

Study type: Interventional

Funder types: Other

Identifiers

NCT02652208

2014P002292

Details and patient eligibility

About

The purpose of the study is to compare two different types of decision support materials for patients considering treatment for chest pain or chest discomfort from heart disease.

Full description

The purpose of the project is to compare the effectiveness of a detailed, video patient decision aid and an online, interactive patient decision aid for treatment of Stable Chest Discomfort. The study will randomly assign eligible participants to receive either the online decision aid or the video decision aid. Participants will complete a survey after reviewing the decision aid that will examine decision quality, use of the intervention, and satisfaction with the intervention.

Enrollment: 34 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults 18 and older
• English speaking
• Current diagnosis of stable angina
• Ability to access online material and willing to provide an email address

Exclusion criteria

• Coronary bypass surgery and/or percutaneous coronary intervention within 6 months
• Diagnosis of unstable angina, acute coronary syndrome, STEMI, non STEMI within 6 months
• Scheduled for nonelective catheterization
• Significant cognitive deficit such that participant is unable to consent for self
• Serious comorbidities or other conditions that make revascularization inappropriate

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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34 participants in 2 patient groups

Online decision aid

Active Comparator group

Description:

This group will receive the access to an online decision aid that covers the main treatment options for stable chest discomfort.

Treatment:

Behavioral: Online decision aid

Video decision aid

Active Comparator group

Description:

This group will receive the DVD and booklet decision aid describing stable chest discomfort and the main treatment options including medical therapy and stents.

Treatment:

Behavioral: Video decision aid