Shared Decision Making and How It Impacts the Patient Understanding

Hospital for Special Surgery (HSS)

Status: Terminated

Conditions: Knee Osteoarthritis

Treatments: Other: Shared Decision Making Tool

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT04011488

2016-462

Details and patient eligibility

About

Shared Decision Making (SDM) supports patient centered care and improves patient outcomes and satisfaction. Movement is Life (MIL) created an innovative SDM tool to provide a personalized framework for discussion of the projected impact to patients of their decisions regarding treatment options for knee osteoarthritis.

1. Did use of the MIL SDM tool for knee osteoarthritis result in an increased level of self-reported physical activity at one month in African American and Hispanic women?
2. Did use of the MIL SMD tool increase subject likeliness to recommend the physician?
3. What is the qualitative feedback from subjects on ease of use of the MIL SDM tool?

Enrollment: 108 patients

Sex: Female

Ages: 45 to 64 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • Aged 45 to 64 years

• Mild to moderate knee pain consistent with a diagnosis of osteoarthritis by the clinician

• Self-identified as African American and/or Hispanic

• At least one of the following comorbidities:

  1. Obesity (BMI ≥ 30),
  2. Hypertension (ICD10 codes below)
  3. Diabetes (ICD10 codes below)

Exclusion criteria

• • Known inflammatory arthritis (Lupus, Sjogrens, rheumatoid arthritis)
• Prior total knee replacement
• Recommended total knee replacement
• Acute knee trauma

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

108 participants in 2 patient groups

Standard patient information data sheet

No Intervention group

SDM Tool

Experimental group

Description:

A simple, one-page tool that provides a framework for the patient discussion, which improves the consistency of the patient-provider communication. This SDM can also be customized to a specific patient based on gender, race/ethnicity, age, and select comorbidities (obesity, hypertension and diabetes).

Treatment:

Other: Shared Decision Making Tool