A Randomized Controlled Trial of Two Distinct Shared Decision-Making Aids for Hip and Knee Osteoarthritis in an Ethnically Diverse Patient Population

作者：Shue Jennifer; Karia Raj J^*; Cardone Dennis; Samuels Jonathan; Shah Mehul; Slover James D

来源：Value in Health, 2016, 19(4): 487-493.

DOI：10.1016/j.jval.2016.01.006

• decision aids
• hip athroplasty
• hip replacement
• knee arthroplasty
• knee replacement
• shared decision making

Objectives: To evaluate the use of decision aids for hip and knee osteoarthritis (OA) regarding the potential risks and benefits of different treatment options. Methods: A prospective, randomized controlled trial was conducted of 147 patients with advanced hip or knee OA to compare the effect of two decision aids (booklet-only vs. booklet with DVD). Results: Both decision aid programs were well received and demonstrated improvements in patient knowledge and willingness to participate in treatment decisions. The decision aids, however, had a marginal effect on patient willingness to participate in OA management, with an increase of 0.11 and 0.6 on a scale of 2 (P = 0.58) between groups. Conclusions: The decision aids were accepted for most patients and effective in improving patient knowledge and willingness to participate in the decision process. Nevertheless, the addition of a more expensive DVD to the booklet program did not improve patient acceptance or knowledge.

• 出版日期2016-6