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Disappointing evaluation of a shared decision-making intervention for residents and orthopaedic surgeons
- Source :
- Patient Education and Counseling, 105(5), 1066-1074. Elsevier Ireland Ltd
- Publication Year :
- 2022
- Publisher :
- Elsevier Ireland Ltd, 2022.
-
Abstract
- OBJECTIVE: To evaluate a shared decision-making (SDM) intervention in orthopaedic hip and knee osteoarthritis care.METHODS: Using a pre- post intervention design study, we tested an intervention, that included a decision aid for patients (ptDA) and a SDM training course for residents in training and orthopaedic surgeons. The theory of planned behaviour was used for intervention development. Primary outcomes included patient reported decisional conflict, SDM, and satisfaction. Secondary outcomes were physicians' attitude and knowledge, and uptake of the ptDA.RESULTS: 317 patients were included. The intervention improved physicians' knowledge about SDM but had no effect on the primary outcomes. 19 eligible patients used the ptDA (17%). SDM was higher for middle educated patients compared to lower educated (mean difference 9.91, p=0.004), patients who saw surgeons instead of residents (mean difference 5.46, p=0.044) and when surgery was chosen and desired by patients compared to situations where surgery was desired but not chosen (mean difference 15.39, p=0.036).CONCLUSION: Our multifaceted intervention did not improve SDM and ptDA uptake was low.PRACTICE IMPLICATIONS: In orthopaedic hip and knee osteoarthritic care other ways should be explored to successful implement SDM. Since residents received lower SDM scores, special focus should go to this group.
- Subjects :
- medicine.medical_specialty
Communication training
Training course
Decision Making
Theory of planned behaviour
PS
Decisional conflict
Orthopaedics
Mean difference
Osteoarthritis, Hip
Post-intervention
Intervention (counseling)
medicine
IMPUTATION
PHYSICAL-FUNCTION
Humans
Shared decision-making
HIP
business.industry
Theory of planned behavior
General Medicine
Orthopedic Surgeons
Osteoarthritis, Knee
CARE
AIDS
Decision aid
Design study
Orthopedic surgery
Physical therapy
KNEE
Patient Participation
business
Decision Making, Shared
Subjects
Details
- Language :
- English
- ISSN :
- 07383991
- Volume :
- 105
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Patient Education and Counseling
- Accession number :
- edsair.doi.dedup.....2ce0c82e7f9c725c6e0791d0d7c170dd