This is a study to investigate the use of a Decision Aid for shared decision making in older adults with distal radius fractures. The goal is to improve patient decisions making, and improve patient knowledge through the use of a validated decision aid.
Shared decision making has become a increasingly important with the goal of helping patients make decisions that more align with patients values and goals. Decision aids are validated instruments that provide unbiased information and guide patients through questions that allow patients to clarify patients goals. Older adults with distal radius fractures have increasing evidence of ability to tolerate residual deformity with little to no functional deficits, which has called into question the indications for surgery. In situations where the operative indications are not clear, it is important to engage the patient in the risk and benefits of the decision. This trial is a prospective trial with two groups, one standard of care, and one with the decision aid.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
32
Decision aid which is still under revision will include unbiased information to assist is clarifying values and informing patients with distal radius fractures.
Washington University-St Louis
St Louis, Missouri, United States
Decision Conflict Score
Validated measure for decision conflict
Time frame: Immediate post appointment
Decision regret scale
Validated measure for decision regret
Time frame: 6 weeks and 6 months post appointment
Patient knowledge
Knowledge quiz created to evaluate knowledge of distal radius treatment options
Time frame: immediate post appointment
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