This study evaluates a technology-enabled decision aid that provides evidence-based education (i.e. on understanding the condition, treatment options and comparisons, patient values and question \& answer quiz) and personalized, quantifiable benefit-risk ratio alongside the level of potential benefit in relation to joint stiffness, joint pain and quality of life. The study will be performed in the setting of an integrated care system providing patient-centered care for hip and knee osteoarthritis over the full cycle of care. The impact of a technology-enabled decision aid incorporating predictive analytics with machine learning capabilities on decision quality, activation, experience \& limitations of patients in this setting is relatively unknown.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
145
Decision aid meant to improve shared decision making among patients and providers.
Investigator-written educational material and quiz to test knowledge of osteoarthritis and treatment options.
UT Health Austin
Austin, Texas, United States
Knee Osteoarthritis Decision Quality Instrument
Decision process subscore. Participants receive 1 point for a response of "yes" or "a lot/some." The total points are summed and then divided by the total number of items to result in scores from 0-100%, with higher scores indicated a more shared decision making process.
Time frame: Day 1
Knee Osteoarthritis Decision Quality Instrument
Concordance subscore (A summary score (0-100%) indicating the percentage of patients who received treatment that matched their stated preference will be generated.)
Time frame: Day 1
CollaboRATE
Level of shared decision making. Range of 0-9. Higher scores represent more shared decision making.
Time frame: Day 1
Numeric rating scale-satisfaction
Patient satisfaction with management of condition. Range of 0-10 with 0 representing complete dissatisfaction and 10 representing complete satisfaction.
Time frame: Day 1
Knee injury and osteoarthritis outcome score, joint replacement (KOOS JR)
Measure of patient-reported, knee-related stiffness, pain, and function. Raw score range 0-28, converted to interval score of 0-100, where 0 represents total knee disability and 100 represents perfect knee health.
Time frame: 6 months after baseline visit
Undergoing joint replacement surgery or not
Decision to undergo total knee replacement surgery (yes/no). Obtained by asking provider or through medical record note.
Time frame: Day 1
Average time of patient visit and average time spent with provider
Minutes. Time of entire visit will be recorded in addition to time spent with primary provider.
Time frame: Day 1
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.