Shared Decision Making and How It Impacts the Patient Understanding

Hospital for Special Surgery, New York108 enrolled

Overview

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?

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

108

Conditions

Knee Osteoarthritis

Interventions

We've used the framework from this model and adapted it to the patient perspective to create a Patient Shared Decision Making Tool. The model is interactive so it can be customized to a specific patient. It has adjustments built in for gender, race/ethnicity, age, and select comorbidities (obesity, hypertension and diabetes). The strongest, underlying message is that any treatment choice is better than not seeking treatment. To illustrate this, a "Do Nothing" pathway is included for comparison purposes.

Eligibility

Sex: FEMALEMin age: 45 YearsMax age: 64 Years

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Patient Information Survey

The primary outcome instrument is the Patient Information Survey administered shortly after the evaluation. There is both a qualitative and quantitative portion of the survey.

Time frame: One month afterwards