Protocol for a randomised trial evaluating the comparative effectiveness of strategies to promote shared decision making for hip and knee osteoarthritis (DECIDE-OA study) Article Swipe
Mahima Mangla
,
Hany S. Bedair
,
Yuchiao Chang
,
Susannah Daggett
,
Maureen K. Dwyer
,
Andrew A. Freiberg
,
Sheila Mwangi
,
Carl T. Talmo
,
Ha Vo
,
Karen Sepucha
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1136/bmjopen-2018-024906
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1136/bmjopen-2018-024906
Introduction There are several different interventions available to promote shared decision making (SDM); however, little is known about the comparative effectiveness of different approaches. Objective To examine the impact of patient-directed and physician-directed decision support strategies on the quality of treatment decisions for hip and knee osteoarthritis (OA). Trial design A 2×2 factorial randomised controlled trial. Setting One academic medical centre, one community hospital and one orthopaedic specialty hospital. Participants and interventions The enrolment targets were 8 surgeons and 1120 patients diagnosed with hip or knee OA. Patients were randomly assigned to receive one of two different decision aids (DAs) stratified by site. The DAs varied in length, content and the level of detail regarding treatment options. Both DAs were available by paper or online. Surgeons were randomly assigned to receive a report detailing patients’ goals and treatment preferences at the time of the visit or not. Eligible patients received their assigned DA before their visit and completed three surveys: before the visit (timepoint (T)1), 1-week postvisit (T2) and 6 months from either the visit date or surgery date for patients who underwent surgery (T3). Study staff and participating surgeons were not blinded, but the statistician conducting the analyses was blinded to the arms. Main outcome measure and analysis The primary study outcome was decision quality, the percentage of patients who were well informed and received their preferred treatment. Secondary outcomes included involvement in decision making, surgical rates, health outcomes, decision regret and satisfaction. A logistic regression model with the generalised estimating equations approach was used to compare rates of decision quality between the groups and account for the clustering of patients within providers. Ethics and dissemination Ethics approval was obtained through the institutional review board at the main site. The findings will be published in peer-reviewed journals. Trial registration number NCT02729831 ; Pre-results.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/bmjopen-2018-024906
- https://bmjopen.bmj.com/content/bmjopen/9/2/e024906.full.pdf
- OA Status
- gold
- Cited By
- 10
- References
- 58
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2915526267
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2915526267Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1136/bmjopen-2018-024906Digital Object Identifier
- Title
-
Protocol for a randomised trial evaluating the comparative effectiveness of strategies to promote shared decision making for hip and knee osteoarthritis (DECIDE-OA study)Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-02-01Full publication date if available
- Authors
-
Mahima Mangla, Hany S. Bedair, Yuchiao Chang, Susannah Daggett, Maureen K. Dwyer, Andrew A. Freiberg, Sheila Mwangi, Carl T. Talmo, Ha Vo, Karen SepuchaList of authors in order
- Landing page
-
https://doi.org/10.1136/bmjopen-2018-024906Publisher landing page
- PDF URL
-
https://bmjopen.bmj.com/content/bmjopen/9/2/e024906.full.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://bmjopen.bmj.com/content/bmjopen/9/2/e024906.full.pdfDirect OA link when available
- Concepts
-
Medicine, Physical therapy, Psychological intervention, Randomized controlled trial, Decision aids, Specialty, Decision quality, Osteoarthritis, Statistician, Patient satisfaction, Family medicine, Surgery, Alternative medicine, Nursing, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
10Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 3, 2024: 1, 2021: 4, 2020: 1, 2019: 1Per-year citation counts (last 5 years)
- References (count)
-
58Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.three | 158 |
| abstract_inverted_index.visit | 144, 155, 162, 174 |
| abstract_inverted_index.(SDM); | 12 |
| abstract_inverted_index.(T)1), | 164 |
| abstract_inverted_index.1-week | 165 |
| abstract_inverted_index.Ethics | 274, 277 |
| abstract_inverted_index.before | 153, 160 |
| abstract_inverted_index.design | 49 |
| abstract_inverted_index.detail | 113 |
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| abstract_inverted_index.groups | 264 |
| abstract_inverted_index.health | 238 |
| abstract_inverted_index.impact | 28 |
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| abstract_inverted_index.making | 11 |
| abstract_inverted_index.months | 170 |
| abstract_inverted_index.number | 300 |
| abstract_inverted_index.rates, | 237 |
| abstract_inverted_index.regret | 241 |
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| abstract_inverted_index.review | 284 |
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| abstract_inverted_index.blinded | 200 |
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| abstract_inverted_index.examine | 26 |
| abstract_inverted_index.length, | 107 |
| abstract_inverted_index.making, | 235 |
| abstract_inverted_index.measure | 206 |
| abstract_inverted_index.medical | 59 |
| abstract_inverted_index.online. | 124 |
| abstract_inverted_index.outcome | 205, 212 |
| abstract_inverted_index.primary | 210 |
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| abstract_inverted_index.quality | 38, 261 |
| abstract_inverted_index.receive | 92, 130 |
| abstract_inverted_index.several | 3 |
| abstract_inverted_index.support | 34 |
| abstract_inverted_index.surgery | 177, 183 |
| abstract_inverted_index.targets | 74 |
| abstract_inverted_index.through | 281 |
| abstract_inverted_index.Eligible | 147 |
| abstract_inverted_index.Patients | 87 |
| abstract_inverted_index.Surgeons | 125 |
| abstract_inverted_index.academic | 58 |
| abstract_inverted_index.analyses | 198 |
| abstract_inverted_index.analysis | 208 |
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| abstract_inverted_index.approval | 278 |
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| abstract_inverted_index.logistic | 245 |
| abstract_inverted_index.obtained | 280 |
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| abstract_inverted_index.outcomes | 230 |
| abstract_inverted_index.patients | 80, 148, 180, 219, 271 |
| abstract_inverted_index.quality, | 215 |
| abstract_inverted_index.randomly | 89, 127 |
| abstract_inverted_index.received | 149, 225 |
| abstract_inverted_index.surgeons | 77, 189 |
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| abstract_inverted_index.surveys: | 159 |
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| abstract_inverted_index.factorial | 52 |
| abstract_inverted_index.hospital. | 68 |
| abstract_inverted_index.journals. | 297 |
| abstract_inverted_index.outcomes, | 239 |
| abstract_inverted_index.postvisit | 166 |
| abstract_inverted_index.preferred | 227 |
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| abstract_inverted_index.regarding | 114 |
| abstract_inverted_index.specialty | 67 |
| abstract_inverted_index.treatment | 40, 115, 137 |
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| abstract_inverted_index.conducting | 196 |
| abstract_inverted_index.controlled | 54 |
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| abstract_inverted_index.providers. | 273 |
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| abstract_inverted_index.stratified | 100 |
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| abstract_inverted_index.registration | 299 |
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| abstract_inverted_index.peer-reviewed | 296 |
| abstract_inverted_index.satisfaction. | 243 |
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| abstract_inverted_index.physician-directed | 32 |
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| corresponding_author_ids | https://openalex.org/A5083365613 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 10 |
| corresponding_institution_ids | https://openalex.org/I136199984, https://openalex.org/I4210087915 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/16 |
| sustainable_development_goals[0].score | 0.6200000047683716 |
| sustainable_development_goals[0].display_name | Peace, Justice and strong institutions |
| citation_normalized_percentile.value | 0.88751077 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |