A web-based decision aid for shared decision making in pelvic organ prolapse: the SHADE-POP trial

Abstract

Introduction and hypothesis Among women worldwide, pelvic organ prolapse (POP) is a common problem. There are three different treatment options for POP: pelvic floor muscle therapy, pessary treatment and prolapse surgery. As none of the three treatment options is clearly superior, shared decision making (SDM) is very important. A decision aid (DA) is known to facilitate patient participation and SDM. We hypothesise that the use of a web-based DA for POP increases patients’ satisfaction with information and care and reduces decisional conflict. Methods This two-arm, multicentre, cluster randomised controlled trial was performed in women with POP in five different Dutch hospitals. The control group received usual care (UC) and the intervention group received the DA in addition to UC. Primary outcome measures were satisfaction with treatment decision making and satisfaction with information. Analyses were performed using independent sample t tests, Chi-squared tests, and multilevel linear regression analyses. Results Between the DA group (n=40) and the UC group (n=56) no differences were found concerning patients’ satisfaction with information, with scores of 45.63 and 46.14 out of 50 respectively (p=0.67). Also, no differences were found concerning the perceived role in decision making, as patients scored 46.83 in the DA group and 46.41 in the UC group, out of a maximum of 54 (n=0.81). Conclusions No differences were found concerning patients’ satisfaction with information and treatment decision making between the DA and UC. However, both groups scored high on the questionnaires, which suggests that the decision process is already of high quality.

060 A web-based decision aid for shared decision making in pelvic organ prolapse: the shade-pop trial

“…The patients in the intervention group received UC including the leaflets on paper and additionally were provided with a code to access the DA. This DA informs patients by giving an overview of the treatment options, including the advantages and disadvantages of each one and clarifies patient preferences by VCEs [19]. Patients receive a results form showing the patients' preferences for the specific treatment options, which can be taken to the next consultation.…”

Protocol paper for SMART OPS: Shared decision-making Multidisciplinary Approach – a Randomised controlled Trial in the Older adult Population considering Surgery

“…Randomised controlled trials are few and heterogeneous. They include studies in orthopaedics, 17 urogynaecology, 18 liver cancer 19 and breast cancer, 20 with only one study looking specifically at high-risk individuals across a range of specialties. 21 Reported outcomes include constructs around decisional conflict/satisfaction/regret, disease knowledge and perceived participation in SDM, most commonly only at the time of decision-making.…”