2012
DOI: 10.1002/acr.20646
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Impact of educational and patient decision aids on decisional conflict associated with total knee arthroplasty

Abstract: Our objective was to examine the impact of a videobooklet patient decision aid supplemented by an interactive values clarification exercise on decisional conflict in patients with knee osteoarthritis (OA) considering total knee arthroplasy. 208 patients participated in the study (mean age 63 years; 68% female; 66% White). Participants were randomized to 1 of 3 groups: (1) Educational booklet on OA management (control); (2) Patient decision aid (videobooklet) on OA management; and (3) Patient decision aid (vide… Show more

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Cited by 84 publications
(99 citation statements)
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“…The reduction in decisional conflict after completion of the FADA was expected and supports the hypothesis that people who use a decision aid are more likely to make an informed and value-based decision, and as a result, they are more likely to persist with their decision (de Achaval et al, 2012) and may have better outcomes (Mathers et al, 2012). However, others have argued that the decisional conflict can encourage appropriate deliberation and enhance doctor-patient relationship (O'Connor, 1995b, O'Connor, 1995a, Nelson et al, 2007a, Nelson et al, 2007b).…”
Section: Discussionmentioning
confidence: 65%
“…The reduction in decisional conflict after completion of the FADA was expected and supports the hypothesis that people who use a decision aid are more likely to make an informed and value-based decision, and as a result, they are more likely to persist with their decision (de Achaval et al, 2012) and may have better outcomes (Mathers et al, 2012). However, others have argued that the decisional conflict can encourage appropriate deliberation and enhance doctor-patient relationship (O'Connor, 1995b, O'Connor, 1995a, Nelson et al, 2007a, Nelson et al, 2007b).…”
Section: Discussionmentioning
confidence: 65%
“…Levels of decisional uncertainty in this study as measured by the DCS (mean score (µ) = 15.5) were comparable to or lower than those found in other studies of women making healthcare decisions, such as mastectomy after a breast cancer diagnosis (DCS µ = 17.4) [30], prenatal testing after infertility (DCS µ =22.1) [31], or antidepressant use during pregnancy (DCS µ = 26.2) [32]. They are also lower than levels observed in studies of men and women making decisions about reconstructive knee surgery (DCS µ = 37.4-42.7) [33] or men deciding on prostate cancer treatment options (DCS µ=35.7) [34]. Thus, our findings challenge these laws' implicit characterization of women making abortion decisions-as compared to other healthcare decisions-as particularly conflicted.…”
Section: Discussionmentioning
confidence: 69%
“…Patient education programs provide information on treatment that has already been prescribed [29]. Decision aids may bridge the knowledge gap between patients and physicians [30,31]. The content of these aids may include treatment strategies and outcomes, patient testimonials, and exercises that assist patients in clarifying personal preferences [5,29,32,33].…”
Section: Introductionmentioning
confidence: 99%
“…The design of decision aids should conform to the International Patient Decision Aid Standards [31]This international collaboration has developed quality criteria for content, development, and evaluation. Multiple studies have assessed the impact of these aids on patient knowledge and the decision making process, outcomes, and clinical work flow [17,30,35,38•].…”
Section: Introductionmentioning
confidence: 99%