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Patient Educ Couns. 2016 Apr;99(4):571-577. doi: 10.1016/j.pec.2015.10.011. Epub 2015 Oct 30.

Supporting shared decision making using an Option Grid for osteoarthritis of the knee in an interface musculoskeletal clinic: A stepped wedge trial.

Author information

1
The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Hanover, NH, USA. Electronic address: glynelwyn@gmail.com.
2
South East Wales Trials Unit, Cardiff University, Cardiff, UK.
3
Cochrane Institute for Primary Care and Public Health, Cardiff University, Cardiff, UK.
4
Pennine MSK Partnership Ltd., Integrated Care Centre, Oldham, UK.
5
Independent Research and Evaluation Consultant, Cardiff, UK.

Abstract

OBJECTIVE:

To evaluate whether introducing tools, specifically designed for use in clinical encounters, namely Option Grids, into a clinical practice setting leads to higher levels of shared decision making.

METHODS:

A stepped wedge trial design where 6 physiotherapists at an interface clinic in Oldham, UK, were sequentially instructed in how to use an Option Grid for osteoarthritis of the knee. Patients with suspected or confirmed osteoarthritis of the knee were recruited, six per clinician prior to instruction, and six per clinician afterwards. We measured shared decision making, patient knowledge, and readiness to decide.

RESULTS:

A total of 72 patients were recruited; 36 were allocated to the intervention group. There was an 8.4 point (95% CI 4.4 to 12.2) increase in the Observer OPTION score (range 0-100) in the intervention group. The mean gain in knowledge was 0.9 points (score range 0-5, 95% CI, 0.3 to 1.5). There was no increase in encounter duration.

CONCLUSION:

Shared decision making increased when clinicians used the knee osteoarthritis Option Grid.

PRACTICE IMPLICATIONS:

Tools designed to support collaboration and deliberation about treatment options lead to increased levels of shared decision making.

KEYWORDS:

Collaborative deliberation; Option Grids; Patient decision aids; Shared decision making

PMID:
26566194
DOI:
10.1016/j.pec.2015.10.011
[Indexed for MEDLINE]
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