Influence of decision aids on patient preferences for anticoagulant therapy: a randomized trial
TLDR
The decision aid led to significant improvement in patients' knowledge regardless of the format or graphic representation of data, and Revealing the name of the treatment options led tosignificant shifts in declared treatment preferences.Abstract:
Background: Decision aids have been shown to be useful in selected situations to assist patients in making treatment decisions. Important features such as the format of decision aids and their graphic presentation of data on benefits and harms of treatment options have not been well studied. Methods: In a randomized trial with a 3 × 2 factorial design, we investigated the effects of decision aid format (decision board, decision booklet with audiotape, or interactive computer program) and graphic presentation of data (pie graph or pictogram) on patients9 comprehension and choices of 3 treatments for anticoagulation, identified initially as “treatment A” (warfarin), “treatment B” (acetylsalicylic acid) and “treatment C” (no treatment). Patients aged 65 years or older without known atrial fibrillation and not currently taking warfarin were included. The effect of blinding to the treatment name was tested in a before–after comparison. The primary outcome was change in comprehension score, as assessed by the Atrial Fibrillation Information Questionnaire. Secondary outcomes were treatment choice, level of satisfaction with the decision aid, and decisional conflict. Results: Of 102 eligible patients, 98 completed the study. Comprehension scores (maximum score 10) increased by an absolute mean of 3.1 ( p p Interpretation: The decision aid led to significant improvement in patients9 knowledge regardless of the format or graphic representation of data. Revealing the name of the treatment options led to significant shifts in declared treatment preferences.read more
Citations
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Journal ArticleDOI
Randomized Clinical Trial to Evaluate an Atrial Fibrillation Stroke Prevention Shared Decision‐Making Pathway
TL;DR: The ENHANCE-AF (Engaging Patients to Help Achieve Increased Patient Choice and Engagement for Atrial Fibrillation Stroke Prevention) clinical trial as mentioned in this paper evaluated the effects of a novel patient-clinician shared decision-making tool in reducing oral anticoagulation patient's decisional conflict as compared with usual care.
Dissertation
How an internet intervention works to achieve benefit for patients with coronary heart disease
TL;DR: This implementation of an internet intervention to support CHD self-management appears to have limited potential, particularly for those without home internet access or confidence using computers, according to a prospective study with 168 patients with CHD.
Proceedings ArticleDOI
Evaluating Information Prescriptions in Unstructured Environments
TL;DR: The concept is to examine the impact of InfoRx in two common conditions, low back pain in adults and pediatric fever and attempt to measure patient preferences for site of delivery, content presentation and subsequent access ofInfoRx from the ED.
Journal ArticleDOI
Treatment preferences of patients with early knee osteoarthritis: a decision board analysis assessing high tibial osteotomy versus the KineSpring® Knee Implant System.
TL;DR: A decision board that presented information on HTO and the KineSpring System for treating knee OA was well-received as a useful tool for presenting information and when provided with treatment options and information, 60% of individuals preferred the KinSpring System over HTO.
References
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“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician
Marshal F. Folstein,Marshal F. Folstein,Susan E B Folstein,Susan E B Folstein,Paul R. McHugh,Paul R. McHugh +5 more
TL;DR: A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
A practical method for grading the cognitive state of patients for the clinician
TL;DR: The Mini-Mental State (MMS) as mentioned in this paper is a simplified version of the standard WAIS with eleven questions and requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
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Journal ArticleDOI
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