Shared Decision Making in Older Adults With Distal Radius Fractures

Status

Terminated

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02782299

Enrollment

Registered

2016-05-25

Start date

2015-12-31

Completion date

2018-11-30

Last updated

2019-01-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Radius Fracture

Keywords

Decision aid, Shared decision making, Older adult patients, Distal radius fracture

Brief summary

This is a study to investigate the use of a Decision Aid for shared decision making in older adults with distal radius fractures. The goal is to improve patient decisions making, and improve patient knowledge through the use of a validated decision aid.

Detailed description

Shared decision making has become a increasingly important with the goal of helping patients make decisions that more align with patients values and goals. Decision aids are validated instruments that provide unbiased information and guide patients through questions that allow patients to clarify patients goals. Older adults with distal radius fractures have increasing evidence of ability to tolerate residual deformity with little to no functional deficits, which has called into question the indications for surgery. In situations where the operative indications are not clear, it is important to engage the patient in the risk and benefits of the decision. This trial is a prospective trial with two groups, one standard of care, and one with the decision aid.

Interventions

OTHERDecision Aid

Decision aid which is still under revision will include unbiased information to assist is clarifying values and informing patients with distal radius fractures.

Study design

Allocation

NON_RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

65 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

* Distal radius fracture within the past 2 weeks * Initial appointment seeing Attending * Age 65+

Exclusion criteria

* Non english speaker * Dementia or other mental limitation preventing ability to complete survey * Other traumatic injuries in extremity that would affect surgical decision

Design outcomes

Primary

Measure	Time frame	Description
Decision Conflict Score	Immediate post appointment	Validated measure for decision conflict

Secondary

Measure	Time frame	Description
Decision regret scale	6 weeks and 6 months post appointment	Validated measure for decision regret
Patient knowledge	immediate post appointment	Knowledge quiz created to evaluate knowledge of distal radius treatment options

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026