Knee Osteoarthritis
Conditions
Keywords
shared decision making
Brief summary
Shared Decision Making (SDM) supports patient centered care and improves patient outcomes and satisfaction. Movement is Life (MIL) created an innovative SDM tool to provide a personalized framework for discussion of the projected impact to patients of their decisions regarding treatment options for knee osteoarthritis. 1. Did use of the MIL SDM tool for knee osteoarthritis result in an increased level of self-reported physical activity at one month in African American and Hispanic women? 2. Did use of the MIL SMD tool increase subject likeliness to recommend the physician? 3. What is the qualitative feedback from subjects on ease of use of the MIL SDM tool?
Interventions
We've used the framework from this model and adapted it to the patient perspective to create a Patient Shared Decision Making Tool. The model is interactive so it can be customized to a specific patient. It has adjustments built in for gender, race/ethnicity, age, and select comorbidities (obesity, hypertension and diabetes). The strongest, underlying message is that any treatment choice is better than not seeking treatment. To illustrate this, a Do Nothing pathway is included for comparison purposes.
Sponsors
University of Pennsylvania
Johns Hopkins University
3rd Coast Research Associates
Yale University
University Hospitals Cleveland Medical Center
PIH Family Practice Residency
Baylor College of Medicine
Zimmer Biomet
Hospital for Special Surgery, New York
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
FEMALE
Age
45 Years to 64 Years
Healthy volunteers
No
Inclusion criteria
* \- Aged 45 to 64 years * Mild to moderate knee pain consistent with a diagnosis of osteoarthritis by the clinician * Self-identified as African American and/or Hispanic * At least one of the following comorbidities: 1. Obesity (BMI ≥ 30), 2. Hypertension (ICD10 codes below) 3. Diabetes (ICD10 codes below)
Exclusion criteria
* \- Known inflammatory arthritis (Lupus, Sjogrens, rheumatoid arthritis) * Prior total knee replacement * Recommended total knee replacement * Acute knee trauma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Information Survey | One month afterwards | The primary outcome instrument is the Patient Information Survey administered shortly after the evaluation. There is both a qualitative and quantitative portion of the survey. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Personal Health Questionnaire (PHQ-8), | One month post intervention | Depression Survey |
| Knee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS,JR) | One month post intervention | joint specific functional outcome survey |
| Patient Experience Survey | One month post intervention | — |
| Patient Information Survey- Qualitative portion | One month post intervention | — |
| Shared Decision Making (SDM) Survey | One month post intervention | — |
Countries
United States
Outcome results
None listed