Shared decision making in orthopaedics: mind the gap

Recruitment & Eligibility

Status: Pending

Sex: Not specified

Target Recruitment: 30

Inclusion Criteria

In order to be eligible to participate in this study, patients must meet all of
the following criteria:
- Having an appointment for a consultation at the Department of Orthopaedics at
the ETZ
- Suffering from symptoms of :
o osteoarthritis: pain and/or stiffness during movements and when getting out
of bed or a chair; and limitations during activities of daily life as indicated
within the referral letter, OR
o degenerative spinal disorders: pain, spinal deformity, limited motion,
weakness and/or sensory loss as indicated within the referral letter, OR
o cruciate ligament injury: a preceding *popping* sound in the knee, pain,
swelling, instability and reduced range of motion as indicated within the
referral letter

All physicians of the department of Orthopedics at the Elisabeth-TweeSteden
Ziekenhuis (i.e., 12 staff members, 1 head of the department and 7 residents)
will be eligible to participate in this study, regardless of their level of
experience, when they meet the following criteria:
- participating at the medical consultations at the Department of Orthopedics
at the ETZ, location Elisabeth
- conducting medical consultations with the patient group as described above

Exclusion Criteria

A patient who meets any of the following criteria will be excluded from
participation in this study:
1. Suffering from dementia, because of expected difficulties in completing the
interview without assistance
2. Inadequate proficiency of the Dutch language, because of expected
difficulties with completing a Dutch interview

No exclusion criteria were drawn up for physicians.

Study & Design

Study Type: Observational non invasive

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>i. Main study parameter/endpoint<br /><br>Part 1: a description of the current use of SDM within Orthopedics is provided.<br /><br>Part 2: based on the interviews, we can describe why certain communication<br /><br>approaches were chosen, which includes a description of barriers and<br /><br>facilitators to implement SDM.<br /><br>Part 3: it will be known whether discussing the contents and interactional<br /><br>patterns of the medical consultation with patients and surgeons will result in<br /><br>more effective SDM</p><br>

Secondary Outcome Measures