Randomized Trial Comparing Effectiveness of Two Patient Decision Aids for Stable Chest Discomfort
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Coronary Artery Disease
- Sponsor
- Massachusetts General Hospital
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Total Knowledge Score
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The purpose of the study is to compare two different types of decision support materials for patients considering treatment for chest pain or chest discomfort from heart disease.
Detailed Description
The purpose of the project is to compare the effectiveness of a detailed, video patient decision aid and an online, interactive patient decision aid for treatment of Stable Chest Discomfort. The study will randomly assign eligible participants to receive either the online decision aid or the video decision aid. Participants will complete a survey after reviewing the decision aid that will examine decision quality, use of the intervention, and satisfaction with the intervention.
Investigators
Karen Sepucha
Assistant Professor
Massachusetts General Hospital
Eligibility Criteria
Inclusion Criteria
- •Adults 18 and older
- •English speaking
- •Current diagnosis of stable angina
- •Ability to access online material and willing to provide an email address
Exclusion Criteria
- •Coronary bypass surgery and/or percutaneous coronary intervention within 6 months
- •Diagnosis of unstable angina, acute coronary syndrome, STEMI, non STEMI within 6 months
- •Scheduled for nonelective catheterization
- •Significant cognitive deficit such that participant is unable to consent for self
- •Serious comorbidities or other conditions that make revascularization inappropriate
Outcomes
Primary Outcomes
Total Knowledge Score
Time Frame: Within 1 week after reviewing the decision aid
Six multiple choice knowledge items covered important facts patients should know about chest pain or discomfort and treatments. A total knowledge score (0-6) was created by summing the total number of correct responses. A missing knowledge response was marked as incorrect. Any survey with more than three missing knowledge responses did not get a total knowledge score. A higher score indicates higher knowledge on the topic. Both decision aids provided information for answering all knowledge items. Higher knowledge scores are better.
Secondary Outcomes
- Treatment Leaning (Percentage of Patients Who Have a Clear Treatment Preference)(Within 1 week after reviewing the decision aid)
- Satisfaction With the Intervention(Within 1 week after reviewing the decision aid)