Developing and Testing a Personalized Evidence-based Shared Decision-making Tool for Stent Selection
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Heart Diseases
- Sponsor
- University of Missouri, Kansas City
- Enrollment
- 586
- Locations
- 2
- Primary Endpoint
- Assessment of Pre-implementation, Post-implementation With Decision Coaching, and Post-implementation Without Decision Coaching
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The goal of this study is to gather input from patients who have undergone PCI, their family and/or caregivers, and clinicians to develop a patient decision aid. The purpose of the decision aid is to deliver information, including individualized estimates of patients' restenosis risk, in an understandable format that would be informative and assist in decision-making for patients undergoing PCI.
Detailed Description
Study Plan: Qualitative research methods (focus groups) will be used to gather the information that would be helpful in decision making as well as review several possible output formats. Several sets of focus groups will be convened, with particular attention to recruitment of a diverse population, including women and underserved minority groups. Study Procedure: We will gather input to create a clinically useful format for presenting the risk estimates for desired outcomes and support clinical decision-making. Subjects: We anticipate 2 or 3 patient focus groups of 6-8 individuals and 2 clinician focus groups of 3-5 individuals will be scheduled. Fliers will be posted to enlist potential patients. If necessary, patients will also be contacted by a Cardiovascular Research Coordinator and invited to attend a scheduled focus group. After receiving patient/family/caregiver input, selected clinicians from the Saint Lukes Hospital Staff, including cardiologists, cardiac nurses and other cardiology staff, will be invited to attend a scheduled focus group. The invitation will be sent via email and followed up with a phone call, if necessary. If a clinician focus group is unable to be scheduled, then individual interviews will be conducted. Setting: Patient and Clinician focus group sessions will be held at Saint Luke's Hospital.
Investigators
John A. Spertus
Daniel Lauer/Missouri Endowed Chair
University of Missouri, Kansas City
Eligibility Criteria
Inclusion Criteria
- •\>18 years old
- •English or Spanish speaking
- •Presence of coronary disease, or a caregiver/relative of one with coronary disease
Exclusion Criteria
- •non-English or non-Spanish speaking
Outcomes
Primary Outcomes
Assessment of Pre-implementation, Post-implementation With Decision Coaching, and Post-implementation Without Decision Coaching
Time Frame: 30 months
The primary outcome was whether or not patients participated in SDM regarding stent choice. Patients were categorized as having participated in SDM if they answered anything other than "doctor alone" in response to the question "Who chose the type of stent?"
Secondary Outcomes
- Concordance Between Stent Preference and Stent Received Was a Secondary Outcome.(30 months)