Shared Decision Making in Older Adults With Distal Radius Fractures

Not Applicable

Terminated

• Conditions: Radius Fracture
• Interventions: Other: Decision Aid

• Registration Number: NCT02782299
• Lead Sponsor: Washington University School of Medicine

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.

Study Timeline

• Study Start: 2015-12
• Study First Submitted: 2016-05-01
• Study First Submitted QC: 2016-05-24
• Study First Posted: 2016-05-25
• Primary Completion: 2018-11
• Study Completion: 2018-11
• Status Verified: 2019-01
• Last Update Submitted: 2019-01-08
• Last Update Posted: 2019-01-10

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

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

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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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Decision Aid	Decision Aid	This group will be exposed to the decision aid before the patients appointment with the surgeon. Patients will also complete the same outcome surveys, and will be followed for the same length of time.

Primary Outcome Measures

Name	Time	Method
Decision Conflict Score	Immediate post appointment	Validated measure for decision conflict

Secondary Outcome Measures

Name	Time	Method
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

Trial Locations

Locations (1)

Washington University-St Louis; 🇺🇸 Saint Louis, Missouri, United States