Shared Decision Making in Older Adults With Distal Radius Fractures
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 32
- 试验地点
- 2
- 主要终点
- Decision Conflict Score
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —(Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Distal radius fracture within the past 2 weeks
- •Initial appointment seeing Attending
排除标准
- •Non english speaker
- •Dementia or other mental limitation preventing ability to complete survey
- •Other traumatic injuries in extremity that would affect surgical decision
结局指标
主要结局
Decision Conflict Score
时间窗: Immediate post appointment
Validated measure for decision conflict
次要结局
- Decision regret scale(6 weeks and 6 months post appointment)
- Patient knowledge(immediate post appointment)
