Abstract
BackgroundOsteoarthritis (OA) is a health condition sensitive to patient’s preferences and values regarding the benefits and risks of the different treatment options. In this sense, patient decision aids (PtDA) can play an important role in helping patients to incorporate their values, needs, and preferences into the decision-making process, thus improving person-centered care. Previous research has focused almost exclusively on knee OA, and therefore, the aim of this study is to develop and evaluate the effectiveness of a PtDA for patients with hip OA.MethodsThe general design consists of two phases: (1) design a web-based PtDA for patients with hip OA, following the recommended procedures: systematic review of safety/effectiveness of treatments, and an iterative process of development with the help of an Advisory Committee composed of health professionals and patients, and (2) to evaluate the impact of the PtDA on hip OA patients’ decision-making process related with their treatment. For that aim, a multicenter randomized controlled trial will be carried out with 124 patients with hip OA in Tenerife (Spain) comparing intervention or usual care.DiscussionPtDAs have been recommended as a useful and effective resource for improving PCC in many health conditions. The intervention is intended to empower patients by fostering their active participation during the decision-making process about their treatment and by ensuring they make informed decisions congruent with their values and preferences. This study will contribute to the scientific knowledge about effectiveness of PtDAs in hip OA, in order to improve the quality of health care offered to these patients.Trial registrationClinicalTrials.gov NCT04241978. Registered on 24 January 2020.
Highlights
Osteoarthritis (OA) is a health condition sensitive to patient’s preferences and values regarding the benefits and risks of the different treatment options
This study will contribute to the scientific knowledge about effectiveness of patient decision aids (PtDA) in hip OA, in order to improve the quality of health care offered to these patients
Because hip OA has its own characteristics and given the existing shortages in this field, the aim of this study is to develop a PtDAs for hip OA and evaluate its effectiveness on the improvement of patients’ decisional process
Summary
Osteoarthritis (OA) is a health condition sensitive to patient’s preferences and values regarding the benefits and risks of the different treatment options. Conservative therapeutic options for hip OA include exercise, weight loss, walking aids, as well as drugs and corticosteroids injections in more advanced stages When these options fail to improve symptoms, a surgical intervention called arthroplasty or joint replacement is recommended, with some variations depending on the damaged joint. Indication for arthroplasty is not straightforward, since subjective symptoms are not highly correlated with the cartilage deterioration observed in radiographic images [9] This fact, along with the existing uncertainty about the absolute and relative efficacy of conservative treatments, makes OA a preference-sensitive condition, in which patients’ values and preferences regarding the benefits and risks associated with different treatment options should play a decisive role when making treatment decisions [10]. A shared decision-making (SDM) process seems a necessary approach in this health condition, providing patients with reliable information and promoting their involvement in decision-making, according to the principles of the Patient-Centred Care model [11]
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