Abstract
Background
Osteoarthritis (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.
Methods
The 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.
Discussion
PtDAs 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 registration
ClinicalTrials.gov NCT04241978. Registered on 24 January 2020.
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Details
1 Evaluation Unit of the Canary Islands Health Service (SESCS), El Rosario, Spain; Health Services Research on Chronic Patients Network (REDISSEC), Tenerife, Spain; Center for Biomedical Research of the Canary Islands (CIBICAN), Tenerife, Spain
2 Fundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Tenerife, Spain
3 Health Services Research on Chronic Patients Network (REDISSEC), Tenerife, Spain; Center for Biomedical Research of the Canary Islands (CIBICAN), Tenerife, Spain; Fundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Tenerife, Spain
4 Health Services Research on Chronic Patients Network (REDISSEC), Tenerife, Spain; Fundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Tenerife, Spain
5 Hospital Universitario de Canarias (HUC), Tenerife, Spain (GRID:grid.411220.4) (ISNI:0000 0000 9826 9219)
6 Health Services Research on Chronic Patients Network (REDISSEC), Tenerife, Spain (GRID:grid.411220.4); Hospital Universitario de Canarias (HUC), Tenerife, Spain (GRID:grid.411220.4) (ISNI:0000 0000 9826 9219)
7 Hospital San Juan de Dios de Santa Cruz de Tenerife (HSJD), Tenerife, Spain (GRID:grid.411220.4)
8 Gerencia de Atención Primaria de Tenerife del Servicio Canario de la Salud, Tenerife, Spain (GRID:grid.467039.f) (ISNI:0000 0000 8569 2202)
9 Health Services Research on Chronic Patients Network (REDISSEC), Tenerife, Spain (GRID:grid.467039.f); Avedis Donabedian Research Institute (FAD), Barcelona, Spain (GRID:grid.7080.f)
10 Evaluation Unit of the Canary Islands Health Service (SESCS), El Rosario, Spain (GRID:grid.7080.f); Health Services Research on Chronic Patients Network (REDISSEC), Tenerife, Spain (GRID:grid.7080.f); Center for Biomedical Research of the Canary Islands (CIBICAN), Tenerife, Spain (GRID:grid.7080.f)