Development of a personalized shared decision-making tool for knee osteoarthritis and user-testing with African American and Latina women
Background: Patients with chronic knee pain are often unaware of treatment options and likely outcomes—information that is critical to decision-making. A consistent framework for communicating patient-personalized information enables clinicians to provide consistent, targeted, and relevant informati...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=9;spage=5447;epage=5456;aulast=Jones |
| _version_ | 1811313500137455616 |
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| author | Lynne C Jones Anne M Maurer Michael L Parks Philip C Noble Carla Harwell Melvyn Harrington Katherine G Bay Charles L Nelson Mary I O'Connor |
| author_facet | Lynne C Jones Anne M Maurer Michael L Parks Philip C Noble Carla Harwell Melvyn Harrington Katherine G Bay Charles L Nelson Mary I O'Connor |
| author_sort | Lynne C Jones |
| collection | DOAJ |
| description | Background: Patients with chronic knee pain are often unaware of treatment options and likely outcomes—information that is critical to decision-making. A consistent framework for communicating patient-personalized information enables clinicians to provide consistent, targeted, and relevant information. Our objective was to user-test a shared decision-making (SDM) tool for chronic knee pain. Methods: A cross-functional team developed a Markov-based health economics model and tested the model outputs with patient panels, patient and clinician focus groups, and clinical specialists. The resulting SDM tool was user-tested in a parallel-designed, randomized controlled study with 52 African American and 52 Latina women from geographically representative areas of the US. Participants were randomized to counseling with or without the SDM tool. Feedback was collected at intervention and at 1 month after intervention and analyzed with Student's t-tests and Chi-squared analyses (alpha = 0.05). Results: Qualitative results indicated patients understood the material, rated the overall experience highly, and were likely to recommend the physician. The SDM group reported high satisfaction with the tool. A greater proportion of the SDM group (56%) reported increased physical activity over baseline at 1 month compared with the control group (33%) (P = 0.0005). New use of medications for knee pain (58% SDM; 49% control) did not differ significantly between groups (P = 0.15). Conclusion: Use of this innovative SDM tool was associated with high satisfaction and a significant increase in self-reported physical activity level at 1 month. The SDM tool may elicit behavioral changes to promote musculoskeletal health. |
| first_indexed | 2024-04-13T10:55:03Z |
| format | Article |
| id | doaj.art-e48f03a6dccc4ac982b09260fc1c7f8f |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-04-13T10:55:03Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-e48f03a6dccc4ac982b09260fc1c7f8f2022-12-22T02:49:33ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-011195447545610.4103/jfmpc.jfmpc_2188_21Development of a personalized shared decision-making tool for knee osteoarthritis and user-testing with African American and Latina womenLynne C JonesAnne M MaurerMichael L ParksPhilip C NobleCarla HarwellMelvyn HarringtonKatherine G BayCharles L NelsonMary I O'ConnorBackground: Patients with chronic knee pain are often unaware of treatment options and likely outcomes—information that is critical to decision-making. A consistent framework for communicating patient-personalized information enables clinicians to provide consistent, targeted, and relevant information. Our objective was to user-test a shared decision-making (SDM) tool for chronic knee pain. Methods: A cross-functional team developed a Markov-based health economics model and tested the model outputs with patient panels, patient and clinician focus groups, and clinical specialists. The resulting SDM tool was user-tested in a parallel-designed, randomized controlled study with 52 African American and 52 Latina women from geographically representative areas of the US. Participants were randomized to counseling with or without the SDM tool. Feedback was collected at intervention and at 1 month after intervention and analyzed with Student's t-tests and Chi-squared analyses (alpha = 0.05). Results: Qualitative results indicated patients understood the material, rated the overall experience highly, and were likely to recommend the physician. The SDM group reported high satisfaction with the tool. A greater proportion of the SDM group (56%) reported increased physical activity over baseline at 1 month compared with the control group (33%) (P = 0.0005). New use of medications for knee pain (58% SDM; 49% control) did not differ significantly between groups (P = 0.15). Conclusion: Use of this innovative SDM tool was associated with high satisfaction and a significant increase in self-reported physical activity level at 1 month. The SDM tool may elicit behavioral changes to promote musculoskeletal health.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=9;spage=5447;epage=5456;aulast=Jonesactivity levelknee painshared decision-making |
| spellingShingle | Lynne C Jones Anne M Maurer Michael L Parks Philip C Noble Carla Harwell Melvyn Harrington Katherine G Bay Charles L Nelson Mary I O'Connor Development of a personalized shared decision-making tool for knee osteoarthritis and user-testing with African American and Latina women Journal of Family Medicine and Primary Care activity level knee pain shared decision-making |
| title | Development of a personalized shared decision-making tool for knee osteoarthritis and user-testing with African American and Latina women |
| title_full | Development of a personalized shared decision-making tool for knee osteoarthritis and user-testing with African American and Latina women |
| title_fullStr | Development of a personalized shared decision-making tool for knee osteoarthritis and user-testing with African American and Latina women |
| title_full_unstemmed | Development of a personalized shared decision-making tool for knee osteoarthritis and user-testing with African American and Latina women |
| title_short | Development of a personalized shared decision-making tool for knee osteoarthritis and user-testing with African American and Latina women |
| title_sort | development of a personalized shared decision making tool for knee osteoarthritis and user testing with african american and latina women |
| topic | activity level knee pain shared decision-making |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=9;spage=5447;epage=5456;aulast=Jones |
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