The effectiveness of a web-based decision aid for patients with hip osteoarthritis: study protocol for a randomized cont
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STUDY PROTOCOL
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The effectiveness of a web-based decision aid for patients with hip osteoarthritis: study protocol for a randomized controlled trial Lilisbeth Perestelo-Pérez1,2,3*, Yolanda Álvarez-Pérez4, Amado Rivero-Santana2,3,4, Vanesa Ramos-García4, Andrea Duarte-Díaz4, Alezandra Torres-Castaño4, Ana Toledo-Chávarri2,4, Mario Herrera-Perez5, José Luis País-Brito2,5, José Carlos del Castillo6, José Ramón Vázquez7, Carola Orrego2,8 and Pedro Serrano-Aguilar1,2,3
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. Keywords: Hip osteoarthritis, Patient decision aids, Person-centered care, Shared decision-making, Web-based intervention, Randomized controlled trial
* Correspondence: [email protected] 1 Evaluation Unit of the Canary Islands Health Service (SESCS), Camino Candelaria, s/n. 38109, El Rosario, S/C de Tenerife, Spain 2 Health Services Research on Chronic Patients Network (REDISSEC), Tenerife, Spain Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a lin
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