Clinical Trial: Shared Decision Making in Older Adults With Distal Radius Fractures

Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Interventional

Official Title: Shared Decision Making in Older Adults With Distal Radius Fractures

Brief Summary: 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.

Detailed Summary:

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.

Sponsor: Washington University School of Medicine

Current Primary Outcome: Decision Conflict Score [ Time Frame: Immediate post appointment ]

Original Primary Outcome: Same as current

Current Secondary Outcome:

• Decision regret scale [ Time Frame: 6 weeks and 6 months post appointment ]
  Validated measure for decision regret
• Patient knowledge [ Time Frame: immediate post appointment ]
  Knowledge quiz created to evaluate knowledge of distal radius treatment options

Original Secondary Outcome: Same as current

Information By: Washington University School of Medicine

Dates:
Date Received: May 1, 2016
Date Started: December 2015
Date Completion: June 2018
Last Updated: May 24, 2016
Last Verified: May 2016