TY - JOUR
T1 - Effectiveness of shared decision-making intervention in patients with lumbar degenerative diseases
T2 - A randomized controlled trial
AU - Chen, Chia Hsien
AU - Kang, Yi No
AU - Chiu, Po Yao
AU - Huang, Yi Jing
AU - Elwyn, Glyn
AU - Wu, Meng Huang
AU - Kang, Jiunn Horng
AU - Hou, Wen Hsuan
AU - Kuo, Ken N.
N1 - Funding Information:
This study was supported by the Ministry of Science and Technology (grant number MOST-107-2314-B-038-026-MY3), Taipei Medical University? Shuang Ho Hospital, Ministry of Health and Welfare (grant numbers 107 TMU-SHH-17, 108TMU-SHH-23), and Taipei Medical University Hospital (109TMUH-H-01).
Publisher Copyright:
© 2021 Elsevier B.V.
PY - 2021/10
Y1 - 2021/10
N2 - Objective: To evaluate the efficacy of shared decision-making (SDM) intervention among patients with lumbar degenerative diseases (LDDs) in terms of decision self-efficacy, control preferences, SDM process, decision satisfaction, and conflict. Methods: A total of 130 outpatients with LDDs recruited from orthopedic or rehabilitation clinics were randomly assigned to the SDM intervention (n = 67) or comparison (n = 63) groups. Patients in the intervention group received decision aids (DAs) with decision coaching and those in controlled group received standard educational materials from a health educator. The primary outcome was decision self-efficacy, and secondary outcomes were control preference, SDM process, conflict, and satisfaction. Results: The SDM intervention significantly improved decision self-efficacy (mean difference [MD] = 7.1, 95% confidence interval [CI]: 1.7–12.5, partial η2 = 0.05) and reduced conflict (MD = −7.0, 95% CI: −12.2 to −1.9, partial η2 = 0.06), especially in patients without family involvement, compared with the health education group. However, no significant between-group differences were observed in other outcomes. Conclusion: SDM intervention improved SDM self-efficacy and reduced conflict in patients with LDDs. Practice Implications: Clinicians can integrate DAs and decision coaching in SDM conversations. SDM intervention seems to engage patients in decision-making, especially those without family involvement.
AB - Objective: To evaluate the efficacy of shared decision-making (SDM) intervention among patients with lumbar degenerative diseases (LDDs) in terms of decision self-efficacy, control preferences, SDM process, decision satisfaction, and conflict. Methods: A total of 130 outpatients with LDDs recruited from orthopedic or rehabilitation clinics were randomly assigned to the SDM intervention (n = 67) or comparison (n = 63) groups. Patients in the intervention group received decision aids (DAs) with decision coaching and those in controlled group received standard educational materials from a health educator. The primary outcome was decision self-efficacy, and secondary outcomes were control preference, SDM process, conflict, and satisfaction. Results: The SDM intervention significantly improved decision self-efficacy (mean difference [MD] = 7.1, 95% confidence interval [CI]: 1.7–12.5, partial η2 = 0.05) and reduced conflict (MD = −7.0, 95% CI: −12.2 to −1.9, partial η2 = 0.06), especially in patients without family involvement, compared with the health education group. However, no significant between-group differences were observed in other outcomes. Conclusion: SDM intervention improved SDM self-efficacy and reduced conflict in patients with LDDs. Practice Implications: Clinicians can integrate DAs and decision coaching in SDM conversations. SDM intervention seems to engage patients in decision-making, especially those without family involvement.
KW - Lumbar degenerative diseases
KW - Randomized controlled trial
KW - Self-efficacy, decision aid
KW - Shared decision-making
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U2 - 10.1016/j.pec.2021.03.002
DO - 10.1016/j.pec.2021.03.002
M3 - Article
AN - SCOPUS:85102639656
SN - 0738-3991
VL - 104
SP - 2498
EP - 2504
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 10
ER -