The effectiveness of a web-based decision aid for patients with hip osteoarthritis: study protocol for a randomized controlled trial

Lilisbeth Perestelo-Pérez, Yolanda Álvarez-Pérez, Amado Rivero-Santana, Vanesa Ramos-García, Andrea Duarte-Díaz, Alezandra Torres-Castaño, Ana Toledo-Chávarri, Mario Herrera-Perez, José Luis País-Brito, José Carlos Del Castillo, José Ramón Vázquez, Carola Orrego, Pedro Serrano-Aguilar, Lilisbeth Perestelo-Pérez, Yolanda Álvarez-Pérez, Amado Rivero-Santana, Vanesa Ramos-García, Andrea Duarte-Díaz, Alezandra Torres-Castaño, Ana Toledo-Chávarri, Mario Herrera-Perez, José Luis País-Brito, José Carlos Del Castillo, José Ramón Vázquez, Carola Orrego, Pedro Serrano-Aguilar

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; Randomized controlled trial; Shared decision-making; Web-based intervention.

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Flow of participants
Fig. 2
Fig. 2
Schedule of enrolment, interventions, and assessments (SPIRIT checklist)

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Source: PubMed

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