Atrial Fibrillation Clinical Trial
Official title:
Improving Quality of Care for Atrial Fibrillation by Promoting Patient-Centered Decision Making
The primary aim of this proposal is to determine the effectiveness of a decision support tool on improving the process of shared decision-making for treatment on nonvalvular atrial fibrillation (NVAF) compared to receipt of usual care.
Decision-making regarding appropriate therapy for non-valvular atrial fibrillation (NVAF) is
a complex process. Different options carry with them different profiles of risks and
benefits, and choosing the "right" therapy depends upon the patient's understanding of these
risks and benefits and a consideration of the risks and benefits according to the patient's
values and preferences. Studies have shown that patients' preferred therapy frequently
disagrees with what is recommended by disease management guidelines.
The purpose of this study is to examine an intervention to improve the quality of
decision-making for NVAF compared to usual care. The intervention has several components,
including: a) educating the patient about why values and preferences are important to the
decision-making process, b) providing an individualized assessment of the risks and benefits
of each of the treatment options, c) exploring patients' values and preferences as they
relate to the risks and benefits of each of the treatment options, d) preparing the patient
to discuss his/her preferences with the physician.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor)
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