Shared Decision Making in Older Adults With Distal Radius Fractures

Radius Fracture Clinical Trial

Official title:

Shared Decision Making in Older Adults With Distal Radius Fractures

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT02782299
• Other study ID #: 201512001
• Status: Terminated
• Phase: N/A
• Start date: December 2015
• Est. completion date: November 2018

Study information

• Verified date: January 2019
• Source: Washington University School of Medicine
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Description:

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.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 32
• Est. completion date: November 2018
• Est. primary completion date: November 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• Distal radius fracture within the past 2 weeks

• Initial appointment seeing Attending

• Age 65+

Exclusion Criteria:

• Non english speaker

• Dementia or other mental limitation preventing ability to complete survey

• Other traumatic injuries in extremity that would affect surgical decision

Related Conditions & MeSH terms

• Fractures, Bone
• Radius Fracture
• Radius Fractures

Intervention

Other:
• Decision Aid
Decision aid which is still under revision will include unbiased information to assist is clarifying values and informing patients with distal radius fractures.

Locations

Country	Name	City	State
United States	Washington University-St Louis	Saint Louis	Missouri

Sponsors (1)

Lead Sponsor	Collaborator
Washington University School of Medicine

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Decision Conflict Score	Validated measure for decision conflict	Immediate post appointment
Secondary	Decision regret scale	Validated measure for decision regret	6 weeks and 6 months post appointment
Secondary	Patient knowledge	Knowledge quiz created to evaluate knowledge of distal radius treatment options	immediate post appointment