Facilitating Shared Decision Making Among Black Patients at Risk for Sudden Cardiac Arrest : A Randomized Clinical Trial.

ABSTRACT:

Background

Racial disparities in implantable cardioverter-defibrillator (ICD) implantation are multifactorial and are partly explained by higher refusal rates.

Objective

To assess the effectiveness of a video decision support tool for Black patients eligible for an ICD.

Design

Multicenter, randomized clinical trial conducted between September 2016 and April 2020. (ClinicalTrials.gov: NCT02819973).

Setting

Fourteen academic and community-based electrophysiology clinics in the United States.

Participants

Black adults with heart failure who were eligible for a primary prevention ICD.

Intervention

An encounter-based video decision support tool or usual care.

Measurements

The primary outcome was the decision regarding ICD implantation. Additiona

SUBMITTER: Thomas KL 

PROVIDER: S-EPMC10354526 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature