A pilot randomized controlled trial of a decision support tool to improve the quality of communication and decision-making in individuals with atrial fibrillation.

ABSTRACT:

Objectives

To design a tool for nonvalvular atrial fibrillation (NVAF) to inform individuals of their individual stroke and bleeding risks, assist in clarifying priorities, and promote communication.

Design

Clustered randomized controlled trial.

Setting

Primary care clinics.

Participants

Individuals with NVAF (N = 135).

Intervention

Completion of tool before regularly scheduled visit.

Measurements

Primary outcomes included the 100-point informed and values clarity subscales of the decisional conflict scale (lower scores indicate individual is more informed and has greater clarity). Secondary outcomes included knowledge, patient-clinician communication, and change in treatment.

Results

Sixty-nine individuals were enrolled in the intervention

SUBMITTER: Fraenkel L 

PROVIDER: S-EPMC3419306 | biostudies-literature | 2012 Aug

REPOSITORIES: biostudies-literature