Crohn's disease shared decision making intervention leads to more patients choosing combination therapy: a cluster randomised controlled trial.

ABSTRACT:

Background

Crohn's disease requires effective patient-clinician communication for successful illness and medication management. Shared decision making (SDM) has been suggested to improve communication around early intensive therapy. However, effective evidence-based SDM interventions for Crohn's disease are lacking, and the impact of SDM on Crohn's disease decision making and choice of therapy is unclear.

Aim

To test the impact of SDM on choice of therapy, quality of the decision and provider trust compared to standard Crohn's disease care.

Methods

We conducted a multi-site cluster randomised controlled trial in 14 diverse gastroenterology practices in the US.

Results

A total of 158 adult patients with Crohn's disease within 15 years of their diagnosis, with no

SUBMITTER: Zisman-Ilani Y 

PROVIDER: S-EPMC9790033 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature