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Option Grids Study

Option Grids: easy to use shared decision making tools for disadvantaged groups

Musculoskeletal (co-adopted by HealthServices)
Portfolio Eligibility
Automatically eligible
UKCRN ID 11873
Research Summary
The UK, like the USA, wants patients to experience shared decision making: ‘no decision without me' as recent policy papers state. We know that complex extensive patient support tools (decision aids) help patients become active partners in making health care decisions and in learning to self-manage ong term illnesses. However, we also know that it is very difficult to get these extensive tools used in clinical practice, for a range of practical reasons. The aim of this research is to provide evidence that patient decision support tools are also effective when provided in brief formats (Option Grids), and designed so that they can be used by people who are disadvantaged by low literacy levels or language barriers. We propose to study the impact of introducing Option Grids to practitioners to use in their face to face encounters. We will instruct them in how to use them. The intervention is brief and requires minimal training. In pilot work, the tools have provided promising results. The stepped wedge design allows the comparison of outcomes for patients who are seen before and after the practitioners are given access to the tools. It also allows for staged data collection, so that day to day patient flows are not disrupted by a research process. We want to assess whether this intervention leads to more SDM and whether or not it could be sustained in routine clinics.
Study Type Interventional
Design Type Not specified
Disease(s) Musculoskeletal
Phase N/A
Current Status Closed - in follow-up
Closure Date 2/17/2014
Global Sample Size 72
Global Recruitment to Date
Geographical Scope Single Centre
Lead Country England
Main Inclusion Criteria
Patient participants: Patient participants will be included in this study who are: Over the age of 18 years Referred to Pennine MSK Ltd with oesteoarthritis of the knee Who have provided written informed consent to participate Practitioner participants: Practitioner participants are practitioners at Pennine MSK Ltd who have provided written informed consent to participate.
Main Exclusion Criteria
Patient participants: There are no specific exclusion criteria. We will only exclude those patient participants who are unable to communicate adequately in English (as judged by their ability to understand the information sheet) and where we do not have interpreters or family members available face to face to assist their participation. Practitioner particpants: There are no specific exclusion criteria for practitioner participants.
Chief Investigator(s)
Prof Glyn Elwyn
Further details, please contact
Prof Glyn Elwyn

Cardiff University
Department of Primary Care and Public Health
Centre for Health Sciences Research
3rd Floor, Neuadd Meirionnydd
Heath Park
South Glamorgan
CF14 4XN

Tel: 029 206 87195
Funder(s) Bupa Foundation, The
Sponsor(s) Cardiff University
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