Supporting informed choice in acupuncture: effects of a new person-, evidence- and theory-based website for patients with back pain

Bishop, Felicity L.; Greville-Harris, Maddy; Bostock, Jennifer; Din, Amy; Graham, Cynthia A.; Lewith, George; Liossi, Christina; O’Riordan, Tim; White, Peter; Yardley, Lucy

doi:10.1177/0964528419827228

Cited by 7 publications

(10 citation statements)

References 41 publications

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“…Five studies [24,31,38,41,42] evaluated patients with either hip or knee OA. Four studies [23,30,39,43] evaluated patients with chronic back pain. One study [35] evaluated patients with knee pain, back pain, knee OA, and/or hip OA.…”

Section: Characteristics Of Study Participantsmentioning

confidence: 99%

“…In 13 studies [24,25,28,29,31,[34][35][36][37][38][39]41,42], patients were deciding between surgical and conservative management of chronic pain conditions, including joint replacement and back surgery. In the other four studies [23,27,30,43], patients used decision aids to decide among nonsurgical treatment options, including acupuncture, medications, injections, exercise-based therapy, and cognitive behavioral therapy.…”

Section: Types Of Decisionsmentioning

confidence: 99%

“…Eleven [24,25,28,29,31,35,36,38,39,41,42] of the decision aids studied included videos and were studied either alone or in combination with additional interventions such as motivational interviewing, ACA software, or patient preference reports for the surgeon. Allen [38], Bishop [23], and Wilkens [37] used Internet-based patient decision aids. Timmers [34] and Weymann [43] used interactive patient decision aid apps.…”

Section: Characteristics Of the Decision Aidsmentioning

confidence: 99%

“…Patel [30] used a paper decision aid in combination with shared decision-making training for physiotherapists. Twelve studies [23][24][25][27][28][29][30][31][34][35][36][37] compared the decision aids with usual care. Allen [38] compared a video decision aid to an Internet-based decision aid.…”

Section: Characteristics Of the Decision Aidsmentioning

confidence: 99%

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Do Decision Aids Benefit Patients with Chronic Musculoskeletal Pain? A Systematic Review

et al. 2019

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Objective To review the effect of patient decision aids for adults making treatment decisions regarding the management of chronic musculoskeletal pain. Methods We performed a systematic review of randomized controlled trials of adults using patient decision aids to make treatment decisions for chronic musculoskeletal pain in the outpatient setting. Results Of 477 records screened, 17 met the inclusion criteria. Chronic musculoskeletal pain conditions included osteoarthritis of the hip, knee, or trapeziometacarpal joint and back pain. Thirteen studies evaluated the use of a decision aid for deciding between surgical and nonsurgical management. The remaining four studies evaluated decision aids for nonsurgical treatment options. Outcomes included decision quality, pain, function, and surgery utilization. The effects of decision aids on decision-making outcomes were mixed. Comparing decision aids with usual care, all five studies that examined knowledge scores found improvement in patient knowledge. None of the four studies that evaluated satisfaction with the decision-making process found a difference with use of a decision aid. There was limited and inconsistent data on other decision-related outcomes. Of the eight studies that evaluated surgery utilization, seven found no difference in surgery rates with use of a decision aid. Five studies made comparisons between different types of decision aids, and there was no clearly superior format. Conclusions Decision aids may improve patients’ knowledge about treatment options for chronic musculoskeletal pain but largely did not impact other outcomes. Future efforts should focus on improving the effectiveness of decision aids and incorporating nonpharmacologic and nonsurgical management options.

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Section: Characteristics Of Study Participantsmentioning

confidence: 99%

Section: Types Of Decisionsmentioning

confidence: 99%

Section: Characteristics Of the Decision Aidsmentioning

confidence: 99%

Section: Characteristics Of the Decision Aidsmentioning

confidence: 99%

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Do Decision Aids Benefit Patients with Chronic Musculoskeletal Pain? A Systematic Review

et al. 2019

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“…A recent systematic review identified 17 randomized controlled trials of decision aids for chronic musculoskeletal pain, all targeting specific pain etiologies (such as hip or knee osteoarthritis). Only four decision aids addressed conservative management strategies [ 41 – 44 ]. Most [ 12 ] focused on decisions to undergo surgery.…”

Section: Introductionmentioning

confidence: 99%

Improving patient-provider communication about chronic pain: development and feasibility testing of a shared decision-making tool

Col

Hull

Springmann

et al. 2020

BMC Med Inform Decis Mak

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Background Chronic pain has emerged as a disease in itself, affecting a growing number of people. Effective patient-provider communication is central to good pain management because pain can only be understood from the patient’s perspective. We aimed to develop a user-centered tool to improve patient-provider communication about chronic pain and assess its feasibility in real-world settings in preparation for further evaluation and distribution. Methods To identify and prioritize patient treatment goals for chronic pain, strategies to improve patient-provider communication about chronic pain, and facilitate implementation of the tool, we conducted nominal group technique meetings and card sorting with patients with chronic pain and experienced providers (n = 12). These findings informed the design of the PainAPP tool. Usability and beta-testing with patients (n = 38) and their providers refined the tool and assessed its feasibility, acceptability, and preliminary impact. Results Formative work revealed that patients felt neither respected nor trusted by their providers and focused on transforming providers’ negative attitudes towards them, whereas providers focused on gathering patient information. PainAPP incorporated areas prioritized by patients and providers: assessing patient treatment goals and preferences, functional abilities and pain, and providing patients tailored education and an overall summary that patients can share with providers. Beta-testing involved 38 patients and their providers. Half of PainAPP users shared their summaries with their providers. Patients rated PainAPP highly in all areas. All users would recommend it to others with chronic pain; nearly all trusted the information and said it helped them think about my treatment goals (94%), understand my chronic pain (82%), make the most of my next doctor’s visit (82%), and not want to use opioids (73%). Beta-testing revealed challenges delivering the tool and summary report to patients and providers in a timely manner and obtaining provider feedback. Conclusions PainAPP appears feasible for use, but further adaptation and testing is needed to assess its impact on patients and providers. Trial registration This study was approved by the University of New England Independent Review Board for the Protection of Human Subjects in Research (012616–019) and was registered with ClinicalTrials.gov (protocol ID: NCT03425266) prior to enrollment. The trial was prospectively registered and was approved on February 7, 2018.

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Effect of Information Content and General Practitioner Recommendation to Exercise on Treatment Beliefs and Intentions for Knee Osteoarthritis: An Online Multi‐Arm Randomized Controlled Trial

Lawford

Bennell

Hall

et al. 2022

ACR Open Rheumatology

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To evaluate effects of general osteoarthritis (OA) information in addition to a treatment option grid and general practitioner (GP) recommendation to exercise on treatment beliefs and intentions.Methods. An online randomized trial of 735 people 45 years old or older without OA who were recruited from a consumer survey network. Participants read a hypothetical scenario about visiting their GP for knee problems and were randomized to the following: i) 'general information', ii) 'option grid' (general information plus option grid), or iii) 'option grid plus recommendation' (general information plus option grid plus GP exercise recommendation). The primary outcome was an agreement that exercise is the best management option (0-10 numeric rating scale; higher scores indicating higher agreement that exercise is best). The secondary outcomes were beliefs about other management options and management intentions. Linear regression models estimated the mean (95% confidence interval [CI]) betweengroup difference in postintervention scores, adjusted for baseline.Results. Option grid plus recommendation led to higher agreement that exercise is the best management by a mean of 0.4 units (95% CI: 0.1-0.6) compared with general information. There were no other between-group differences for the primary outcome. Option grid led to higher agreement that surgery was best, and x-rays were necessary, compared with general information (mean between-group differences

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Supporting informed choice in acupuncture: effects of a new person-, evidence- and theory-based website for patients with back pain

Cited by 7 publications

References 41 publications

Do Decision Aids Benefit Patients with Chronic Musculoskeletal Pain? A Systematic Review

Do Decision Aids Benefit Patients with Chronic Musculoskeletal Pain? A Systematic Review

Improving patient-provider communication about chronic pain: development and feasibility testing of a shared decision-making tool

Effect of Information Content and General Practitioner Recommendation to Exercise on Treatment Beliefs and Intentions for Knee Osteoarthritis: An Online Multi‐Arm Randomized Controlled Trial

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