A decision aid to facilitate informed choices among cataract patients: A randomized controlled trial |
| |
| Authors: | Guofang Ye Bo Qu Yih-Chung Tham Yuxin Zhong Ling Jin Ecosse Lamoureux Nathan Congdon Yingfeng Zheng Yizhi Liu |
| |
| Affiliation: | 1. State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China;2. Singapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore;3. Centre for Public Health, Queen’s University Belfast, Belfast, Ireland;1. Johns Hopkins University School of Medicine, Department of Otolaryngology, Baltimore, USA;2. Harvard Medical School, Boston Children’s Hospital, Boston, USA;3. Johns Hopkins University School of Medicine, Department of Medicine, Baltimore, USA;1. University of Rochester School of Nursing, 601 Elmwood Ave, Box SON, Rochester, NY, 14642, USA;2. University of Rochester Medical Center, Department of Biostatistics and Computational Biology, 601 Elmwood Ave, Box 630, Rochester, NY, 14642, USA;3. University of Rhode Island College of Nursing, 350 Eddy St., Providence, RI, 02905, USA;4. Johns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD, 21205, USA;1. Department of Oncology & Diagnostic Sciences, University of Maryland School of Dentistry, 650 W Baltimore St., 7th Floor North, Baltimore, MD 21201, United States;2. The Johns Hopkins University, 525 N Wolfe St, Baltimore, MD 21205, United States;3. Johns Hopkins Bayview Medical Center, 4940 Eastern Ave, Baltimore, MD 21224, United States;1. Department of Management and Marketing, Faculty of Business, Hong Kong Polytechnic University, Kowloon, Hong Kong;2. JinShiYuan Consultant Co., Beijing, China;1. Charité – Universitätsmedizin Berlin, Department of Gynecology, Berlin, Germany;2. Charité – Universitätsmedizin Berlin, Department of Gender in Medicine, Berlin, Germany;3. Technische Universität Berlin, Department of Psychology and Ergonomics (IPA), Division of Ergonomics, Berlin, Germany;4. Charité – Universitätsmedizin Berlin, Hereditary Breast and Ovarian Cancer Center, Berlin, Germany |
| |
| Abstract: | ObjectiveTo assess the effect of a patient decision aid on the quality of decision-making for patients with age-related cataracts.Methods773 patients with cataracts aged 50–80 years were randomly assigned to receive either the intervention decision aid (including standard information, quantitative information on the possible outcomes of cataract surgery and a value clarification exercise) or the control booklet (including standard information). The primary outcome was informed choice (defined as adequate knowledge and congruency between attitudes and surgical intentions), which was assessed at 2 weeks after intervention via a telephone interview.ResultsThe decision aid increased the proportion of participants making an informed choice, from 5.68 % in the control group to 27.7 % in the intervention group (P < 0.001). Compared with controls, more participants in the intervention group had adequate overall knowledge about cataract surgery (36.8 % vs. 8.79 % in controls; P < 0.001), and fewer participants intended to undergo surgery (22.5 % vs. 34.1 % in controls; P < 0.001).ConclusionUse of the patient decision aid may increase the proportion of patients making informed choices. Importantly, it might also reduce the acceptance of operations.Practice implications: Patient decision aids represent a simple and low-cost tool to facilitate informed choice among patients with cataracts. |
| |
| Keywords: | Cataract Cataract surgery Informed choice Decision aid |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
