Shared Decision Making in Patients with Stable Coronary Artery Disease

PCI Choice

Megan Coylewright, Kathy Shepel, Annie LeBlanc, Laurie Pencille, Erik Hess, Nilay D Shah, Victor Manuel Montori, Henry H. Ting

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Background: Percutaneous coronary intervention (PCI) and optimal medical therapy (OMT) are comparable, alternative therapies for many patients with stable angina; however, patients may have misconceptions regarding the impact of PCI on risk of death and myocardial infarction (MI) in stable coronary artery disease (CAD). Methods and Results: We designed and developed a patient-centered decision aid (PCI Choice) to promote shared decision making for patients with stable CAD. The estimated benefits and risks of PCI+OMT as compared to OMT were displayed in a decision aid using pictographs with natural frequencies and text. We engaged patients, clinicians, health service researchers, and designers with over 20 successive iterations of the decision aid, which were field tested during real-world clinical encounters involving clinicians and patients. The decision aid is intended to facilitate knowledge transfer, deliberation based on patient values and preferences, and shared decision making. Conclusions: We describe the methods and outcomes of the design and development of a decision aid (PCI Choice) to promote shared decision making between clinicians and patients regarding the choice of PCI+OMT vs. OMT for treatment of stable CAD. We will evaluate the impact of PCI Choice on patient knowledge, decisional conflict, participation in decision-making, and treatment choice in an upcoming randomized trial.

Original languageEnglish (US)
Article numbere49827
JournalPLoS One
Volume7
Issue number11
DOIs
StatePublished - Nov 30 2012

Fingerprint

Percutaneous Coronary Intervention
Coronary Artery Disease
decision making
Decision Making
Decision making
Decision Support Techniques
decision support systems
therapeutics
Therapeutics
Natural frequencies
Health
Stable Angina
coronary artery disease
Patient Preference
alternative medicine
Complementary Therapies
myocardial infarction
Health Services
health services
Myocardial Infarction

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Coylewright, M., Shepel, K., LeBlanc, A., Pencille, L., Hess, E., Shah, N. D., ... Ting, H. H. (2012). Shared Decision Making in Patients with Stable Coronary Artery Disease: PCI Choice. PLoS One, 7(11), [e49827]. https://doi.org/10.1371/journal.pone.0049827

Shared Decision Making in Patients with Stable Coronary Artery Disease : PCI Choice. / Coylewright, Megan; Shepel, Kathy; LeBlanc, Annie; Pencille, Laurie; Hess, Erik; Shah, Nilay D; Montori, Victor Manuel; Ting, Henry H.

In: PLoS One, Vol. 7, No. 11, e49827, 30.11.2012.

Research output: Contribution to journalArticle

Coylewright, M, Shepel, K, LeBlanc, A, Pencille, L, Hess, E, Shah, ND, Montori, VM & Ting, HH 2012, 'Shared Decision Making in Patients with Stable Coronary Artery Disease: PCI Choice', PLoS One, vol. 7, no. 11, e49827. https://doi.org/10.1371/journal.pone.0049827
Coylewright, Megan ; Shepel, Kathy ; LeBlanc, Annie ; Pencille, Laurie ; Hess, Erik ; Shah, Nilay D ; Montori, Victor Manuel ; Ting, Henry H. / Shared Decision Making in Patients with Stable Coronary Artery Disease : PCI Choice. In: PLoS One. 2012 ; Vol. 7, No. 11.
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