The impact of decision aids to enhance shared decision making for diabetes (the DAD study)

Protocol of a cluster randomized trial

Annie LeBlanc, Kari L. Ruud, Megan E. Branda, Kristina Tiedje, Kasey R. Boehmer, Laurie J. Pencille, Holly Van Houten, Marc Matthews, Nilay D Shah, Carl R. May, Barbara P. Yawn, Victor Manuel Montori

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background: Shared decision making contributes to high quality healthcare by promoting a patient-centered approach. Patient involvement in selecting the components of a diabetes medication program that best match the patients values and preferences may also enhance medication adherence and improve outcomes. Decision aids are tools designed to involve patients in shared decision making, but their adoption in practice has been limited. In this study, we propose to obtain a preliminary estimate of the impact of patient decision aids vs. usual care on measures of patient involvement in decision making, diabetes care processes, medication adherence, glycemic and cardiovascular risk factor control, and resource utilization. In addition, we propose to identify, describe, and explain factors that promote or inhibit the routine embedding of decision aids in practice. Methods/Design: We will be conducting a mixed-methods study comprised of a cluster-randomized, practical, multicentered trial enrolling clinicians and their patients (n = 240) with type 2 diabetes from rural and suburban primary care practices (n = 8), with an embedded qualitative study to examine factors that influence the incorporation of decision aids into routine practice. The intervention will consist of the use of a decision aid (Statin Choice and Aspirin Choice, or Diabetes Medication Choice) during the clinical encounter. The qualitative study will include analysis of video recordings of clinical encounters and in-depth, semi-structured interviews with participating patients, clinicians, and clinic support staff, in both trial arms. Discussion: Upon completion of this trial, we will have new knowledge about the effectiveness of diabetes decision aids in these practices. We will also better understand the factors that promote or inhibit the successful implementation and normalization of medication choice decision aids in the care of chronic patients in primary care practices.

Original languageEnglish (US)
Article number130
JournalBMC Health Services Research
Volume12
Issue number1
DOIs
StatePublished - 2012

Fingerprint

Decision Support Techniques
Decision Making
Patient Participation
Medication Adherence
Primary Health Care
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Video Recording
Patient Preference
Quality of Health Care
Type 2 Diabetes Mellitus
Aspirin
Patient Care
Interviews

Keywords

  • Cardiovascular prevention
  • Diabetes
  • Implementation
  • Shared decision making

ASJC Scopus subject areas

  • Health Policy

Cite this

The impact of decision aids to enhance shared decision making for diabetes (the DAD study) : Protocol of a cluster randomized trial. / LeBlanc, Annie; Ruud, Kari L.; Branda, Megan E.; Tiedje, Kristina; Boehmer, Kasey R.; Pencille, Laurie J.; Van Houten, Holly; Matthews, Marc; Shah, Nilay D; May, Carl R.; Yawn, Barbara P.; Montori, Victor Manuel.

In: BMC Health Services Research, Vol. 12, No. 1, 130, 2012.

Research output: Contribution to journalArticle

LeBlanc, A, Ruud, KL, Branda, ME, Tiedje, K, Boehmer, KR, Pencille, LJ, Van Houten, H, Matthews, M, Shah, ND, May, CR, Yawn, BP & Montori, VM 2012, 'The impact of decision aids to enhance shared decision making for diabetes (the DAD study): Protocol of a cluster randomized trial', BMC Health Services Research, vol. 12, no. 1, 130. https://doi.org/10.1186/1472-6963-12-130
LeBlanc, Annie ; Ruud, Kari L. ; Branda, Megan E. ; Tiedje, Kristina ; Boehmer, Kasey R. ; Pencille, Laurie J. ; Van Houten, Holly ; Matthews, Marc ; Shah, Nilay D ; May, Carl R. ; Yawn, Barbara P. ; Montori, Victor Manuel. / The impact of decision aids to enhance shared decision making for diabetes (the DAD study) : Protocol of a cluster randomized trial. In: BMC Health Services Research. 2012 ; Vol. 12, No. 1.
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