Shared Decision Making in Older Adults With Distal Radius Fractures

Study Overview
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Brief Summary
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This is a study to investigate the use of a Decision Aid for shared decision making in older adults with distal radius fractures. The goal is to improve patient decisions making, and improve patient knowledge through the use of a validated decision aid.

Detailed Description
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Shared decision making has become a increasingly important with the goal of helping patients make decisions that more align with patients values and goals. Decision aids are validated instruments that provide unbiased information and guide patients through questions that allow patients to clarify patients goals. Older adults with distal radius fractures have increasing evidence of ability to tolerate residual deformity with little to no functional deficits, which has called into question the indications for surgery. In situations where the operative indications are not clear, it is important to engage the patient in the risk and benefits of the decision. This trial is a prospective trial with two groups, one standard of care, and one with the decision aid.

Official Title
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Shared Decision Making in Older Adults With Distal Radius Fractures

Conditions
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Radius Fracture

Intervention / Treatment
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* Other: Decision Aid


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Distal radius fracture within the past 2 weeks Initial appointment seeing Attending Age 65+ Exclusion Criteria: Non english speaker Dementia or other mental limitation preventing ability to complete survey Other traumatic injuries in extremity that would affect surgical decision

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br>This group will not be exposed to the decision aid. Patients will complete the same surveys, and will be followed for the same length of time. | |
| Experimental: Decision Aid<br>This group will be exposed to the decision aid before the patients appointment with the surgeon. Patients will also complete the same outcome surveys, and will be followed for the same length of time. | Other: Decision Aid<br>* Decision aid which is still under revision will include unbiased information to assist is clarifying values and informing patients with distal radius fractures.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decision Conflict Score | Validated measure for decision conflict | Immediate post appointment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decision regret scale | Validated measure for decision regret | 6 weeks and 6 months post appointment | 
| Patient knowledge | Knowledge quiz created to evaluate knowledge of distal radius treatment options | immediate post appointment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Decision aid, Shared decision making, Older adult patients, Distal radius fracture