Trigger Finger Preference Elicitation Tool

Study Overview
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Brief Summary
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The purpose of this study is to evaluate a patient's level of decisional conflict for their treatment decision regarding their trigger finger, and study if the use of a preference elicitation tool at point of care is able to alter the level of decisional conflict

Detailed Description
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All patients presenting to the Hand Surgery clinic for evaluation of a new trigger finger will be approached for inclusion in the study. Upon diagnosis, a patient diagnosed with a trigger will be informed of the study, asked if they would like to participate, and consented into the study. Patients will then be randomized to a control group versus our test group. The control group will be given a generic handout about trigger finger and the treatment options. They will then complete the decisional conflict survey without using the tool. The second group will use the tool and then complete the decisional conflict survey. The standard of care is not being altered- all treatment options will still be available to patients and they have select whatever option is most in line with their preference for treatment. The purpose of the tool is to facilitate preference elicitation for treatment.

Official Title
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Does the Use of a Preference Elicitation Tool at Point of Care in Trigger Finger Change Decisional Conflict?

Conditions
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Trigger Thumb, Right Thumb, Trigger Finger, Ring Finger, Trigger Finger, Index Finger, Trigger Finger, Middle Finger, Trigger Finger, Little Finger, Trigger Thumb, Unspecified Thumb, Trigger Finger, Unspecified Finger, Trigger Finger, Trigger Thumb, Trigger Digit, Trigger Finger Disorder, Trigger Thumb, Left Thumb

Intervention / Treatment
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* Other: Preference elicitation tool
* Other: handout


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: diagnosis of trigger finger Exclusion Criteria: prior trigger finger treatment

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Control<br> | Other: handout<br>* handout with information about trigger fingers<br>|
| Experimental: intervention- tool<br> | Other: Preference elicitation tool<br>* Ranking tool to assess patient preferences for trigger finger treatment<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decisional Conflict Scale (DCS) | Decisional Conflict Scale (DCS) is a validated tool that measures a state of uncertainty about a course of action. DCS is a 16 item scale, scores range from 0-100, with higher scores indicating greater decisional conflict | Immediately after visit |