Implementation of a Decision Aid for Hip and Knee Osteoarthritis in Orthopedics: A Mixed-Methods Process Evaluation

Jeroen Klaas Jacobus Bossen, Julia Aline Wesselink, Ide Christiaan Heyligers and Jesse Jansen
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Jeroen Klaas Jacobus Bossen: School of Health Professions Education, Maastricht University, Maastricht, the Netherlands
Julia Aline Wesselink: School for Public Health and Primary Care CAPHRI, Maastricht University, Maastricht, the Netherlands
Ide Christiaan Heyligers: School of Health Professions Education, Maastricht University, Maastricht, the Netherlands
Jesse Jansen: School for Public Health and Primary Care CAPHRI, Maastricht University, Maastricht, the Netherlands

Medical Decision Making, 2024, vol. 44, issue 1, 112-122

Abstract: Background In orthopedics, the use of patient decision aids (ptDAs) is limited. With a mixed-method process evaluation, we investigated patient factors associated with accepting versus declining the use of the ptDA, patients’ reasons for declining the ptDA, and clinicians’ perceived barriers and facilitators for its use. Methods Patients with an indication for joint replacement surgery ( N  = 153) completed questionnaires measuring demographics, physical functioning, quality of life (EQ-5D-3L), and a visual analog scale (VAS) pain score at 1 time point. Subsequently, their clinician offered them the relevant ptDA. Using a retrospective design, we compared patients who used the ptDA (59%) with patients who declined (41%) on all these measures as well as the chosen treatment. If the use of the ptDA was declined, patients’ reasons were recorded by their clinician and analysed ( n  = 46). To evaluate the experiences of clinicians ( n  = 5), semistructured interviews were conducted and thematically analyzed. Clinicians who did not use the ptDA substantially (

Keywords: patient decision aids; shared decision-making; orthopeadics; evaluation study (search for similar items in EconPapers)
Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:44:y:2024:i:1:p:112-122

DOI: 10.1177/0272989X231205858

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