Stephen Kearing|Susan Z. Berg|Jon D. Lurie
Can Decision Support Help Patients With Spinal Stenosis Make a Treatment Choice?
Dartmouth–Hitchcock Medical Center|Health Decisions (United States)|Health Decisions (United States)|Health Decisions (United States)
prospective randomized study patients lumbar spinal stenosis received decision support intervention facilitate treatment choicethe aim study assess impact telephone health coaching hc addition video decision aid da compared da alone patients spinal stenosistreatment options lumbar spinal stenosis include surgical nonsurgical approaches patient das hc shown help patients make informed treatment choice consistent personal preferenceseligible patients spinal stenosis identified orthopedic surgeon nonsurgical spine specialist consenting participants randomly assigned either video da video da along hc da hc patients completed baseline followup questionnaires 2 weeks 6 months decision support interventionsninetyeight patients randomized da hc group 101 daonly group 168 199 84 patients completed responses time points groups showed improved understanding spinal stenosis treatments progress decision making watching da p 0001 2 weeks patients coaching group made treatment decision da hc 74 vs da 52 p 001 6month followup uptake surgery similar groups da hc 21 surgery vs da 17 satisfaction treatments received similar groups da hc 84 satisfied vs da 85these results suggest watching video da improved patient knowledge reduced decisional uncertainty spinal stenosis treatment choice addition telephone coaching helped patients choose treatment quickly 6month decisional outcomes similar groups3