Linda Li|Paul Adam|Catherine L. Backman|Sydney Lineker|Chelsea Jones|Diane Lacaille|Anne Townsend|Elaine Yacyshyn|Charlene Yousefi|Peter Tugwell|Jenny Leese|Dawn Stacey
Proof?of?Concept Study of a Web?Based Methotrexate Decision Aid for Patients With Rheumatoid Arthritis
Arthritis Research Centre of Canada|University of British Columbia|Vancouver Coastal Health|Arthritis Research Centre of Canada|University of British Columbia|Arthritis Society|University of Alberta|Arthritis Research Centre of Canada|University of British Columbia|Arthritis Research Centre of Canada|University of British Columbia|University of Alberta|Arthritis Research Centre of Canada|University of Ottawa|Arthritis Research Centre of Canada|Ottawa Hospital|University of Ottawa
objective assess extent online patient decision aid reduced decisional conflict improved selfmanagement knowledgeskills patients considering methotrexate rheumatoid arthritis ra methods used mixedmethods prepost study design eligible participants diagnosis ra prescribed methotrexate unsure starting access internet outcome included decisional conflict scale methotrexate ra knowledge test effective consumer scale paired tests used assess changes intervention randomly selected participants interviewed end study experiences decision aid results 30 participants 23 women mean sd age 549 149 years median disease duration 1 year interquartile range 0350 years mean sd decisional conflict changed 4950 2317 preintervention 2183 2412 postintervention change 2767 95 confidence interval 3989 1544 p lt 0001 knowledge methotrexate improved mean sd 3062 926 preintervention 4167 681 postintervention p lt 0001 change effective consumer attributes mean sd 6824 1246 preintervention 7294 1274 postintervention p 015 three themes emerged interviews 11 participants seeking confirmation ones knowledge methotrexate amplifying reluctance encountered information contradicting experiences clarifying thoughts next step process conclusion patients decisional conflict knowledge improved using patient decision aid interview findings highlighted power patients prior knowledge experiences ra approach information presented decision aid