Glyn Elwyn|Timothy Pickles|Adrian Edwards|Katharine Kinsey|Kate Brain|Robert G. Newcombe|Jill Firth|Katy Marrin|Alan Nye|Fiona Wood
Supporting shared decision making using an Option Grid for osteoarthritis of the knee in an interface musculoskeletal clinic: A stepped wedge trial
Dartmouth Institute for Health Policy and Clinical Practice|Dartmouth College|Cardiff University|Cardiff University|Cochrane|Pennine Care NHS Foundation Trust|Cardiff University|Cochrane|Cochrane|Cardiff University|Pennine Care NHS Foundation Trust|Pennine Care NHS Foundation Trust|Cardiff University|Cochrane
evaluate whether introducing tools specifically designed use clinical encounters namely option grids clinical practice setting leads higher levels shared decision makinga stepped wedge trial design 6 physiotherapists interface clinic oldham uk sequentially instructed use option grid osteoarthritis knee patients suspected confirmed osteoarthritis knee recruited six per clinician prior instruction six per clinician afterwards measured shared decision making patient knowledge readiness decidea total 72 patients recruited 36 allocated intervention group 84 point 95 ci 44 122 increase observer option score range 0100 intervention group mean gain knowledge 09 points score range 05 95 ci 03 15 increase encounter durationshared decision making increased clinicians used knee osteoarthritis option gridtools designed support collaboration deliberation treatment options lead increased levels shared decision making