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A Simple Goal Elicitation Tool Improves Shared Decision Making in Outpatient Orthopedic Surgery: A Randomized Controlled Trial

Author

Listed:
  • Kevin Mertz

    (VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, CA, USA)

  • Romil F. Shah

    (VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, CA, USA)

  • Sara L. Eppler

    (VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, CA, USA)

  • Jeffrey Yao

    (VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, CA, USA)

  • Marc Safran

    (VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, CA, USA)

  • Ariel Palanca

    (VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, CA, USA)

  • Serena S. Hu

    (VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, CA, USA)

  • Michael Gardner

    (VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, CA, USA)

  • Derek F. Amanatullah

    (VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, CA, USA)

  • Robin N. Kamal

    (VOICES Health Policy Research Center, Department of Orthopaedic Surgery, Stanford University, CA, USA)

Abstract

Introduction . Shared decision making involves educating the patient, eliciting their goals, and collaborating on a decision for treatment. Goal elicitation is challenging for physicians as previous research has shown that patients do not bring up their goals on their own. Failure to properly elicit patient goals leads to increased patient misconceptions and decisional conflict. We performed a randomized controlled trial to test the efficacy of a simple goal elicitation tool in improving patient involvement in decision making. Methods . We conducted a randomized, single-blind study of new patients presenting to a single, outpatient surgical center. Prior to their consultation, the intervention group received a demographics questionnaire and a goal elicitation worksheet. The control group received a demographics questionnaire only. After the consultation, both groups were asked to complete the Perceived Involvement in Care Scale (PICS) survey. We compared the mean PICS scores for the intervention and control groups using a nonparametric Mann-Whitney Wilcoxon test. Secondary analysis included a qualitative content analysis of the patient goals. Results . Our final cohort consisted of 96 patients (46 intervention, 50 control). Both groups were similar in terms of demographic composition. The intervention group had a significantly higher mean (SD) PICS score compared to the control group (9.04 [2.15] v. 7.54 [2.27], P

Suggested Citation

  • Kevin Mertz & Romil F. Shah & Sara L. Eppler & Jeffrey Yao & Marc Safran & Ariel Palanca & Serena S. Hu & Michael Gardner & Derek F. Amanatullah & Robin N. Kamal, 2020. "A Simple Goal Elicitation Tool Improves Shared Decision Making in Outpatient Orthopedic Surgery: A Randomized Controlled Trial," Medical Decision Making, , vol. 40(6), pages 766-773, August.
    • Handle: RePEc:sae:medema:v:40:y:2020:i:6:p:766-773
    DOI: 10.1177/0272989X20943520
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    References listed on IDEAS

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