IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v44y2024i1p112-122.html
   My bibliography  Save this article

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

Author

Listed:
  • Jeroen Klaas Jacobus Bossen

    (School of Health Professions Education, Maastricht University, Maastricht, the Netherlands
    Department of Orthopedic Surgery and Traumatology, Zuyderland Medical Centre, Heerlen/Geleen, the Netherlands
    Orthopedic Department of University Hospitals Leuven, Leuven, Belgium)

  • 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
    Department of Orthopedic Surgery and Traumatology, Zuyderland Medical Centre, Heerlen/Geleen, the Netherlands)

  • Jesse Jansen

    (School for Public Health and Primary Care CAPHRI, Maastricht University, Maastricht, the Netherlands)

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 (

Suggested Citation

  • Jeroen Klaas Jacobus Bossen & Julia Aline Wesselink & Ide Christiaan Heyligers & Jesse Jansen, 2024. "Implementation of a Decision Aid for Hip and Knee Osteoarthritis in Orthopedics: A Mixed-Methods Process Evaluation," Medical Decision Making, , vol. 44(1), pages 112-122, January.
    • Handle: RePEc:sae:medema:v:44:y:2024:i:1:p:112-122
    DOI: 10.1177/0272989X231205858
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X231205858
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X231205858?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:44:y:2024:i:1:p:112-122. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.