A decision tool to improve the quality of care in rheumatoid arthritis
Arthritis Care & Research ,

Fraenkel L et al. – A tool designed to effectively communicate the risks and benefits associated with biologic therapy increased knowledge, patient willingness to escalate care, and the likelihood of making an informed choice. The results of this study support the need for a clinical trial to examine the impact of the tool in clinical practice.

  • The authors developed a balanced, web–based, decision support tool. Options, values and probabilistic information were described using theoretically supported formulations.
  • They conducted a pre–post test study to assess preliminary evidence of the tool's efficacy in improving knowledge related to biologics, clarity of values, willingness to take a biologic and informed choice.

  • They interviewed 104 subjects; mean age = 62; 84% female, 86% White; median duration of RA = 13 years.
  • Knowledge (coded on a 0 to 20 scale) and willingness to take a biologic (coded on a 0 to 10 scale) significantly increased after viewing the tool (mean differences = 3.1 and 1.4 respectively, both p < 0.0001).
  • Perceived knowledge and value clarity (coded on 0 to 100 scales) also significantly improved (mean differences 20.4 and 20.7 respectively, both p<0.001).
  • The proportion of subjects making an informed, value–concordant choice increased substantially from 35% to 64%.

Please login or register to follow this author.
Are you sure you want to Unfollow this Author?
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

    Currently, there are no available articles.

Your Unread Messages in Rheumatology

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Rheumatology Articles

Indexed Journals in Rheumatology: Arthritis & Rheumatism, Annals of Rheumatic Diseases, Journal of Rheumatologymore

Register now to view all the MDLinx contents (FREE)!

  • Stay current on the latest literature, research and clinical news
  • Get special communications and offers from MDLinx and our sponsors
  • Receive invitations to paid market research
View Samples and Register

Connect with us, stay current.

Receive the latest mecial news
updates for free via email

Sign up!

Subscribe to our free RSS feeds:

Get the latest news in your specialty automatically added to your newsreader or your personal My Yahoo!, Google, My MSN or My AOL page. Learn More