Shared Decision Making and How It Impacts the Patient Understanding

Shared Decision Making and How it Impacts Patient Understanding: Using an Interactive Knee Osteoarthritis App Based on a Cost Model to Generate a Patient Shared Decision Making Tool: Multi-center Randomized Clinical Trial Study Protocol

Shared Decision Making (SDM) supports patient centered care and improves patient outcomes and satisfaction. Movement is Life (MIL) created an innovative SDM tool to provide a personalized framework for discussion of the projected impact to patients of their decisions regarding treatment options for knee osteoarthritis.

1. Did use of the MIL SDM tool for knee osteoarthritis result in an increased level of self-reported physical activity at one month in African American and Hispanic women?
2. Did use of the MIL SMD tool increase subject likeliness to recommend the physician?
3. What is the qualitative feedback from subjects on ease of use of the MIL SDM tool?

Inclusion Criteria:

• - Aged 45 to 64 years

• Mild to moderate knee pain consistent with a diagnosis of osteoarthritis by the clinician

• Self-identified as African American and/or Hispanic

• At least one of the following comorbidities:

  1. Obesity (BMI ≥ 30),
  2. Hypertension (ICD10 codes below)
  3. Diabetes (ICD10 codes below)

Exclusion Criteria:

• - Known inflammatory arthritis (Lupus, Sjogrens, rheumatoid arthritis)
• Prior total knee replacement
• Recommended total knee replacement
• Acute knee trauma