Asset Details
Do you wish to reserve the book?
Use of a decision aid did not decrease decisional conflict in patients with carpal tunnel syndrome
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Use of a decision aid did not decrease decisional conflict in patients with carpal tunnel syndrome
Do you wish to request the book?
Use of a decision aid did not decrease decisional conflict in patients with carpal tunnel syndrome
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Use of a decision aid did not decrease decisional conflict in patients with carpal tunnel syndrome
2017
Overview
Background
Although a model for shared decision-making is important for patient-centered care, decisional conflict can emerge when patients participate in the decision-making. A decision aid is proposed to provide information and to involve patients more comfortably in the decision-making process. We aimed to determine whether a decision aid helps patients with carpal tunnel syndrome (CTS) experience less decisional conflict regarding their decision-making for surgery.
Methods
Eighty patients with CTS were randomized into two groups. The test group was given a decision aid in addition to regular information and the control group regular information only. The decision aid consisted of a 6-min videoclip that explains diagnosis and information regarding surgery for CTS with other treatment options. We evaluated patients’ decisional conflict regarding surgery, knowledge about CTS, and symptom severity as measured by the Disabilities of Arm, Shoulder, and Hand (DASH) Questionnaire.
Results
There was no difference in the decisional conflict scale (DCS) between both groups (
p
= 0.76). The test group had significantly better knowledge than the control group (
p
= 0.04). There was no correlation between the knowledge score and the DCS (
p
= 0.76). However, less severe symptoms were correlated with greater decisional conflict (
r
= −0.29,
p
= 0.02).
Conclusions
We found that a decision aid does not reduce decisional conflict in patients with CTS, although it can help them be better informed. This study suggests that although a decision-aid is effective for patient education, doctor-patient communication should be more emphasized for patients with less severe symptoms, as they can have greater decisional conflict.
Trial Registration
SNUBH Registry 1510/317-003 Registered November 13, 2015
Publisher
BioMed Central,Springer Nature B.V
Subject
/ Anatomy
/ Aneurysm
/ Anxiety
/ Aorta
/ Arm
/ Atrophy
/ Carpal Tunnel Syndrome - diagnosis
/ Carpal Tunnel Syndrome - physiopathology
/ Carpal Tunnel Syndrome - psychology
/ Carpal Tunnel Syndrome - therapy
/ Ethics
/ Etiology
/ Female
/ Hand
/ Health Knowledge, Attitudes, Practice
/ Humans
/ Internet
/ Male
/ Medicine
/ Orthopedics and biomechanics
/ Patient Education as Topic - methods
/ Patients
/ Quality
/ Surgeons
/ Surgery
