Educational Intervention for Knee Pain
The purpose of this study is to demonstrate the efficacy of interventions to improve understanding of knee replacement risks, benefits, and expected outcomes among AA primary care patients, increase willingness to consider knee replacement among AA primary care patients, and increase primary care referral rates for surgical consideration for AA patients who meet the indications for knee replacement.
Behavioral: Decision Aid Video
Behavioral: Motivational Interviewing
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Factorial Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Health Services Research
|Official Title:||Knee Replacement Disparity: A Randomized, Controlled Intervention|
- Effectiveness of the proposed intervention among AA patients to improve willingness to consider knee replacement, to improve understanding of its risks, benefits and expected outcomes, and to increase primary care referrals for surgical evaluation. [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- To examine and compare the effectiveness of the proposed intervention strategies to increase AA patient likelihood of receiving knee replacement within 12 months of the intervention. [ Time Frame: 12 months ] [ Designated as safety issue: No ]
|Study Start Date:||September 2006|
|Study Completion Date:||September 2011|
|Primary Completion Date:||July 2011 (Final data collection date for primary outcome measure)|
A randomized, controlled 2x2 factorial design will be utilized to examine and compare the effectiveness of the proposed educational interventions compared with attention control on select key patient-centered and process of care outcomes.
Behavioral: Decision Aid Video
The research interventionist will show the participant the Dartmouth Knee OA Decision Aid video entitled "Treatment Choices for Knee Osteoarthritis." The video gives a detailed explanation of 1) the damage to the knee joint caused by OA; 2) treatment options including lifestyle changes, medications, injections, complementary therapy, and surgery; 3) the risks, benefits, and known efficacy of each treatment option.
Other Name: DABehavioral: Motivational Interviewing
The research intervention will conduct the fact-to-face MI session with the participant. The MI session will do the following things: 1) Assessing Readiness, Importance, and Confidence; 2) Eliciting Barriers, Concerns and Positive Motivational; 3) Summarizing Pros and Cons; 4) Assess Patient Values and Goals; 5) Provide a Menu of Options.
Other Name: MI
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|United States, Ohio|
|VA Medical Center, Cleveland|
|Cleveland, Ohio, United States, 44106-3800|
|United States, Pennsylvania|
|VA Medical Center, Philadelphia|
|Philadelphia, Pennsylvania, United States, 19104|
|Division of General Medicine|
|Pittsburgh, Pennsylvania, United States, 15213|
|Principal Investigator:||Said A. Ibrahim, MD MPH||VA Medical Center, Philadelphia|
|Principal Investigator:||C. Kent Kwoh, MD||Center for Health Equity Research and Promotion|