Patients' Experience of Shared Decision Making Using an Online Patient Decision Aid for Osteoarthritis of the Knee--A Service Evaluation

Abstract

Aims: The aims of the present study were to gain a perspective of patients' experience of an online patient decision aid (PDA) for osteoarthritis of the knee (OA knee) as a method of shared decision making in a Musculoskeletal Clinical Assessment and Treatment Service (MSK CATS).

Methods: In the MSK CATS, patients with OA knee discuss their condition and treatment options with the clinician. In the present study, patients, in addition to this discussion, used an online patient decision aid and subsequently completed a questionnaire regarding their experience of both of these processes.

Results: Most patients felt that both the clinical discussion and the PDA were easy to understand, user friendly, and not biased towards any treatment, but thought that the PDA gave a better understanding of OA knee. Most patients had already decided on their treatment following the clinical discussion alone, but one found that the PDA helped them change their mind about treatment.

Conclusion: The PDA was a useful adjunct to the clinical discussion and could be best used for a selection of patients within the MSK CATS setting at a point where further clinical discussion could take place if necessary.

Keywords: Patient decision aid; knee; osteoarthritis; shared decision making.