Trial Outcomes & Findings for MyVoice:Rheum Decision Aid for Women With Rheumatic Diseases (NCT NCT04879745)

NCT ID: NCT04879745

Last Updated: 2024-04-30

Results Overview

Acceptability of Intervention Measure (AIM) consist of Four- item measure, Likert scales ranging from 1 (completely disagree) to 5 (completely agree). Score is determined by calculating the mean of scores, with a higher score indicating higher acceptability. We assigned a feasibility threshold of ≥ 3.5 of 5, for which higher scores indicate more positive responses.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

45 participants

Primary outcome timeframe

T2 (within 24 hours of intervention and appointment)

Results posted on

2024-04-30

Participant Flow

Participant milestones

Participant milestones
Measure
Decision Aid Users
Patients with a rheumatic disease who are given access to the MyVoice:Rheum decision aid MyVoice:Rheum: Participants will be given access to MyVoice:Rheum, a web-based decision aid (DA).
Pamphlet Users
Patients with a rheumatic disease who are given access to a widely-accessible pamphlet about family planning Pamphlet: Participants in this arm will be given a copy of an existing patient pamphlet
Overall Study
STARTED
35
10
Overall Study
Post-intervention Assessment
31
9
Overall Study
COMPLETED
31
9
Overall Study
NOT COMPLETED
4
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Decision Aid Users
Patients with a rheumatic disease who are given access to the MyVoice:Rheum decision aid MyVoice:Rheum: Participants will be given access to MyVoice:Rheum, a web-based decision aid (DA).
Pamphlet Users
Patients with a rheumatic disease who are given access to a widely-accessible pamphlet about family planning Pamphlet: Participants in this arm will be given a copy of an existing patient pamphlet
Overall Study
Lost to Follow-up
4
1

Baseline Characteristics

MyVoice:Rheum Decision Aid for Women With Rheumatic Diseases

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Decision Aid Users
n=35 Participants
Patients with a rheumatic disease who are given access to the MyVoice:Rheum decision aid MyVoice:Rheum: Participants will be given access to MyVoice:Rheum, a web-based decision aid (DA).
Pamphlet Users
n=10 Participants
Patients with a rheumatic disease who are given access to a widely-accessible pamphlet about family planning Pamphlet: Participants in this arm will be given a copy of an existing patient pamphlet
Total
n=45 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
35 Participants
n=99 Participants
10 Participants
n=107 Participants
45 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Continuous
33.23 years
n=99 Participants
28.80 years
n=107 Participants
32.825 years
n=206 Participants
Sex: Female, Male
Female
35 Participants
n=99 Participants
10 Participants
n=107 Participants
45 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=99 Participants
0 Participants
n=107 Participants
3 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
32 Participants
n=99 Participants
10 Participants
n=107 Participants
42 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=99 Participants
2 Participants
n=107 Participants
7 Participants
n=206 Participants
Race (NIH/OMB)
White
28 Participants
n=99 Participants
7 Participants
n=107 Participants
35 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
35 participants
n=99 Participants
10 participants
n=107 Participants
45 participants
n=206 Participants

PRIMARY outcome

Timeframe: T2 (within 24 hours of intervention and appointment)

Population: 30 of 31 decision aid users completed the AIM.

Acceptability of Intervention Measure (AIM) consist of Four- item measure, Likert scales ranging from 1 (completely disagree) to 5 (completely agree). Score is determined by calculating the mean of scores, with a higher score indicating higher acceptability. We assigned a feasibility threshold of ≥ 3.5 of 5, for which higher scores indicate more positive responses.

Outcome measures

Outcome measures
Measure
Decision Aid Users
n=30 Participants
Patients with a rheumatic disease who are given access to the MyVoice:Rheum decision aid MyVoice:Rheum: Participants will be given access to MyVoice:Rheum, a web-based decision aid (DA).
Pamphlet Users
n=9 Participants
Patients with a rheumatic disease who are given access to a widely-accessible pamphlet about family planning Pamphlet: Participants in this arm will be given a copy of an existing patient pamphlet
Acceptability of Intervention
4.45 score on a scale
Standard Deviation .59
3.97 score on a scale
Standard Deviation .65

PRIMARY outcome

Timeframe: T2 (within 24 hours of intervention and appointment)

Population: 30 of the 31 Decision Aid users completed the IAM.

The validated Intervention Appropriateness Measure (IAM) consist of Four-item Likert scales ranging from 1 (completely disagree) to 5 (completely agree); we assigned a feasibility threshold of ≥ 3.5 of 5 for IAM scores, for which higher scores indicate more positive responses. Score is determined by calculating the mean, with a higher score indicating greater appropriateness.

Outcome measures

Outcome measures
Measure
Decision Aid Users
n=30 Participants
Patients with a rheumatic disease who are given access to the MyVoice:Rheum decision aid MyVoice:Rheum: Participants will be given access to MyVoice:Rheum, a web-based decision aid (DA).
Pamphlet Users
n=9 Participants
Patients with a rheumatic disease who are given access to a widely-accessible pamphlet about family planning Pamphlet: Participants in this arm will be given a copy of an existing patient pamphlet
Intervention Appropriateness Measure
4.48 score on a scale
Standard Deviation .61
4.11 score on a scale
Standard Deviation .85

PRIMARY outcome

Timeframe: T2 (within 24 hours of intervention and appointment)

Population: 30 of the original 31 Decision Aid Users completed the SUS Measure.

Usability was assessed via summary scores from the System Usability Scale (SUS), which consists of a 10-item Likert scale with scores ranging from 0-100; overall score calculated by finding the mean of items on scale. We set a threshold of scores \>80.3 as 'A'/excellent and 68-80.3 as 'B'/very good, consistent with standard rating for the SUS.

Outcome measures

Outcome measures
Measure
Decision Aid Users
n=30 Participants
Patients with a rheumatic disease who are given access to the MyVoice:Rheum decision aid MyVoice:Rheum: Participants will be given access to MyVoice:Rheum, a web-based decision aid (DA).
Pamphlet Users
n=9 Participants
Patients with a rheumatic disease who are given access to a widely-accessible pamphlet about family planning Pamphlet: Participants in this arm will be given a copy of an existing patient pamphlet
System Usability Scale
83.06 score on a scale
Standard Deviation 15.67
79.32 score on a scale
Standard Deviation 14.10

OTHER_PRE_SPECIFIED outcome

Timeframe: T2 (within 24 hours of intervention and appointment) compared to T0 (baseline)

Rheumatology-specific reproductive health knowledge was assessed via ReproKnow, a measure developed and preliminarily validated by our team that covers domains of contraception safety and efficacy, pregnancy management, pre-conception planning, medication safety, fertility; a score of nine indicates the highest level of reproductive knowledge

Outcome measures

Outcome measures
Measure
Decision Aid Users
n=31 Participants
Patients with a rheumatic disease who are given access to the MyVoice:Rheum decision aid MyVoice:Rheum: Participants will be given access to MyVoice:Rheum, a web-based decision aid (DA).
Pamphlet Users
n=9 Participants
Patients with a rheumatic disease who are given access to a widely-accessible pamphlet about family planning Pamphlet: Participants in this arm will be given a copy of an existing patient pamphlet
Reproductive Knowledge Assessment for Women With Rheumatic Diseases (ReproKnow)
T2
7.27 number of correct responses
Standard Deviation 1.17
7.11 number of correct responses
Standard Deviation 2.50
Reproductive Knowledge Assessment for Women With Rheumatic Diseases (ReproKnow)
T0
5.77 number of correct responses
Standard Deviation 1.76
5.44 number of correct responses
Standard Deviation 2.74

OTHER_PRE_SPECIFIED outcome

Timeframe: T2 (within 24 hours of intervention and appointment) compared to T0 (baseline)

Self-reported efficacy in communicating with providers was assessed using a modified version of the validated five-item Perceived Efficacy in Patient-Provider Interactions (PEPPI) scale. Five-item measure with 5-point Likert scale questions from 1 (not at all confident) to 5 (very confident). Aggregate score is calculated by taking the individual item scores together and dividing by 5, with higher score indicating higher perceived efficacy in communicating with providers.

Outcome measures

Outcome measures
Measure
Decision Aid Users
n=31 Participants
Patients with a rheumatic disease who are given access to the MyVoice:Rheum decision aid MyVoice:Rheum: Participants will be given access to MyVoice:Rheum, a web-based decision aid (DA).
Pamphlet Users
n=9 Participants
Patients with a rheumatic disease who are given access to a widely-accessible pamphlet about family planning Pamphlet: Participants in this arm will be given a copy of an existing patient pamphlet
Perceived Efficacy in Patient-Physician Interactions
T2
4.07 score on a scale
Standard Deviation 0.82
3.98 score on a scale
Standard Deviation .98
Perceived Efficacy in Patient-Physician Interactions
T0
3.47 score on a scale
Standard Deviation 1.19
3.73 score on a scale
Standard Deviation .92

OTHER_PRE_SPECIFIED outcome

Timeframe: T3 (three months post-intervention)

Population: Pamphlet users did not complete T3 assessment. 30 Decision aids users completed T3 assessment.

Assessed by participant-reported survey responses to a Yes/No item about whether a pregnancy has occurred since enrollment.

Outcome measures

Outcome measures
Measure
Decision Aid Users
n=30 Participants
Patients with a rheumatic disease who are given access to the MyVoice:Rheum decision aid MyVoice:Rheum: Participants will be given access to MyVoice:Rheum, a web-based decision aid (DA).
Pamphlet Users
Patients with a rheumatic disease who are given access to a widely-accessible pamphlet about family planning Pamphlet: Participants in this arm will be given a copy of an existing patient pamphlet
Participant Number of Pregnancies During Study
Pregnant
1 Participants
0 Participants
Participant Number of Pregnancies During Study
Not pregnant
29 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: T2 (within 24 hours of intervention and appointment)

Three-item measure. Did you talk to your rheumatologist about family planning today- yes/no; Did you make a decision related to family planning- yes/no; what was the family planning decision you made today? (Not Reported)

Outcome measures

Outcome measures
Measure
Decision Aid Users
n=31 Participants
Patients with a rheumatic disease who are given access to the MyVoice:Rheum decision aid MyVoice:Rheum: Participants will be given access to MyVoice:Rheum, a web-based decision aid (DA).
Pamphlet Users
n=9 Participants
Patients with a rheumatic disease who are given access to a widely-accessible pamphlet about family planning Pamphlet: Participants in this arm will be given a copy of an existing patient pamphlet
Quantity and Quality of Reproductive Health Conversation With Rheumatologist
Did you talk to your Rheumatologist today about family planning? · Yes
17 Participants
4 Participants
Quantity and Quality of Reproductive Health Conversation With Rheumatologist
Did you talk to your Rheumatologist today about family planning? · No
14 Participants
5 Participants
Quantity and Quality of Reproductive Health Conversation With Rheumatologist
Did you make a decision related to family planning? · Yes
6 Participants
1 Participants
Quantity and Quality of Reproductive Health Conversation With Rheumatologist
Did you make a decision related to family planning? · No
25 Participants
8 Participants

Adverse Events

Decision Aid Users

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Pamphlet Users

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Mehret Birru Talabi

University of Pittsburgh Medical Center

Phone: 412-383-8000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place