Promoting Shared Decision Making for Severe Aortic Stenosis

Summary

The goal of this study is to increase shared decision making for patients considering treatment for severe aortic stenosis. The main questions it aims to answer are:

* Do patient decision aids and clinician skills training course improve the quality of decisions, and do they work well for different patient populations?
* Are heart clinics able to reach the majority of patients with decision aids before their specialist visit and do the majority of clinicians complete the training course?

All participating sites will start in the usual care group and then will be randomly assigned a time to switch to the intervention group. Participants will complete surveys before and after their specialist visit.

Researchers will compare data from patients seen during usual care with data from those seen after the interventions are implemented to see if there are improvements in the quality of decisions.

Conditions

• Aortic Stenosis

Interventions

BEHAVIORAL

Decision Aid

The American College of Cardiology decision aid: Treatment Options for Severe Aortic Stenosis for patients deciding between Tavi and Surgery

BEHAVIORAL

Shared Decision Making Skills Training

60-minute online training session that will provide practical tips, interactive case studies and tools for conducting shared decision making conversations covering core competencies

Sponsors & Collaborators

• University of California, San Francisco

  collaborator OTHER

• University of Colorado, Denver

  collaborator OTHER

• University of North Carolina, Chapel Hill

  collaborator OTHER

• Emory University

  collaborator OTHER

• University of Pennsylvania

  collaborator OTHER

• University of Texas Southwestern Medical Center

  collaborator OTHER

• University of Washington

  collaborator OTHER

• Patient-Centered Outcomes Research Institute

  collaborator OTHER

• Massachusetts General Hospital

  lead OTHER

Principal Investigators

• Karen Sepucha, PhD · Massachusetts General Hospital

• Sammy Elmariah, MD · University of California, San Francisco

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

DOUBLE

Model

SEQUENTIAL

Eligibility

Min Age

65 Years

Max Age

85 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-03-27

Primary Completion

2027-05-31

Completion

2027-10-31

Countries

• United States

Study Locations