Evaluating a Strategy to Improve Pre-Anesthesia Care Discussions (My Anesthesia Choice-Hip Fracture)

Summary

The objective of this study is to assess the implementation process for and the effectiveness of a quality improvement (QI) strategy to increase shared decision-making around anesthesia options for hip fracture surgery at 6 US hospitals. The QI strategy is to be facilitated by a clinician-administered 1-page bedside conversation aid designed to improve the quality of physician-patient communication, paired with brief clinician training. The evaluation will occur via a stepped wedge, cluster randomized trial to be carried out over a period of 34 months.

Conditions

• Hip Fractures
• Femoral Neck Fractures
• Intertrochanteric Fractures
• Subtrochanteric Fractures

Interventions

BEHAVIORAL

My Anesthesia Choice-HF Model

Brief clinician training on shared decision making, paired with provision of a 1-page tabular format conversation aid listing answers to frequently asked questions regarding common anesthesia options for hip fracture surgery (spinal anesthesia; general anesthesia)

Sponsors & Collaborators

• Wake Forest University Health Sciences

  collaborator OTHER

• University of Florida

  collaborator OTHER

• Dartmouth-Hitchcock Medical Center

  collaborator OTHER

• Henry Ford Health System

  collaborator OTHER

• The Cleveland Clinic

  collaborator OTHER

• Dartmouth College

  collaborator OTHER

• Washington University School of Medicine

  collaborator OTHER

• University of Pennsylvania

  lead OTHER

Principal Investigators

• Mark Neuman, MD · University of Pennsylvania

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SEQUENTIAL

Eligibility

Min Age

50 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-08-15

Primary Completion

2027-06-15

Completion

2028-06-15

Countries

• United States

Study Locations