| Randomized trial of a video-based patient decision aid for bariatric surgery. | |
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MedLine Citation:
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PMID: 21475138 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The decision to have bariatric surgery should be based on accurate information on possible risks and benefits of all treatment options. The goal of this study was to determine whether a video-based bariatric decision aid intervention results in superior decision quality compared to an educational booklet. We conducted a prospective, randomized controlled trial among adult patients in a single health plan who met standard criteria for bariatric surgery. Patients were randomly assigned to review either a video-based decision aid (intervention) or an educational booklet on bariatric surgery (control). Changes in patient decision quality were assessed using bariatric-specific measures of knowledge, values, and treatment preference after 3 months. Of 152 eligible participants, 75 were randomly assigned to the intervention and 77 to the control. The 3-month follow-up rate was 95%. Among all participants, significant improvements were observed in knowledge (P < 0.001), values concordance (P = 0.009), decisional conflict (P < 0.001), decisional self-efficacy (P < 0.001), and in the proportion who were "unsure" of their treatment choice (P < 0.001). The intervention group had larger improvements in knowledge (P = 0.03), decisional conflict (P = 0.03), and outcome expectancies (P = 0.001). The proportion of participants choosing bariatric surgery did not differ significantly between groups, although there was a trend toward decreased surgical choice in the intervention group (59% booklet vs. 42% video at 3 months; P = 0.16). The use of bariatric surgery decision aids was followed by improved decision quality and reduced uncertainty about treatment at 3 months. The video-based decision aid appeared to have a greater impact than the educational booklet on patient knowledge, decisional conflict, and outcome expectancies. |
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Authors:
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David E Arterburn; Emily O Westbrook; T Andy Bogart; Karen R Sepucha; Steven N Bock; William G Weppner |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2011-04-07 |
Journal Detail:
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Title: Obesity (Silver Spring, Md.) Volume: 19 ISSN: 1930-739X ISO Abbreviation: Obesity (Silver Spring) Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-07-26 Completed Date: 2012-01-17 Revised Date: 2012-08-13 |
Medline Journal Info:
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Nlm Unique ID: 101264860 Medline TA: Obesity (Silver Spring) Country: United States |
Other Details:
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Languages: eng Pagination: 1669-75 Citation Subset: IM |
Affiliation:
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Group Health Research Institute, Seattle, Washington, USA. arterburn.d@ghc.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bariatric Surgery* Conflict (Psychology) Decision Making* Decision Support Techniques* Female Follow-Up Studies Health Knowledge, Attitudes, Practice Humans Male Middle Aged Pamphlets* Patient Education as Topic / methods* Patient Participation* Patient Satisfaction Self Efficacy Social Values Uncertainty Videotape Recording* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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