| The Statin Choice decision aid in primary care: a randomized trial. | |
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MedLine Citation:
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PMID: 19959322 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the impact of a decision aid on perceived risk of heart attacks and medication adherence among urban primary care patients with diabetes. METHODS: We randomly allocated 150 patients with diabetes to participate in a usual primary care visit either with or without the Statin Choice tool. Participants completed a questionnaire at baseline and telephone follow-up at 3 and 6 months. RESULTS: Intervention patients were more likely to accurately perceive their underlying risk for a heart attack without taking a statin (OR: 1.9, CI: 1.0-3.8) and with taking a statin (OR: 1.4, CI: 0.7-2.8); a decline in risk overestimation among patients receiving the decision aid accounts for this finding. There was no difference in statin adherence at 3 or 6 months. CONCLUSION: A decision aid about using statins to reduce coronary risk among patients with diabetes improved risk communication, beliefs, and decisional conflict, but did not improve adherence to statins. PRACTICE IMPLICATIONS: Decision aid enhanced communication about the risks and benefits of statins improved patient risk perceptions but did not alter adherence among patients with diabetes. |
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Authors:
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Devin M Mann; Diego Ponieman; Victor M Montori; Jacqueline Arciniega; Thomas McGinn |
Publication Detail:
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Type: Journal Article Date: 2009-12-02 |
Journal Detail:
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Title: Patient education and counseling Volume: 80 ISSN: 1873-5134 ISO Abbreviation: Patient Educ Couns Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8406280 Medline TA: Patient Educ Couns Country: Ireland |
Other Details:
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Languages: eng Pagination: 138-40 Citation Subset: N |
Copyright Information:
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Copyright 2009 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Division of General Internal Medicine, Mount Sinai School of Medicine, New York, NY, USA. devin.mann@mssm.edu |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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