Hip and Knee Osteoarthritis Toolkit

Version 1: Research Project Integrating Shared Decision Making into Care of

Patients with Knee Osteoarthritis: Proposed Patient Flow

TOTAL JOINT REGISTRYPhase I

Patient Inclusion Criteria Using the Knee patient triage system,

patients will be prospectively pre-selected if their clinic appointment is for: Known OA Consideration for TKA Previous knee surgery

TOTAL JOINT REGISTRYPhase I

KNEE REGISTRY

Initial Visit Data• Personal data

• Knee Society Score• SF-36

• Co-morbidity data•Decisional conflict scale (before and after video0

•Knowledge verification (AFTER VIDEO0

All “pre-selected” Knee patients will complete tablet PC-based questionnaires

Knee patients who are felt by MD to be candidates for TKR will be identified

SHAREDDECISIONMAKING

HALF HALF

Only half of patients will be randomly

selected and asked to participate in Shared

Decision Making process, the

remainder will not

STUDYGROUP

CONTROLGROUP

TOTAL JOINT REGISTRYShared Decision-Making Module Patients randomly selected for SDM module

will be able to accept or decline Those who accept:

Are enrolled into SDM clinical trial Answer questions via Tablet PC before and

after watching decision aid about: Values influencing decision Decisional anxiety “Quiz” about comprehension of TKR-related

issues

TOTAL JOINT REGISTRYShared Decision-Making Module Patients randomly selected for SDM module

will be able to accept or decline Those who decline:

Are not enrolled into SDM clinical trial and do not watch decision aid (video about TKR)

Are asked to answer: “Quiz” about comprehension of TKR-related

issues Question about why they declined invitation for

SDM