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Development of a Web-Based Interactive Patient Decision Aid for the Treatment of Acute Low Back Pain and Depression

Primary Purpose

Acute Low Back Pain, Depression

Status
Completed
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
patient dialogue
patient information
Sponsored by
University Hospital Freiburg
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Acute Low Back Pain

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • insurance members with acute low back pain or depression

Exclusion Criteria:

  • insurance members without symptoms, with chronic back pain, with a bipolar disorder, relatives of people with symptoms

Sites / Locations

  • University Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

A

B

Arm Description

Interactive decision aid

Regular patient information

Outcomes

Primary Outcome Measures

Decisional conflict

Secondary Outcome Measures

Knowledge, Preparation for decision making, Preference for participation, Involvement in decision making, Decision regret, Treatment adherence

Full Information

First Posted
September 5, 2007
Last Updated
June 23, 2008
Sponsor
University Hospital Freiburg
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1. Study Identification

Unique Protocol Identification Number
NCT00525811
Brief Title
Development of a Web-Based Interactive Patient Decision Aid for the Treatment of Acute Low Back Pain and Depression
Study Type
Interventional

2. Study Status

Record Verification Date
June 2008
Overall Recruitment Status
Completed
Study Start Date
June 2007 (undefined)
Primary Completion Date
February 2008 (Actual)
Study Completion Date
May 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
University Hospital Freiburg

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Shared decision making (SDM) has been advocated as an appropriate approach for physician patient communication. Positive effects of SDM are e.g higher patient satisfaction, greater treatment adherence, lower decisional conflict and better clinical outcomes. The Section of Clinical Epidemiology and Health Services Research at the University Medical Center in Freiburg (Germany) is developing and evaluating a web-based interactive decision aid ("patient dialogue") to support shared decision making in cooperation with the Techniker Krankenkasse, a large German health insurance company. Both development and evaluation are conducted along the International Patient Decision Aid Standards (IPDAS). The decision aid contains information on acute low back pain and depression and addresses insurance members who are facing a treatment decision in one of the indications. It aims at the development of patient competencies for participating in decision making, the support of constructive health behavior and patients' acceptance of evidence based treatment options. In an RCT the decision aid will be compared to a regular patient information on a sample of N=500 patients in each group. Data collection will take place at three points of time: before and after use of the decision aid as well as 3 months later.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Low Back Pain, Depression

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
741 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A
Arm Type
Experimental
Arm Description
Interactive decision aid
Arm Title
B
Arm Type
Active Comparator
Arm Description
Regular patient information
Intervention Type
Other
Intervention Name(s)
patient dialogue
Intervention Description
Information on shared decision making, how to participate in medical decision making, information on acute low back pain, information on depression
Intervention Type
Other
Intervention Name(s)
patient information
Intervention Description
Information on acute low back pain, information on depression
Primary Outcome Measure Information:
Title
Decisional conflict
Time Frame
After using the decision aid
Secondary Outcome Measure Information:
Title
Knowledge, Preparation for decision making, Preference for participation, Involvement in decision making, Decision regret, Treatment adherence
Time Frame
After using the decision aid and 3 months later respectively

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: insurance members with acute low back pain or depression Exclusion Criteria: insurance members without symptoms, with chronic back pain, with a bipolar disorder, relatives of people with symptoms
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Martin Haerter, MD, PhD
Organizational Affiliation
University Medical Center, Freiburg, Germany
Official's Role
Study Chair
Facility Information:
Facility Name
University Medical Center
City
Freiburg
ZIP/Postal Code
79104
Country
Germany

12. IPD Sharing Statement

Links:
URL
http://www.shared-decision-making.org
Description
Related Info

Learn more about this trial

Development of a Web-Based Interactive Patient Decision Aid for the Treatment of Acute Low Back Pain and Depression

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