Impact of a Decision Aid on Heart Disease Prevention Discussions
Author Information
Author(s): Sheridan Stacey L, Shadle John, Simpson Ross J Jr, Pignone Michael P
Primary Institution: University of North Carolina, Chapel Hill, NC, USA
Hypothesis
A decision aid will increase patients' discussions with their doctor and their plans for CHD risk reduction.
Conclusion
The study shows that a decision aid may help increase discussions about heart disease prevention and plans for risk reduction among patients.
Supporting Evidence
- The decision aid increased discussions about CHD risk reduction from 24% to 40%.
- Patients with a specific plan for CHD risk reduction increased from 24% to 37%.
- 78% of participants had at least one option to reduce their CHD risk.
Takeaway
Using a special tool helped patients talk more with their doctors about how to prevent heart disease and make plans to stay healthy.
Methodology
A pilot randomized trial was conducted with a convenience sample of adults with no previous history of cardiovascular disease.
Potential Biases
Potential selection bias due to convenience sampling.
Limitations
The study had a small sample size and was not powered for hypothesis testing.
Participant Demographics
Mean age was 53; 59% female, 73% white, and 23% African-American.
Statistical Information
P-Value
p<0.05
Confidence Interval
95% CI -4% to +37%
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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