Supporting Decision Making for Musculoskeletal Preference-Sensitive Care

NCT ID: NCT01345123

Last Updated: 2013-10-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

9925 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2011-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to compare condition oriented whole person Health Coaching along with the provision of decision aids to decision aids without condition oriented Health Coaching to neither condition oriented health coaching nor decision aids on medical cost, preference sensitive surgeries and measures of subject knowledge, decision process and decision quality.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Knee Pain Chronic Arthritis (Hip) Arthritis (Knee) Back Pain

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Decision Aid with Health Coaching

Group Type EXPERIMENTAL

Provision of condition specific shared decision making (SDM) aids only

Intervention Type BEHAVIORAL

Subjects are mailed decision aid digital video discs (DVDs) and pamphlets regarding lumbar back, hip osteoarthritis or knee osteoarthritis.

Telephonic outreach and support by Health Coach

Intervention Type BEHAVIORAL

Subjects are direct dial attempted by Health Coaches up to three attempts. If contacted, Health Coaches tailor support around health matters of importance to the subjects and to help individuals become active participants in their treatment plans, and make more informed decisions in consort with their health care providers. The number of total contacts is determined by mutual agreement between the subject and the Health Coach. Health Coaches may provide additional educational materials and resources.

Decision Aid only

Group Type EXPERIMENTAL

Provision of condition specific shared decision making (SDM) aids only

Intervention Type BEHAVIORAL

Subjects are mailed decision aid digital video discs (DVDs) and pamphlets regarding lumbar back, hip osteoarthritis or knee osteoarthritis.

No condition specific support

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Provision of condition specific shared decision making (SDM) aids only

Subjects are mailed decision aid digital video discs (DVDs) and pamphlets regarding lumbar back, hip osteoarthritis or knee osteoarthritis.

Intervention Type BEHAVIORAL

Telephonic outreach and support by Health Coach

Subjects are direct dial attempted by Health Coaches up to three attempts. If contacted, Health Coaches tailor support around health matters of importance to the subjects and to help individuals become active participants in their treatment plans, and make more informed decisions in consort with their health care providers. The number of total contacts is determined by mutual agreement between the subject and the Health Coach. Health Coaches may provide additional educational materials and resources.

Intervention Type BEHAVIORAL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Participants in two large, commercial Blue Cross and/or Blue Shield branded insurance products with eligibility for Health Dialog services
* Identified by distinct Health Dialog proprietary models for risk of lumbar back, knee or hip surgeries
* Selected by simple randomization for inclusion in an interactive voice response (IVR) administered screening survey
* Participated in an IVR-administered screener survey and responded affirmatively to questions on pain for any one of the three conditions, any current or planned treatment for the conditions, and responded negatively to having had a condition specific surgery within the past six months

Exclusion Criteria

* People under 18 years of age at time of identification for the IVR filtering survey, approximately 6 weeks prior to the start of the study
* People with invalid phone numbers or invalid mailing addresses based on automated review of those fields
* People for whom Health Dialog has information of a request for no IVR, no Health Coach outreach, or mailings prior to the start of the study
* People with claims based indication of spinal stenosis prior to the start of the study
* People who have been targeted for any IVR outreach within 180 days of the initiation of the IVR filtering survey
* People who have a Health Coach communication record, as documented in the Health Coaching application within 90 days of the start of the study
* Any members of households who have a household member already selected for inclusion in the study
* People for whom there is claims evidence of any one of the targeted surgeries prior the start of the study
* People with no eligibility for services through insurer after the start of the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Foundation for Informed Medical Decision Making

OTHER

Sponsor Role collaborator

University of Massachusetts, Boston

OTHER

Sponsor Role collaborator

Health Dialog

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

David R Veroff, MPP

Role: PRINCIPAL_INVESTIGATOR

Health Dialog Services Corporation

Patricia M Gallagher, PHD

Role: STUDY_DIRECTOR

University of Massachusetts, Boston

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Health Dialog

Boston, Massachusetts, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

SDMBKH-HD012011

Identifier Type: -

Identifier Source: org_study_id