Please use this identifier to cite or link to this item:
Title: Effect of the statin choice encounter decision aid in Spanish patients with type 2 diabetes: A randomized trial
Authors: Perestelo-Pérez, Lilisbeth
Rivero-Santana, Amado
Boronat, Mauro 
Sánchez-Afonso, Juan A.
Pérez-Ramos, Jeanette
Montori, Victor M.
Serrano-Aguilar, Pedro
UNESCO Clasification: 32 Ciencias médicas
320502 Endocrinología
Keywords: Cardiovascular risk
Decision aid
Patient involvement
Empowerment, et al
Issue Date: 2016
Journal: Patient Education and Counseling 
Abstract: Objective: Statin choice, an encounter decision aid (DA), was developed in the USA to facilitate shared decision making between patients and clinicians about the use of statins to reduce cardiovascular risk. We aimed to assess the efficacy of this DA, compared to usual primary care, in Spanish patients with type 2 diabetes. Methods: Cluster randomized trial with 29 clinicians and 168 patients. Knowledge of statins, cardiovascular risk perception, decisional conflict, anxiety and satisfaction with the decision making process were assessed immediately after intervention, and self-reported adherence at three months. Results: Intervention significantly improved knowledge (p=0.01), perception of the 10-year risk of myocardial infarction without (p=0.01) and with statins (p=0.08), and satisfaction (p=0.01). There were no significant differences in decisional conflict, anxiety, consultation time or adherence, although more intervention patients reported taking all pills during the last week (92.7% vs. 81%; p=0.19). Conclusion: The statin choice DA improved the quality of decision making about statins. Practice implications: This trial contributes to the body of evidence substantiating the efficacy of statin choice and extending it to Spanish clinicians and their patients with type 2 diabetes. Trial registration: This trial is registered with the European Union Clinical Trials Register (EudraCT: 2010-023912-14).
ISSN: 0738-3991
DOI: 10.1016/j.pec.2015.08.032
Source: Patient Education and Counseling[ISSN 0738-3991],v. 99(2), p. 295-299 (Febrero 2016)
Appears in Collections:Artículos
Show full item record

Google ScholarTM




Export metadata

Items in accedaCRIS are protected by copyright, with all rights reserved, unless otherwise indicated.