Washington Katy, Shacklady Carol
MSK CATS, Walkden, Manchester, UK.
Manchester Metropolitan University, Manchester, UK.
Musculoskeletal Care. 2015 Jun;13(2):116-26. doi: 10.1002/msc.1086. Epub 2014 Oct 24.
The aims of the present study were to gain a perspective of patients' experience of an online patient decision aid (PDA) for osteoarthritis of the knee (OA knee) as a method of shared decision making in a Musculoskeletal Clinical Assessment and Treatment Service (MSK CATS).
In the MSK CATS, patients with OA knee discuss their condition and treatment options with the clinician. In the present study, patients, in addition to this discussion, used an online patient decision aid and subsequently completed a questionnaire regarding their experience of both of these processes.
Most patients felt that both the clinical discussion and the PDA were easy to understand, user friendly, and not biased towards any treatment, but thought that the PDA gave a better understanding of OA knee. Most patients had already decided on their treatment following the clinical discussion alone, but one found that the PDA helped them change their mind about treatment.
The PDA was a useful adjunct to the clinical discussion and could be best used for a selection of patients within the MSK CATS setting at a point where further clinical discussion could take place if necessary.
本研究的目的是了解患者对膝关节骨关节炎（OA膝关节）在线患者决策辅助工具（PDA）的体验，该工具是肌肉骨骼临床评估与治疗服务（MSK CATS）中共享决策的一种方法。
在MSK CATS中，OA膝关节患者与临床医生讨论他们的病情和治疗选择。在本研究中，患者除了进行这种讨论外，还使用了在线患者决策辅助工具，随后完成了一份关于他们对这两个过程体验的问卷。
大多数患者认为临床讨论和PDA都易于理解、用户友好且不偏向任何治疗方法，但认为PDA能让他们更好地了解OA膝关节。大多数患者仅通过临床讨论就已经决定了治疗方案，但有一位患者发现PDA帮助他们改变了治疗想法。
PDA是临床讨论的有用辅助工具，在MSK CATS环境中，对于一部分患者，如果有必要，可以在进一步临床讨论时最好地使用它。
