Decision Analysis in Routine Treatment II: a randomised controlled trial (efficacy study) of a decision aid to support shared decision making for patients with atrial fibrillation

ISRCTN ISRCTN24808514
DOI https://doi.org/10.1186/ISRCTN24808514
Secondary identifying numbers 065131
Submission date
06/11/2002
Registration date
06/11/2002
Last edited
27/11/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Richard Thomson
Scientific

School of Population and Health Sciences
Epidemiology & Public Health
University of Newcastle upon Tyne
Medical School
Framlington Place
Newcastle upon Tyne
NE2 4HH
United Kingdom

Phone +44 (0)191 222 8760
Email richard.thomson@ncl.ac.uk

Study information

Study designMulticentre, randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeNot Specified
Scientific title
Study acronymDARTS II
Study objectivesTo determine the efficacy of implicit and explicit decision support tools in reducing decision conflict under ideal circumstances.

To support design of a subsequent multi-centre pragmatic randomised controlled trial.

The initial study design was a three arm open randomised controlled trial comparing explicit and implicit decision support tools with paper based guidelines. The explicit arm was discontinued in October 2003.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedAtrial fibrillation
InterventionPatients randomised to one of three interventions:
1. Explicit DARTS tool - full shared decision making tool
2. Implicit DARTS tool - shortened version of shared decision making tool
3. Evidence based guidelines group - control arm
Intervention typeOther
Primary outcome measureThe primary outcome measure is the decision conflict scale. Prior to clinic attendance patients will complete scales on decision conflict, their choice predisposition, knowledge, decision making preference, general anxiety and risk factors/demographic information.

Immediately following the clinic, patients will complete scales on decision conflict, knowledge, decision making role experienced, and anxiety.

At three months, patients will be sent follow-up postal questionnaires including the decision conflict scale, decision making preference scale and the knowledge scale.
Secondary outcome measuresNo secondary outcome measures
Overall study start date01/11/2001
Completion date30/11/2004

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participants109
Key inclusion criteriaPatients aged over 60 with non-valvular atrial fibrillation on aspirin, warfarin or no anti-thrombotic treatment
Key exclusion criteria1. Acute onset requiring cardiological referral for consideration of cardioversion
2. Had a previous stroke or Transient Ischaemic Attack (TIA)
3. Have absolute contraindications to warfarin
4. Suffer from dementia or cognitive impairment sufficient to hinder shared decision making
Date of first enrolment01/11/2001
Date of final enrolment30/11/2004

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

School of Population and Health Sciences
Newcastle upon Tyne
NE2 4HH
United Kingdom

Sponsor information

Newcastle upon Tyne Hospitals NHS Trust (UK)
Hospital/treatment centre

Research and Development Department
Room 3, The Bridge, Peacock Hall
Royal Victoria Infirmary
Queen Victoria Road
Newcastle upon Tyne
NE1 4LP
England
United Kingdom

Phone +44 (0)191 232 5131
Email craig.mackerness@trvi.nuth.northy.nhs.uk
Website http://www.newcastle-hospitals.org.uk/
ROR logo "ROR" https://ror.org/05p40t847

Funders

Funder type

Charity

The Wellcome Trust (UK) (grant ref: 065131)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article Results 01/06/2007 Yes No
Results article Results of qualitative process evaluation 01/06/2007 Yes No