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Pilot trial of iBDecide

Evaluating an online tool to facilitate shared decision making for adolescents and young adults with ulcerative colitis

Bibliographic Data

ID19507073
AuthorsKelly A Matula (0000-0002-8206-2154, James M. Anderson Center for Health Systems Excellence Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA), Philip Minar (Division of Gastroenterology, Hepatology and Nutrition Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA), Nancy M Daraiseh (0000-0003-0669-4309, James M. Anderson Center for Health Systems Excellence Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA), Lin Li (0000-0003-2896-7988, Cincinnati Children's Hospital Medical Center), Li Lin (0000-0002-7584-9186, Division of Research in Patient Services Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA), Marlee Recker (Division of Social Services Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA), Ellen A Lipstein (0000-0002-3488-8971, James M. Anderson Center for Health Systems Excellence Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA, corresponding author)
Year2022
Volume25
Issue6
Pages3105-3113
Publication date2022-12-01
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.13618
PMID36161973
OpenAlexW4297092922
LanguageEN
Citations received1
References cited38

INTRODUCTION: This pilot, randomized controlled trial aimed to evaluate the usability, among adolescents and young adults (AYAs) with ulcerative colitis (UC), of a web-based tool ('iBDecide') designed to facilitate shared decision making (SDM). METHODS: AYAs with UC (n = 35) were randomized to intervention (iBDecide, n = 14) and control (n = 12) arms before a scheduled clinic visit. We measured the usability of iBDecide, SDM, preferred decision-making style, decision conflict and intervention use. RESULTS: Participants in the intervention group found iBDecide easy to use and agreed that it made them feel ready to participate in decision making and that they would use it to prepare for appointments. There were 130 visits to iBDecide, lasting on average 3 min, 41 s. The medication and nutrition trackers were among the most-viewed pages. Pages specifically designed to facilitate SDM were viewed only four times. Across groups, too few participants reported making decisions during clinic visits for decision-related measures to be reported. CONCLUSIONS: This pilot trial provides evidence for the usability of iBDecide and guidance for developing a larger-scale trial of a combined web-based and in-clinic SDM intervention. Overall, iBDecide shows promise in engaging AYAs with UC in SDM and condition management. PATIENT OR PUBLIC CONTRIBUTION: Patients, specifically AYAs with UC, and healthcare providers were involved in the design of this study's intervention, iBDecide. Additionally, the research team, from study conception to manuscript writing, included a young adult with inflammatory bowel disease. CLINICAL TRIAL REGISTRATION: This study was registered at clinicaltrials.gov (NCT04207008)

Disease · Family medicine · MEDLINE · Randomized controlled trial · Ulcerative colitis · Usability · Adolescent and Pediatric Healthcare · Computer Science · Health Literacy and Information Accessibility · Medicine · Nursing · Patient-Provider Communication in Healthcare · Internal Medicine

  • Pilot trial of iBDecide

    Open Access•Kelly A Matula, Philip Minar et al.•Health Expectations•2022

  • An Empirical Evaluation of the System Usability Scale

    Aaron Bangor, Philip Kortum et al.•International Journal of…•2008

  • Validation of a Decisional Conflict Scale

    Open Access•Annette M O’Connor, Annette M O'Connor•Medical Decision Making•1995

  • Developmental Patterns in Decision-Making Autonomy Across Middle Childhood and Adolescence

    Open Access•Laura Wray-Lake, Ann C Crouter et al.•Child Development•2010

  • Estimating the sample size for a pilot randomised trial to minimise the overall trial sample size for the external pilot and main trial for a continuous outcome variable

    Open Access•Amy Whitehead, Amy L Whitehead et al.•Statistical Methods in Medical…•2016

  • Right choice, right time

    Open Access•Magenta B Simmons, Aurora Elmes et al.•Health Expectations•2017

  • Pilot trial of iBDecide

    Open Access•Kelly A Matula, Philip Minar et al.•Health Expectations•2022

Citations per year0.25
Citation span2022 - 2022 (1)
Highly citedNo

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