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Toupin-April K, Décary S, de Wit M, Meara A, Barton JL, Fraenkel L, Li LC, Brooks P, Shea B, Stacey D, Légaré F, Lydiatt A, Hofstetter C, Proulx L, Christensen R, Voshaar M, Suarez-Almazor ME, Boonen A, Meade T, March L, Jull JE, Campbell W, Alten R, Morgan EM, Kelly A, Kaufman J, Hill S, Maxwell LJ, Guillemin F, Beaton D, El-Miedany Y, Mittoo S, Westrich Robertson T, Bartlett SJ, Singh JA, Mannion M, Nasef SI, de Souza S, Boel A, Adebajo A, Arnaud L, Gill TK, Moholt E, Burt J, Jayatilleke A, Hmamouchi I, Carrott D, Blanco FJ, Mather K, Maharaj A, Sharma S, Caso F, Fong C, Fernandez AP, Mackie S, Nikiphorou E, Jones A, Greer-Smith R, Sloan VS, Akpabio A, Strand V, Umaefulam V, Monti S, Melburn C, Abaza N, Schultz K, Stones S, Kiwalkar S, Srinivasalu H, Constien D, King LK, Tugwell P. Endorsement of the OMERACT core domain set for shared decision making interventions in rheumatology trials: Results from a multi-stepped consensus-building approach. Semin Arthritis Rheum 2021; 51:593-600. [PMID: 33892937 DOI: 10.1016/j.semarthrit.2021.03.017] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 03/19/2021] [Accepted: 03/26/2021] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To gain consensus on the Outcome Measures in Rheumatology (OMERACT) core domain set for rheumatology trials of shared decision making (SDM) interventions. METHODS The process followed the OMERACT Filter 2.1 methodology, and used consensus-building methods, with patients involved since the inception. After developing the draft core domain set in previous research, we conducted five steps: (i) improving the draft core domain set; (ii) developing and disseminating white-board videos to promote its understanding; (iii) conducting an electronic survey to gather feedback on the draft core domain set; (iv) finalizing the core domain set and developing summaries, a plenary session video and discussion boards to promote its understanding; and (v) conducting virtual workshops with voting to endorse the core domain set. RESULTS A total of 167 participants from 28 countries answered the survey (62% were patients/caregivers). Most participants rated domains as relevant (81%-95%) and clear (82%-93%). A total of 149 participants (n = 48 patients/caregivers, 101 clinicians/researchers) participated in virtual workshops and voted on the proposed core domain set which received endorsement by 95%. Endorsed domains are: 1- Knowledge of options, their potential benefits and harms; 2- Chosen option aligned with each patient's values and preferences; 3- Confidence in the chosen option; 4- Satisfaction with the decision-making process; 5- Adherence to the chosen option and 6- Potential negative consequences of the SDM intervention. CONCLUSION We achieved consensus among an international group of stakeholders on the OMERACT core domain set for rheumatology trials of SDM interventions. Future research will develop the Core Outcome Measurement Set. CLINICAL SIGNIFICANCE Prior to this study, there had been no consensus on the OMERACT core domain set for SDM interventions. The current study shows that the OMERACT core domain set achieved a high level of endorsement by key stakeholders, including patients/caregivers, clinicians and researchers.
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Affiliation(s)
- Karine Toupin-April
- School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Roger Guindon Hall, Room 3071, 451 Smyth Road, Ottawa, ON K1H 8M5, Canada; Department of Pediatrics, Faculty of Medicine, University of Ottawa, Ottawa, Canada; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada.
| | - Simon Décary
- Department of family medicine and emergency medicine, Université Laval, Quebec, Canada
| | - Maarten de Wit
- OMERACT patient research partner, OMERACT, Amsterdam, The Netherlands
| | - Alexa Meara
- Division of Rheumatology, The Ohio State University, Columbus, Ohio, United States
| | - Jennifer L Barton
- VA Portland Health Care System, Oregon Health & Science University, Portland, Oregon, United States
| | - Liana Fraenkel
- Department of Internal Medicine, Yale University, New Haven, Connecticut, United States
| | - Linda C Li
- Department of Physical Therapy, University of British Columbia, Vancouver, Canada
| | - Peter Brooks
- School of Population and Global Health, University of Melbourne and Northern Health, Melbourne, Australia
| | - Beverly Shea
- Bruyère Research Institute, Ottawa Hospital Research Institute, Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Canada
| | - Dawn Stacey
- School of Nursing, University of Ottawa, The Ottawa Hospital Research Institute, Ottawa, Canada
| | - France Légaré
- Department of Family Medicine and Emergency Medicine, Université Laval, Quebec City, Canada
| | | | | | - Laurie Proulx
- Patient Research Partner, Canadian Arthritis Patient Alliance, Ottawa, Canada
| | - Robin Christensen
- Section for Biostatistics and Evidence-Based Research, The Parker Institute, Bispebjerg and Frederiksberg Hospital, Copenhagen, & Department of Rheumatology, Odense University Hospital, Denmark
| | - Marieke Voshaar
- Department of Pharmacy, Sint Maartenskliniek, The Netherlands; Department of Pharmacy, Radboudumc, Nijmegen, The Netherlands
| | - Maria E Suarez-Almazor
- Department of General Internal Medicine, Section of Rheumatology and Clinical Immunology, University of Texas MD Anderson Cancer Center, Houston, Texas, United States
| | - Annelies Boonen
- Department of Internal Medicine, Division of Rheumatology, Maastricht University Medical Center and Caphri Research Institute, Maastricht University, Maastricht, Netherlands
| | - Tanya Meade
- Western Sydney University and Faculty of Medicine, University of Sydney, Sydney, Australia
| | - Lyn March
- Department of Rheumatology, Royal North Shore Hospital, The University of Sydney, Australia
| | | | - Willemina Campbell
- Patient Research Partner, Toronto Western Hospital, University Health Network, Toronto, Canada
| | - Rieke Alten
- Head of Department of Internal Medicine II, Director of Rheumatology Research Center, Rheumatology, Clinical Immunology, Osteology, Physical Therapy and Sports Medicine, Schlosspark-Klinik, Charité, University Medicine Berlin, Berlin, Germany
| | - Esi M Morgan
- Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States
| | - Ayano Kelly
- Canberra Rheumatology, Department of Rheumatology, Liverpool Hospital, and College of Health and Medicine, Australian National University, Liverpool, Australia
| | - Jessica Kaufman
- Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, Melbourne, Australia
| | - Sophie Hill
- Centre for Health Communication and Participation, School of Psychology and Public Health, La Trobe University, Melbourne, Australia
| | - Lara J Maxwell
- Ottawa Hospital Research Institute, Centre for Practice Changing Research and University of Ottawa, Ottawa, Canada
| | - Francis Guillemin
- School of Public Health, Faculty of Medicine, Université de Lorraine, EA 4360 APEMAC, Nancy, France
| | - Dorcas Beaton
- Institute for Work & Health, Institute Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
| | - Yasser El-Miedany
- Canterbury Christ Church University, Honorary Senior Clinical Lecturer, King's College London, London, United Kingdom
| | - Shikha Mittoo
- Department of Medicine, Division of Rheumatology, University of Toronto, Toronto, Canada
| | - Tiffany Westrich Robertson
- Patient research partner, International Foundation for Autoimmune & Autoinflammatory Arthritis (AiArthritis), United States
| | - Susan J Bartlett
- Divisions of Clinical Epidemiology, Rheumatology and Respiratory Epidemiology and Clinical Trials Unit, McGill University, Research Institute - McGill University Health Centre, Johns Hopkins Medicine Division of Rheumatology, Montreal, Canada
| | - Jasvinder A Singh
- University of Alabama at Birmingham, Birmingham, Alabama, United States
| | - Melissa Mannion
- Department of Pediatrics, Division of Pediatric Rheumatology, University of Alabama at Birmingham, Birmingham, Alabama, United States
| | - Samah Ismail Nasef
- Department of Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Savia de Souza
- Patient Research Partner, Centre for Rheumatic Diseases, King's College London, London, United Kingdom
| | - Anne Boel
- Department of Rheumatology, Leiden University Medical Centre, Leiden, Netherlands
| | - Adewale Adebajo
- Faculty of Medicine, Dentistry and Health, University of Sheffield, Sheffield, United Kingdom
| | - Laurent Arnaud
- Department of Rheumatology, CRMR RESO, University Hospitals of Strasbourg, Strasbourg, France
| | - Tiffany K Gill
- Faculty of Health and Medical Sciences, Adelaide Medical School, The University of Adelaide, Australia
| | - Ellen Moholt
- Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway
| | - Jennifer Burt
- Eastern Health, St. Clare's Mercy Hospital, St John's, Newfoundland and Labrador, Canada
| | - Arundathi Jayatilleke
- Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, United States
| | - Ihsane Hmamouchi
- Department of Rheumatology, Temara Hospital, Laboratory of Biostatistics and Clinical Epidemiology (LBRCE), Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco
| | - David Carrott
- Patient Research Partner, Polymyalgia Rheumatica and Giant Cell Arteritis Scotland, Nethy Bridge, Scotland, United Kingdom
| | - Francisco J Blanco
- INIBIC-Instituto de Investigación Biomedica da Coruña, Rheumatologist, Complejo Hospitalario Universitario A Coruña, Universidad de A Coruña, A Coruña, Spain
| | | | - Ajesh Maharaj
- Department of Internal Medicine, University of KwaZulu Natal, Durban, South Africa
| | - Saurab Sharma
- Department of Physiotherapy, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal; Centre for Musculoskeletal Outcomes Research, Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
| | - Francesco Caso
- Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Christopher Fong
- Eastern Clinical Research Unit, Monash University, Melbourne, Australia
| | - Anthony P Fernandez
- Departments of Dermatology and Pathology, Cleveland Clinic, Cleveland, Ohio, United States
| | - Sarah Mackie
- Leeds Institute of Rheumatic and Musculoskeletal Medicine, Chapel Allerton Hospital, University of Leeds, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom
| | - Elena Nikiphorou
- Centre for Rheumatic Diseases, King's College London, London, UK; Rheumatology Department, King's College Hospital, London, UK
| | - Allyson Jones
- Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| | - Regina Greer-Smith
- Patient Research Partner, President/CEO, Healthcare Research Associates, LLC/S.T.A.R. Initiative, Ambassador, Patient-Centered Outcomes Research Institute, Apple Valley, CA, United States
| | - Victor S Sloan
- Sheng Consulting LLC, Flemington, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey United State
| | - Akpabio Akpabio
- Internal Medicine Department, University of Uyo Teaching Hospital, Uyo, Nigeria
| | - Vibeke Strand
- Division of Immunology/Rheumatology, Standford University, California, United States
| | | | - Sara Monti
- Department of Rheumatology, Policlinico S. Matteo, IRCCS Fondazione, University of Pavia, Italy
| | | | | | | | - Simon Stones
- Patient Research Partner, Health Advocate, Consultant and Research, Collaboro Consulting by Simon R. Stones, Manchester, England, United Kingdom
| | - Sonam Kiwalkar
- Division of Arthritis and Rheumatic Diseases, Oregon Health & Science University, Portland, Oregon, United States
| | - Hemalatha Srinivasalu
- Pediatric Rheumatology, GW University School of Medicine and Health Sciences, Division of Rheumatology, Children's National Hospital, Washington, DC, United States
| | - Deb Constien
- Patient Research Partner, Central Regional Lead, Advocacy Leadership Board Chair, International Foundation of Autoimmune Autoinflammatory Arthritis (AiArthritis), Madison, Wisconsin, United States
| | - Lauren K King
- Department of Medicine, University of Toronto, Toronto, Canada
| | - Peter Tugwell
- Division of Rheumatology, Department of Medicine, and School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada
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