Shared Decision Making to Address Racial Disparities in Oral Anticoagulation Use in Patients With Non-valvular Atrial Fibrillation
Duke University
Summary
The study is a pilot analysis using a decision on the risk and benefits of oral anticoagulation for stroke reduction for patients with non-valvular atrial fibrillation. This study is a feasibility and acceptability analysis but will also measure preliminary effectiveness measures. The investigator hypothesizes that a patient decision support tool will increase decision quality and secondarily increase the use of oral anticoagulation in Black patients with non-valvular atrial fibrillation.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Black and White adults greater than or equal to 18 years of age * Clinical diagnosis of NVAF * CHA2DS2-VASc score greater than or equal to 2 * New patient visit for initiation of oral anticoagulation at primary care and cardiology clinics Exclusion Criteria: * Unable to speak English * Unable to provide informed consent
Interventions
- OtherPatient Decision Support Tool
Patient decision support tool is a web based educational material that informs a patient on the risk and benefits of oral anticoagulation. In addition, such a tool aims to assess patient values and preferences in the decision making process for oral anticoagulation for stroke reduction.
Location
- Duke University Medical CenterDurham, North Carolina