Massachusetts General Hospital
The goal of this study is to increase shared decision making for patients considering treatment for severe aortic stenosis. The main questions it aims to answer are: * Do patient decision aids and clinician skills training course improve the quality of decisions, and do they work well for different patient populations? * Are heart clinics able to reach the majority of patients with decision aids before their specialist visit and do the majority of clinicians complete the training course? All participating sites will start in the usual care group and then will be randomly assigned a time to switch to the intervention group. Participants will complete surveys before and after their specialist visit. Researchers will compare data from patients seen during usual care with data from those seen after the interventions are implemented to see if there are improvements in the quality of decisions.
The goal of this study is to promote shared decision making for patients considering treatment for severe aortic stenosis. The main questions it aims to answer are: * Do patient decision aids and clinician skills training course improve the quality of decisions, and do they work well for different patient populations? * Are heart clinics able to reach the majority of patients with decision aids before their specialist visit and do the majority of clinicians complete the training course? This study is a batched stepped wedge cluster randomized trial with 8 sites, about 56 surgeons and interve…
Inclusion Criteria: * Between 65-85 years of age * Language is English or Spanish * Diagnosed with severe aortic stenosis defined as (e.g. an aortic valve area \< 1 cm2 or as determined by clinician) * Attend a scheduled visit with an Interventional Cardiologist and/or Cardiac Surgeon from the Heart Valve Team at a participating site Exclusion Criteria: * Prior aortic valve replacement surgery * High risk for either SAVR or TAVI (e.g., Society of Thoracic Surgery score \>8% or clinician determined) * Prior coronary artery bypass surgery (CABG) * End stage renal disease on dialysis * Severe…
The American College of Cardiology decision aid: Treatment Options for Severe Aortic Stenosis for patients deciding between Tavi and Surgery
60-minute online training session that will provide practical tips, interactive case studies and tools for conducting shared decision making conversations covering core competencies