Lessons learned from the conduct of a multisite cluster randomized practical trial of decision aids in rural and suburban primary care practices

Table 3 Implementation and integration of the decision aid (DA) compared to usual care (UC) in practices participating in the DAD trial

	Original approach	In-clinic approach	P value
Videos/patients used in analysis, n (%)	18/45 (40)	23/58 (40)	0.89
Fidelity score, mean (SD)
UC	11.4 (22.7)	22.3 (16.6)	0.97
DA	65.2 (28.5)	66.3 (26.2)	0.24
OPTION score, mean (SD)
UC	16.3 (13.9)	34.8 (28.9)	0.10
DA	38.7 (21.1)	62.8 (8.5)	0.003
Patient-reported outcomes, n/N (%)
Had a discussion about medication
UC	11/27 (41)	10/20 (50)	0.57
DA	10/18 (56)	30/34 (88)	0.02
Clinician-reported outcomes, n/N (%)
Ease of use of DA	11/14 (79)	28/33 (85)	0.68
Easy to integrate into the practice	6/13 (46)	32/33 (97)	<0.01

DA decision aid, DAD decision aids for diabetes, OPTION observing patient involvement; UC usual care.

ISSN: 1745-6215