000041335 001__ 41335 000041335 005__ 20240125142349.0 000041335 0247_ $$2doi$$a10.6083/bpxhc41335 000041335 037__ $$aIR 000041335 041__ $$aeng 000041335 245__ $$aShared decision making in rheumatoid arthritis: study protocol for a stepped wedge, cluster-randomized trial 000041335 260__ $$bOregon Health and Science University 000041335 269__ $$a2023-07-24 000041335 336__ $$aAbstract 000041335 520__ $$aRheumatoid arthritis (RA) impacts quality of life causing disability and increased mortality. Treatment decisions are complex and require individualized decisions. Shared decision making (SDM) is the first principle of RA treat-to-target guidelines but uptake is suboptimal. We aim to evaluate the effectiveness of a multicomponent SDM intervention on RA disease activity and explore the early implementation of the intervention within three geographically diverse rheumatology services. 000041335 540__ $$fCC BY 000041335 542__ $$fIn copyright - joint owners 000041335 650__ $$aHealth Services$$019903 000041335 650__ $$aArthritis, Rheumatoid$$015096 000041335 650__ $$aDecision Making, Shared$$013135 000041335 650__ $$aCommunication$$016935 000041335 650__ $$aRheumatology$$025440 000041335 650__ $$aClinical Decision-Making$$011067 000041335 650__ $$aPatient Participation$$023673 000041335 650__ $$aPhysician-Patient Relations$$024113 000041335 6531_ $$astudy protocol 000041335 6531_ $$apatient education 000041335 6531_ $$adecision aids 000041335 6531_ $$aveterans 000041335 6531_ $$amilitary veterans 000041335 692__ $$aDivision of Arthritis and Rheumatic Diseases$$041455 000041335 7001_ $$aBarton, Jennifer L.$$uOHSU/VA$$041350 000041335 7001_ $$aKunneman, Marleen$$uOregon Health and Science University$$041354 000041335 7001_ $$aMatsumoto, Rachel$$uOregon Health and Science University$$041354 000041335 7001_ $$aLarsen, Chris$$uOregon Health and Science University$$041354 000041335 7001_ $$aHughes, Arielle$$uOregon Health and Science University$$041354 000041335 7001_ $$aSchmajuk, Gabriela$$uOregon Health and Science University$$041354 000041335 7001_ $$aBaker, Joshua$$uOregon Health and Science University$$041354 000041335 7001_ $$aLovejoy, Travis$$uOregon Health and Science University$$041354 000041335 7001_ $$aScholl, Isabelle$$uOregon Health and Science University$$041354 000041335 711__ $$aResearch Week$$uOregon Health and Science University$$d2023 000041335 8564_ $$9454ad7b2-ce3f-4ebf-a314-9d7e29185e8a$$s489086$$uhttps://digitalcollections.ohsu.edu/record/41335/files/ResearchWeek.2023.Barton.Jennifer.pdf 000041335 980__ $$aResearch Week 000041335 981__ $$aPublished$$b2023-07-24