My anesthesia Choice-HF: development and preliminary testing of a tool to facilitate conversations about anesthesia for hip fracture surgery

• Published in: BMC anesthesiology 2024-05, Vol.24 (1), p.165-6, Article 165
• Main Authors: Neuman, Mark D, Elwyn, Glyn, Graff, Veena, Schmitz, Viktoria, Politi, Mary C
• Format: Article
• Language: English
• Subjects: Adults; Aged; Anesthesia; Anesthesia, General - methods; Anesthesia, Spinal - methods; Choice Behavior; Conversation aid; Decision Making; Female; Fractures; General and spinal anesthesia; General anesthesia; Hip; Hip fractures; Hip Fractures - surgery; Hip joint; Humans; Knowledge; Male; Medical colleges; Middle Aged; Patient Participation - methods; Patient-centered outcomes; Patients; Population; Shared decision-making; Surgery; Surveys; Surveys and Questionnaires
• ISSN: 1471-2253; 1471-2253
• DOI: 10.1186/s12871-024-02547-0

Patients often desire involvement in anesthesia decisions, yet clinicians rarely explain anesthesia options or elicit preferences. We developed My Anesthesia Choice-Hip Fracture, a conversation aid about anesthesia options for hip fracture surgery and tested its preliminary efficacy and acceptability. We developed a 1-page, tabular format, plain-language conversation aid with feedback from anesthesiologists, decision scientists, and community advisors. We conducted an online survey of English-speaking adults aged 50 and older. Participants imagined choosing between spinal and general anesthesia for hip fracture surgery. Before and after viewing the aid, participants answered a series of questions regarding key outcomes, including decisional conflict, knowledge about anesthesia options, and acceptability of the aid. Of 364/409 valid respondents, mean age was 64 (SD 8.9) and 59% were female. The proportion indicating decisional conflict decreased after reviewing the aid (63-34%, P