The cost of a patient activation intervention for achieving successful outcomes: results from the PAADRN randomized controlled trial
Summary In a large, pragmatic clinical trial, we calculated the costs of achieving four successful patient-centered outcomes using a tailored patient activation DXA result letter accompanied by a bone health brochure. The cost to achieve one successful outcome (e.g., a 0.5 standard deviation improve...
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| Veröffentlicht in: | Osteoporosis international 2017-10, Vol.28 (10), p.3061-3066 |
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| creator | Wolinsky, F. D. Hall, S. F. Lou, Y. Edmonds, S. W. Saag, K. G. Roblin, D. W. Wright, N. C. Jones, M. P. Cram, P. Curtis, J. R. Morgan, S. L. Schlechte, J. A. Williams, J. H. Zelman, D. J. |
| description | Summary
In a large, pragmatic clinical trial, we calculated the costs of achieving four successful patient-centered outcomes using a tailored patient activation DXA result letter accompanied by a bone health brochure. The cost to achieve one successful outcome (e.g., a 0.5 standard deviation improvement in care satisfaction) ranged from $127.41 to $222.75.
Introduction
Pragmatic randomized controlled trials (RCTs) should focus on patient-centered outcomes and report the costs for achieving those outcomes. We calculated per person incremental intervention costs, the number-needed-to-treat (NNT), and incremental per patient costs (cost per NNT) for four patient-centered outcomes in a direct-to-patient bone healthcare intervention.
Methods
The Patient Activation after DXA Result Notification (PAADRN) pragmatic RCT enrolled 7749 patients presenting for DXA at three health centers between February 2012 and August 2014. Interviews occurred at baseline and 52 weeks post-DXA. Intervention subjects received an individually tailored DXA result letter accompanied by an educational bone health brochure 4 weeks post-DXA, while the usual care subjects did not. Outcomes focused on patients (a) correctly identifying their results, (b) contacting their providers, (c) discussing their results with their providers, and (d) satisfaction with their bone healthcare. NNTs were determined using intention-to-treat linear probability models, per person incremental intervention costs were calculated, and costs per NNT were computed.
Results
Mean age was 66.6 years old, 83.8% were women, and 75.3% were non-Hispanic whites. The incremental per patient cost (costs per NNT) to increase the ability of a patient to (a) correctly identify their DXA result was $171.07; (b) contact their provider about their DXA result was $222.75; (c) discuss their DXA result with their provider was $193.55; and (d) achieve a 0.5 SD improvement in satisfaction with their bone healthcare was $127.41.
Conclusion
An individually tailored DXA result letter accompanied by an educational brochure can improve four patient-centered outcomes at a modest cost.
Trial registration
clinicaltrials.gov
identifier NCT01507662 |
| doi_str_mv | 10.1007/s00198-017-4113-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5670012</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2008064593</sourcerecordid><originalsourceid>FETCH-LOGICAL-c422t-25b045a7df18a3fe558ac7b810e6422c2fbebf8a043cf02fccbdce8edd074fde3</originalsourceid><addsrcrecordid>eNp1UcuKFDEUDaI4PaMf4EYCbtyUJqlHKi6EZhwfMKjICO5CKnXTnaEqaZNUg679cG_T4_gAV7m559xzH4eQR5w944zJ55kxrvqKcVk1nNcVv0NWvKnrSqiuvUtWTNWyUg3_ckJOc75mWKOUvE9ORN8JJqVakR9XW6A25kKjo4buTPEQCjW2-D3GMVAfCqQ9Jg8fFxNiWw97HzY0L9ZCzm6ZaFyKjTPkFzRBXqaSqUtxpgXVP67Xrz69p8mEMc7-O4zYL5QUpwnDkryZHpB7zkwZHt68Z-Tz64ur87fV5Yc3787Xl5VthCiVaAfWtEaOjvemdtC2vbFy6DmDDglWuAEG1xvW1NYx4awdRgs9jCOTjRuhPiMvj7q7ZZgBMRzDTHqX_GzSNx2N138jwW_1Ju5120k8tUCBpzcCKX5dIBc9-2xhmkyAuGTNFccT923HkPrkH-p1XFLA9bRgrGdd06oaWfzIsinmnMDdDsOZPnisjx5r9FgfPNYcax7_ucVtxS9TkSCOhIxQ2ED63fr_qj8B_KG2cg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2008064593</pqid></control><display><type>article</type><title>The cost of a patient activation intervention for achieving successful outcomes: results from the PAADRN randomized controlled trial</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Wolinsky, F. D. ; Hall, S. F. ; Lou, Y. ; Edmonds, S. W. ; Saag, K. G. ; Roblin, D. W. ; Wright, N. C. ; Jones, M. P. ; Cram, P. ; Curtis, J. R. ; Morgan, S. L. ; Schlechte, J. A. ; Williams, J. H. ; Zelman, D. J.</creator><creatorcontrib>Wolinsky, F. D. ; Hall, S. F. ; Lou, Y. ; Edmonds, S. W. ; Saag, K. G. ; Roblin, D. W. ; Wright, N. C. ; Jones, M. P. ; Cram, P. ; Curtis, J. R. ; Morgan, S. L. ; Schlechte, J. A. ; Williams, J. H. ; Zelman, D. J. ; PAADRN Investigators ; on behalf of the PAADRN Investigators</creatorcontrib><description>Summary
In a large, pragmatic clinical trial, we calculated the costs of achieving four successful patient-centered outcomes using a tailored patient activation DXA result letter accompanied by a bone health brochure. The cost to achieve one successful outcome (e.g., a 0.5 standard deviation improvement in care satisfaction) ranged from $127.41 to $222.75.
Introduction
Pragmatic randomized controlled trials (RCTs) should focus on patient-centered outcomes and report the costs for achieving those outcomes. We calculated per person incremental intervention costs, the number-needed-to-treat (NNT), and incremental per patient costs (cost per NNT) for four patient-centered outcomes in a direct-to-patient bone healthcare intervention.
Methods
The Patient Activation after DXA Result Notification (PAADRN) pragmatic RCT enrolled 7749 patients presenting for DXA at three health centers between February 2012 and August 2014. Interviews occurred at baseline and 52 weeks post-DXA. Intervention subjects received an individually tailored DXA result letter accompanied by an educational bone health brochure 4 weeks post-DXA, while the usual care subjects did not. Outcomes focused on patients (a) correctly identifying their results, (b) contacting their providers, (c) discussing their results with their providers, and (d) satisfaction with their bone healthcare. NNTs were determined using intention-to-treat linear probability models, per person incremental intervention costs were calculated, and costs per NNT were computed.
Results
Mean age was 66.6 years old, 83.8% were women, and 75.3% were non-Hispanic whites. The incremental per patient cost (costs per NNT) to increase the ability of a patient to (a) correctly identify their DXA result was $171.07; (b) contact their provider about their DXA result was $222.75; (c) discuss their DXA result with their provider was $193.55; and (d) achieve a 0.5 SD improvement in satisfaction with their bone healthcare was $127.41.
Conclusion
An individually tailored DXA result letter accompanied by an educational brochure can improve four patient-centered outcomes at a modest cost.
Trial registration
clinicaltrials.gov
identifier NCT01507662</description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-017-4113-1</identifier><identifier>PMID: 28620779</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Absorptiometry, Photon ; Aged ; Alabama ; Brochures ; Clinical trials ; Communication ; Correspondence as Topic ; Costs ; Dual energy X-ray absorptiometry ; Endocrinology ; Female ; Georgia ; Health Care Costs - statistics & numerical data ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Motivation ; Orthopedics ; Osteoporosis ; Osteoporosis - diagnosis ; Osteoporosis - psychology ; Patient Education as Topic - economics ; Patient Education as Topic - methods ; Patient Outcome Assessment ; Patient Satisfaction ; Physician-Patient Relations ; Rheumatology ; Short Communication</subject><ispartof>Osteoporosis international, 2017-10, Vol.28 (10), p.3061-3066</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2017</rights><rights>Osteoporosis International is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c422t-25b045a7df18a3fe558ac7b810e6422c2fbebf8a043cf02fccbdce8edd074fde3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00198-017-4113-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00198-017-4113-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,315,781,785,886,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28620779$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wolinsky, F. D.</creatorcontrib><creatorcontrib>Hall, S. F.</creatorcontrib><creatorcontrib>Lou, Y.</creatorcontrib><creatorcontrib>Edmonds, S. W.</creatorcontrib><creatorcontrib>Saag, K. G.</creatorcontrib><creatorcontrib>Roblin, D. W.</creatorcontrib><creatorcontrib>Wright, N. C.</creatorcontrib><creatorcontrib>Jones, M. P.</creatorcontrib><creatorcontrib>Cram, P.</creatorcontrib><creatorcontrib>Curtis, J. R.</creatorcontrib><creatorcontrib>Morgan, S. L.</creatorcontrib><creatorcontrib>Schlechte, J. A.</creatorcontrib><creatorcontrib>Williams, J. H.</creatorcontrib><creatorcontrib>Zelman, D. J.</creatorcontrib><creatorcontrib>PAADRN Investigators</creatorcontrib><creatorcontrib>on behalf of the PAADRN Investigators</creatorcontrib><title>The cost of a patient activation intervention for achieving successful outcomes: results from the PAADRN randomized controlled trial</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><addtitle>Osteoporos Int</addtitle><description>Summary
In a large, pragmatic clinical trial, we calculated the costs of achieving four successful patient-centered outcomes using a tailored patient activation DXA result letter accompanied by a bone health brochure. The cost to achieve one successful outcome (e.g., a 0.5 standard deviation improvement in care satisfaction) ranged from $127.41 to $222.75.
Introduction
Pragmatic randomized controlled trials (RCTs) should focus on patient-centered outcomes and report the costs for achieving those outcomes. We calculated per person incremental intervention costs, the number-needed-to-treat (NNT), and incremental per patient costs (cost per NNT) for four patient-centered outcomes in a direct-to-patient bone healthcare intervention.
Methods
The Patient Activation after DXA Result Notification (PAADRN) pragmatic RCT enrolled 7749 patients presenting for DXA at three health centers between February 2012 and August 2014. Interviews occurred at baseline and 52 weeks post-DXA. Intervention subjects received an individually tailored DXA result letter accompanied by an educational bone health brochure 4 weeks post-DXA, while the usual care subjects did not. Outcomes focused on patients (a) correctly identifying their results, (b) contacting their providers, (c) discussing their results with their providers, and (d) satisfaction with their bone healthcare. NNTs were determined using intention-to-treat linear probability models, per person incremental intervention costs were calculated, and costs per NNT were computed.
Results
Mean age was 66.6 years old, 83.8% were women, and 75.3% were non-Hispanic whites. The incremental per patient cost (costs per NNT) to increase the ability of a patient to (a) correctly identify their DXA result was $171.07; (b) contact their provider about their DXA result was $222.75; (c) discuss their DXA result with their provider was $193.55; and (d) achieve a 0.5 SD improvement in satisfaction with their bone healthcare was $127.41.
Conclusion
An individually tailored DXA result letter accompanied by an educational brochure can improve four patient-centered outcomes at a modest cost.
Trial registration
clinicaltrials.gov
identifier NCT01507662</description><subject>Absorptiometry, Photon</subject><subject>Aged</subject><subject>Alabama</subject><subject>Brochures</subject><subject>Clinical trials</subject><subject>Communication</subject><subject>Correspondence as Topic</subject><subject>Costs</subject><subject>Dual energy X-ray absorptiometry</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Georgia</subject><subject>Health Care Costs - statistics & numerical data</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Orthopedics</subject><subject>Osteoporosis</subject><subject>Osteoporosis - diagnosis</subject><subject>Osteoporosis - psychology</subject><subject>Patient Education as Topic - economics</subject><subject>Patient Education as Topic - methods</subject><subject>Patient Outcome Assessment</subject><subject>Patient Satisfaction</subject><subject>Physician-Patient Relations</subject><subject>Rheumatology</subject><subject>Short Communication</subject><issn>0937-941X</issn><issn>1433-2965</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1UcuKFDEUDaI4PaMf4EYCbtyUJqlHKi6EZhwfMKjICO5CKnXTnaEqaZNUg679cG_T4_gAV7m559xzH4eQR5w944zJ55kxrvqKcVk1nNcVv0NWvKnrSqiuvUtWTNWyUg3_ckJOc75mWKOUvE9ORN8JJqVakR9XW6A25kKjo4buTPEQCjW2-D3GMVAfCqQ9Jg8fFxNiWw97HzY0L9ZCzm6ZaFyKjTPkFzRBXqaSqUtxpgXVP67Xrz69p8mEMc7-O4zYL5QUpwnDkryZHpB7zkwZHt68Z-Tz64ur87fV5Yc3787Xl5VthCiVaAfWtEaOjvemdtC2vbFy6DmDDglWuAEG1xvW1NYx4awdRgs9jCOTjRuhPiMvj7q7ZZgBMRzDTHqX_GzSNx2N138jwW_1Ju5120k8tUCBpzcCKX5dIBc9-2xhmkyAuGTNFccT923HkPrkH-p1XFLA9bRgrGdd06oaWfzIsinmnMDdDsOZPnisjx5r9FgfPNYcax7_ucVtxS9TkSCOhIxQ2ED63fr_qj8B_KG2cg</recordid><startdate>20171001</startdate><enddate>20171001</enddate><creator>Wolinsky, F. D.</creator><creator>Hall, S. F.</creator><creator>Lou, Y.</creator><creator>Edmonds, S. W.</creator><creator>Saag, K. G.</creator><creator>Roblin, D. W.</creator><creator>Wright, N. C.</creator><creator>Jones, M. P.</creator><creator>Cram, P.</creator><creator>Curtis, J. R.</creator><creator>Morgan, S. L.</creator><creator>Schlechte, J. A.</creator><creator>Williams, J. H.</creator><creator>Zelman, D. J.</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20171001</creationdate><title>The cost of a patient activation intervention for achieving successful outcomes: results from the PAADRN randomized controlled trial</title><author>Wolinsky, F. D. ; Hall, S. F. ; Lou, Y. ; Edmonds, S. W. ; Saag, K. G. ; Roblin, D. W. ; Wright, N. C. ; Jones, M. P. ; Cram, P. ; Curtis, J. R. ; Morgan, S. L. ; Schlechte, J. A. ; Williams, J. H. ; Zelman, D. J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-25b045a7df18a3fe558ac7b810e6422c2fbebf8a043cf02fccbdce8edd074fde3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Absorptiometry, Photon</topic><topic>Aged</topic><topic>Alabama</topic><topic>Brochures</topic><topic>Clinical trials</topic><topic>Communication</topic><topic>Correspondence as Topic</topic><topic>Costs</topic><topic>Dual energy X-ray absorptiometry</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Georgia</topic><topic>Health Care Costs - statistics & numerical data</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Orthopedics</topic><topic>Osteoporosis</topic><topic>Osteoporosis - diagnosis</topic><topic>Osteoporosis - psychology</topic><topic>Patient Education as Topic - economics</topic><topic>Patient Education as Topic - methods</topic><topic>Patient Outcome Assessment</topic><topic>Patient Satisfaction</topic><topic>Physician-Patient Relations</topic><topic>Rheumatology</topic><topic>Short Communication</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wolinsky, F. D.</creatorcontrib><creatorcontrib>Hall, S. F.</creatorcontrib><creatorcontrib>Lou, Y.</creatorcontrib><creatorcontrib>Edmonds, S. W.</creatorcontrib><creatorcontrib>Saag, K. G.</creatorcontrib><creatorcontrib>Roblin, D. W.</creatorcontrib><creatorcontrib>Wright, N. C.</creatorcontrib><creatorcontrib>Jones, M. P.</creatorcontrib><creatorcontrib>Cram, P.</creatorcontrib><creatorcontrib>Curtis, J. R.</creatorcontrib><creatorcontrib>Morgan, S. L.</creatorcontrib><creatorcontrib>Schlechte, J. A.</creatorcontrib><creatorcontrib>Williams, J. H.</creatorcontrib><creatorcontrib>Zelman, D. J.</creatorcontrib><creatorcontrib>PAADRN Investigators</creatorcontrib><creatorcontrib>on behalf of the PAADRN Investigators</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Osteoporosis international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wolinsky, F. D.</au><au>Hall, S. F.</au><au>Lou, Y.</au><au>Edmonds, S. W.</au><au>Saag, K. G.</au><au>Roblin, D. W.</au><au>Wright, N. C.</au><au>Jones, M. P.</au><au>Cram, P.</au><au>Curtis, J. R.</au><au>Morgan, S. L.</au><au>Schlechte, J. A.</au><au>Williams, J. H.</au><au>Zelman, D. J.</au><aucorp>PAADRN Investigators</aucorp><aucorp>on behalf of the PAADRN Investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The cost of a patient activation intervention for achieving successful outcomes: results from the PAADRN randomized controlled trial</atitle><jtitle>Osteoporosis international</jtitle><stitle>Osteoporos Int</stitle><addtitle>Osteoporos Int</addtitle><date>2017-10-01</date><risdate>2017</risdate><volume>28</volume><issue>10</issue><spage>3061</spage><epage>3066</epage><pages>3061-3066</pages><issn>0937-941X</issn><eissn>1433-2965</eissn><abstract>Summary
In a large, pragmatic clinical trial, we calculated the costs of achieving four successful patient-centered outcomes using a tailored patient activation DXA result letter accompanied by a bone health brochure. The cost to achieve one successful outcome (e.g., a 0.5 standard deviation improvement in care satisfaction) ranged from $127.41 to $222.75.
Introduction
Pragmatic randomized controlled trials (RCTs) should focus on patient-centered outcomes and report the costs for achieving those outcomes. We calculated per person incremental intervention costs, the number-needed-to-treat (NNT), and incremental per patient costs (cost per NNT) for four patient-centered outcomes in a direct-to-patient bone healthcare intervention.
Methods
The Patient Activation after DXA Result Notification (PAADRN) pragmatic RCT enrolled 7749 patients presenting for DXA at three health centers between February 2012 and August 2014. Interviews occurred at baseline and 52 weeks post-DXA. Intervention subjects received an individually tailored DXA result letter accompanied by an educational bone health brochure 4 weeks post-DXA, while the usual care subjects did not. Outcomes focused on patients (a) correctly identifying their results, (b) contacting their providers, (c) discussing their results with their providers, and (d) satisfaction with their bone healthcare. NNTs were determined using intention-to-treat linear probability models, per person incremental intervention costs were calculated, and costs per NNT were computed.
Results
Mean age was 66.6 years old, 83.8% were women, and 75.3% were non-Hispanic whites. The incremental per patient cost (costs per NNT) to increase the ability of a patient to (a) correctly identify their DXA result was $171.07; (b) contact their provider about their DXA result was $222.75; (c) discuss their DXA result with their provider was $193.55; and (d) achieve a 0.5 SD improvement in satisfaction with their bone healthcare was $127.41.
Conclusion
An individually tailored DXA result letter accompanied by an educational brochure can improve four patient-centered outcomes at a modest cost.
Trial registration
clinicaltrials.gov
identifier NCT01507662</abstract><cop>London</cop><pub>Springer London</pub><pmid>28620779</pmid><doi>10.1007/s00198-017-4113-1</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0937-941X |
| ispartof | Osteoporosis international, 2017-10, Vol.28 (10), p.3061-3066 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Absorptiometry, Photon Aged Alabama Brochures Clinical trials Communication Correspondence as Topic Costs Dual energy X-ray absorptiometry Endocrinology Female Georgia Health Care Costs - statistics & numerical data Health Knowledge, Attitudes, Practice Humans Male Medicine Medicine & Public Health Middle Aged Motivation Orthopedics Osteoporosis Osteoporosis - diagnosis Osteoporosis - psychology Patient Education as Topic - economics Patient Education as Topic - methods Patient Outcome Assessment Patient Satisfaction Physician-Patient Relations Rheumatology Short Communication |
| title | The cost of a patient activation intervention for achieving successful outcomes: results from the PAADRN randomized controlled trial |
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