Improving Anesthesia Discussions for Hip Fracture Surgery

This study is testing a new way to help doctors and patients talk about anesthesia options for hip fracture surgery. It's called the "My Anesthesia Choice-HF Model." This model involves brief training for doctors and a simple, one-page guide that answers common questions about spinal anesthesia and general anesthesia. The goal is to improve how well patients understand their choices and participate in decisions about their care. You might be able to join if you are 50 years or older and are having surgery for a hip fracture. However, you cannot join if you have certain conditions that make spinal anesthesia unsafe, such as being on blood thinners or having a skin infection on your lower back. The study aims to see how well this new approach works and if it helps patients feel more involved in their care decisions. The current status of this study is unclear.

Study design
This study is an interventional trial planning to enroll 1881 participants. It uses a stepped-wedge, cluster randomized design across 6 hospitals.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The study measures intervention reach on the day of surgery and shared decision-making process scores up to 3 days after surgery.

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NCT06438640

Evaluating a Strategy to Improve Pre-Anesthesia Care Discussions (My Anesthesia Choice-Hip Fracture)

Recruiting
NAAges 50+InterventionalHealth services
University of Pennsylvania
~1,881 participants
Updated 2026-03-12 on ClinicalTrials.gov
What's tested:My Anesthesia Choice-HF Model

At a glance

Recruiting sites
6 of 6 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Intervention reach (primary implementation outcome)
Measured over Day of surgery
+1 more outcome measured
Hip Fractures
Femoral Neck Fractures
Intertrochanteric Fractures
Subtrochanteric Fractures
6 sites across 6 states
Florida1
Michigan1
New Hampshire1
North Carolina1
Ohio1
Pennsylvania1
  • Mark Neuman, MD · PRINCIPAL_INVESTIGATOR · University of Pennsylvania

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  • Intervention reach (primary implementation outcome)Day of surgery

    Reach of the intervention will be assessed as the rate of use of the conversation aid during the active implementation phase at each site among eligible patients during the pre-anesthesia evaluation. Data will be collected during the implementation phase at each site.

  • Shared Decision-Making Process scale score (SDMP; primary effectiveness outcome)Postoperative day 0-3

    SDMP is a 4-item measure of shared decision making; this will be assessed on eligible patients during the pre-implementation and implementation phases of the study to allow for comparison of scores among eligible patients treated in the two periods