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Promoting Shared Decision Making for Severe Aortic Stenosis

Key facts

Where
Atlanta, Aurora, Boston, Chapel Hill, Dallas, Philadelphia, San Francisco, and St Louis, United StatesSee the 8 sites

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 65 and 85 years old?

Source: NCT06171737, who can take part

Where in United States

  • Emory UniversityAtlanta, United StatesNo longer taking part
  • University of Colorado DenverAurora, United StatesNo longer taking part
  • Massachusetts General HospitalBoston, United StatesNo longer taking part
  • The University of North Carolina at Chapel HillChapel Hill, United StatesNo longer taking part
  • UT Southwestern Medical CenterDallas, United StatesNo longer taking part
  • University of PennsylvaniaPhiladelphia, United StatesNo longer taking part
  • The Regents of the University of California, San FranciscoSan Francisco, United StatesNo longer taking part
  • Washington University School of MedicineSt Louis, United StatesNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Trial details

Who runs it
Massachusetts General Hospital
Trial code
NCT06171737
Record updated
30 September 2026
Original description
The goal of this study is to increase shared decision making for patients considering treatment for severe aortic stenosis. The main questions it aims to answer are:Read full original descriptionShow less

PCORI-CDR-2022C1-26333 Promoting Shared Decision Making for Decisions About Treatment of Severe Aortic Stenosis (IMPACT SDM Study)

The goal of this study is to increase shared decision making for patients considering treatment for severe aortic stenosis. The main questions it aims to answer are:

* Do patient decision aids and clinician skills training course improve the quality of decisions, and do they work well for different patient populations? * Are heart clinics able to reach the majority of patients with decision aids before their specialist visit and do the majority of clinicians complete the training course?

All participating sites will start in the usual care group and then will be randomly assigned a time to switch to the intervention group. Participants will complete surveys before and after their specialist visit.

Researchers will compare data from patients seen during usual care with data from those seen after the interventions are implemented to see if there are improvements in the quality of decisions.

Inclusion: Between 65-85 years of age; Language is English or Spanish; Diagnosed with severe aortic stenosis defined as (e.g. an aortic valve area < 1 cm2 or as determined by clinician); Attend a scheduled visit with an Interventional Cardiologist and/or Cardiac Surgeon from the Heart Valve Team at a participating site.

Exclusion: Prior aortic valve replacement surgery; High risk for either SAVR or TAVI (e.g., Society of Thoracic Surgery score >8% or clinician determined); Prior coronary artery bypass surgery (CABG); End stage renal disease on dialysis; Severe lung disease (chronic obstructive pulmonary disease; COPD) requiring home oxygen; Advanced Cirrhosis; Unable to consent for self (proxy respondents are not allowed).

ClinicalTrials.gov NCT06171737