{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T14:47:51Z","timestamp":1792075671576,"version":"4.4.0"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"Abstract<\/jats:title>\n \n Importance<\/jats:title>\n Shared decision-making is not yet common practice in physical therapy, emphasizing the need for effective decision aids. A preference elicitation tool (PE-tool) was designed to complement supervised exercise therapy (SET) in intermittent claudication treatment.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n Primarily, to assess the impact of implementing the PE-tool on patients\u2019 functional walking distance (FWD), maximal walking distance (MWD) and health-related quality of life (HRQoL) after 3 and 6 months. Secondarily, to assess the tool\u2019s impact on shared decision-making and person-centeredness.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Nationwide pragmatic cluster randomized trial.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Primary care physical therapy practices in the Netherlands.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Primary care physical therapists and patients with intermittent claudication receiving SET.<\/jats:p>\n <\/jats:sec>\n \n Exposure(s)<\/jats:title>\n Therapists assigned to the intervention group had access to the PE-tool to complement SET, whereas therapists in the control group delivered SET.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome(s) and Measure(s)<\/jats:title>\n Group differences in FWD, MWD, and HRQoL at 3- and 6-month follow-ups were assessed using routinely collected clinical data. Audio-recorded consultations between therapists and patients in the intervention (n = 72) and control group (n = 74) were assessed using the OPTION-5 instrument to assess shared decision-making. Participating patients completed a questionnaire afterwards to assess person-centeredness.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Intention-to-treat analyses indicated no statistically significant differences between intervention (n = 1199 patients) and control (n = 915 patients) groups at both follow-ups for FWD and MWD. For HRQoL, a statistically significant difference favoring the control group was found at 3-month follow-up (MD = \u22120.3 points), but not at 6-month (MD = \u22120.3 points). Statistically significant effects favoring the intervention group were found for shared decision-making (MD = +39.0 points) and person-centeredness (MD = +2.0 points).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Use of the PE-tool in intermittent claudication treatment did not improve patient-level outcomes compared to SET alone, but positively impacted levels of shared decision-making and person-centeredness.<\/jats:p>\n <\/jats:sec>\n \n Relevance<\/jats:title>\n Although achieving health improvements through decision aids remains complex, the novel tool could support therapists in adopting a more collaborative and person-centered approach.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/ptj\/pzag103","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:52:09Z","timestamp":1792065129000},"source":"Crossref","is-referenced-by-count":0,"title":["Implementation of a Guideline-Based Preference Elicitation Tool to Enhance Shared Decision-Making in Supervised Exercise Therapy for Patients With Intermittent Claudication: A Multi-Methods Cluster Randomized Trial"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7121-4503","authenticated-orcid":false,"given":"Laura H M","family":"Marcellis","sequence":"first","affiliation":[{"name":"Radboud university medical center, IQ Health science department , Nijmegen ,","place":["the Netherlands"]},{"name":"Chronisch ZorgNet , Eindhoven ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffie","family":"Spruijt","sequence":"additional","affiliation":[{"name":"Chronisch ZorgNet , Eindhoven ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrien M","family":"Rutgers","sequence":"additional","affiliation":[{"name":"Physique Preventiecentrum B.V. , Arnhem ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell C M","family":"van Doormaal","sequence":"additional","affiliation":[{"name":"Royal Dutch Society for Physical Therapy (KNGF), Amersfoort ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joep A W","family":"Teijink","sequence":"additional","affiliation":[{"name":"Chronisch ZorgNet , Eindhoven ,","place":["the Netherlands"]},{"name":"Department of Vascular Surgery, Catharina Hospital , Eindhoven ,","place":["the Netherlands"]},{"name":"CAPHRI Research School, Maastricht University Medical Centre , Maastricht ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip J","family":"van der Wees","sequence":"additional","affiliation":[{"name":"Radboud university medical center, IQ Health science department , Nijmegen ,","place":["the Netherlands"]},{"name":"Radboud university medical center, department of rehabilitation , Nijmegen ,","place":["the Netherlands"]},{"name":"Clinical Research and Leadership, George Washington University School of Medicine and Health Sciences , WA ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J","family":"Hoogeboom","sequence":"additional","affiliation":[{"name":"Radboud university medical center, IQ Health science department , Nijmegen ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,15]]},"container-title":["Physical Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ptj\/advance-article-pdf\/doi\/10.1093\/ptj\/pzag103\/71971281\/pzag103.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ptj\/advance-article-pdf\/doi\/10.1093\/ptj\/pzag103\/71971281\/pzag103.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T14:33:34Z","timestamp":1792074814000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ptj\/advance-article\/doi\/10.1093\/ptj\/pzag103\/8918097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1093\/ptj\/pzag103","relation":{},"ISSN":["0031-9023","1538-6724"],"issn-type":[{"value":"0031-9023","type":"print"},{"value":"1538-6724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]},"article-number":"pzag103"}}