ClinicalTrials.gg
Enrolling by invitationNCT06171737IMPACT SDMUpdated Sep 30, 2026

Promoting Shared Decision Making for Severe Aortic Stenosis

An interventional study of Decision Aid and Shared Decision Making Skills Training in Aortic Stenosis, sponsored by Massachusetts General Hospital. Enrolling by invitation at 8 sites in United States. Open to participants aged 65 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-09-30.

Sponsored by Massachusetts General Hospital · Not applicable, Interventional, and Health services research

Updated Sep 30, 20261 site added1 site removedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
1,300
Allocation
Randomized
Ages
65 Years to 85 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 189 studies in Aortic Valve Stenosis with a site in United States — 44 open to participants now, 68 under way, 3 of them phase 3. Aortic Valve Stenosis · United States.

Planned enrollment
14th of 125
1,300 · median 172
Started
2024
with 12 others
No phase
102 of 189
22 open now
Primary completion
2027-05
later than 36 of 67 live
Registered
160th of 189
by date
Lead sponsor
5 of 189
Massachusetts General Hospital

Among the 189 studies in Aortic Valve Stenosis with a site in United States, this one is the 14th largest by planned enrollment of the 125 interventional ones that give a count, is one of 13 that started in 2024, is one of 102 with no phase, reaches primary completion later than 36 of the 67 other live ones, and was the 160th registered.

Aortic Valve Stenosis

1,025 studies on the registry are indexed under Aortic Valve Stenosis; 293 are open to participants now.

This study's planned enrollment of 1,300 is above the median of 126 across 554 interventional studies indexed under Aortic Valve Stenosis.

Browse Aortic Valve Stenosis studies →

Open to participants now

44 of the 189 studies in Aortic Valve Stenosis with a site in United States are open now.

All 44 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 209 Aortic Valve Stenosis studies recruiting now, 163 (78%) set no upper age limit and 9 (4%) stop at 75 or younger; 25 take children under 18; 14 take healthy volunteers.

This study: 65 Years to 85 Years · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 189 studies in Aortic Valve Stenosis with a site in United States, or all of them as a file.
02

Study summary

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.

Read the detailed description

The goal of this study is to promote 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?

This study is a batched stepped wedge cluster randomized trial with 8 sites, about 56 surgeons and interventional cardiologists, and will enroll about 1300 patients. All participating sites will start in the usual care group and then will be randomly assigned a time to switch to the intervention group. The interventions include a patient decision aid that was created by the American College of Cardiology CardioSmart program and a online shared decision making skills training course for clinicians. The coordinating center will provide implementation support to sites when they transition to the intervention arm. Data collection is similar across usual care and intervention groups. Patient participants will complete surveys before and after their specialist visit. Clinician participants will be randomly selected to complete a survey after the patient visit. Limited clinical data will be collected from the medical record.

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. Researchers will also calculate percentage of patients reached with decision aids and percentage of clinicians who complete training at each site to measure the success of the implementation.

03

Conditions studied

  • Aortic Stenosis

Keywords

  • aortic valve stenosis
  • Decision Making, Shared
  • decision aid
  • continuing medical education
  • cardiology
  • Transcatheter Aortic Valve Replacement
04

Who can participate

Ages eligible
65 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 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 criteria

Exclusion Criteria:

  • 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 (; COPD) requiring home oxygen
  • Advanced Cirrhosis
  • Unable to consent for self (proxy respondents are not allowed)
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
1,300 participants (estimated)

Study arms

  • No intervention
    Control (usual care)

    This group will receive usual care without any support for using the decision aid and without any access to the clinician training.

  • Active comparator
    Intervention

    The patients in this group will receive a decision aid that covers the main treatment options for aortic stenosis. The clinicians in this group will receive a 60-minute online training session that will provide practical tips, interactive case studies and tools for conducting shared decision making conversations covering core competencies

    Behavioral: Decision Aid · Behavioral: Shared Decision Making Skills Training

Interventions

  • BehavioralDecision Aid

    The American College of Cardiology decision aid: Treatment Options for Severe Aortic Stenosis for patients deciding between Tavi and Surgery

  • BehavioralShared Decision Making Skills Training

    60-minute online training session that will provide practical tips, interactive case studies and tools for conducting shared decision making conversations covering core competencies

06

What researchers measure

Primary outcomes

  1. Shared Decision Making

    Shared Decision Making Process scale; Scores range 0-4 with higher scores indicating greater shared decision making occurred.

    Time frame: About 1 week post visit

Secondary outcomes

  1. Reach

    % of eligible patients who receive decision aid

    Time frame: About 1 week post visit

  2. Patient Knowledge

    Multiple choice knowledge score ranging from 0-100; higher scores indicate higher knowledge

    Time frame: About 1 week post visit

  3. Preference-treatment concordance

    % of patients who received preferred treatment within 6 months of visit

    Time frame: About 1 week post visit

  4. Patient experience

    CAHPS MD-patient communication subscale and visit rating score

    Time frame: About 1 week post visit

  5. Clinician satisfaction

    % of clinicians who mark "very" or "extremely" satisfied with visit

    Time frame: About 1 week post visit

  6. Adoption

    % of eligible clinicians who complete the shared decision making skills training

    Time frame: 4 weeks from the start of intervention period for each site

  7. Timeliness (time to decision)

    % of patients who report stage of decision making is "made a decision"

    Time frame: About 1 week post visit

  8. Timeliness (burden)

    % of visits where clinicians report visit length is "longer than normal"

    Time frame: About 1 week post visit

07

Study locations

8 sites
08

References and documents

Publications

  • Sepucha K, Elmariah S, Valentine KD, Cavender MA, Chang Y, Devireddy CM, Dickert NW, Gama KD, Knoepke CE, Korngold E, Kumbhani DJ, Matlock DD, Messenger JC, Strong S, Thourani VH, Nathan A, Quader N, Brescia AA. The IMproving treatment decisions for Patients with AortiC stenosis Through Shared Decision Making (IMPACT SDM) Study: study protocol for a cluster randomized stepped wedge trial. Trials. 2024 Dec 18;25(1):820. doi: 10.1186/s13063-024-08640-6. PubMed 39696639 ↗

Individual participant data

Plan to share: Yes — To promote research replicability, transparency and future use of the data, de-identified data sets will be created and will be available, by request, to outside researchers. The Data Package (comprised of the de-identified Analyzable Data Set, Full Protocol, metadata, data dictionary, full statistical analysis plan, and analytic code from the project) will be deposited in the Patient-Centered Outcomes Research Institute's Data Repository at the ICPSR. Participant information sheets for the study will indicate that de-identified information will be deposited in an open access service to promote use of the data by other researchers. No information that contains identifiers or that could be used to link an individual to the data will be included in the de-identified data set. No data will be provided from qualitative transcripts as this may lead to identifying information about participants. However, codes abstracted from qualitative transcripts may be made available.

Supporting information: Study protocol, Statistical analysis plan, Analytic code

Time frame: The PCORI-designated repository will make the data available for third-party requests when PCORI makes the Final Research Report available, or at the time of publication the primary results, whichever comes first.

Access criteria: Researchers may access the data through the PCORI-designated repository (ICPSR's website) once it is made available.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2024 (actual). Primary completion is estimated for May 2027, 38 months after the start.

Of 177 non-industry interventional studies with no phase under Aortic Valve Stenosis, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 79. This study's planned 38 months is below that.

Counting every sponsor, half of 288 studies reached it within 33 months; a quarter within 18 and three quarters within 72.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 5, 2023
First posted
Dec 15, 2023
StartActual
Mar 27, 2024
Primary completionEst.
May 31, 2027
CompletionEst.
Oct 31, 2027
Last update
Sep 30, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
1 site added, 1 site removed
Show site
  • Washington University School of Medicine · St Louis, United States
Show 1 removed
  • Washington University School of Medicine · St. Louis, United States
Sep 30, 2026
Publications
1 publication citing this study linked from PubMed, e.g. PubMed 39696639 ↗
Sep 30, 2026
Show all 1 update
  1. Sep 30, 2026
    Publications 1 publication citing this study linked from PubMed, e.g. PubMed 39696639 ↗
    1 site added, 1 site removed
    Show site
    • Washington University School of Medicine · St Louis, United States
    Show 1 removed
    • Washington University School of Medicine · St. Louis, United States
    + 3 other changes: index terms, verification date and oversight details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06171737
Responsible party
Karen Sepucha (Associate Professor, Massachusetts General Hospital) — Principal investigator
First posted
Dec 15, 2023
Start date
Mar 27, 2024
Primary completion
May 31, 2027 (estimated)
Completion
Oct 31, 2027 (estimated)
Last update
Sep 30, 2026

Study contacts

Karen Sepucha, PhD
principal investigator · Massachusetts General Hospital
Sammy Elmariah, MD
principal investigator · University of California, San Francisco

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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