Highlights
low-back pain
We conducted a randomized controlled trial online with adults living in Australia to test the effectiveness of the consumer Choosing Wisely questions and a shared decision-making (SDM) preparation video.Both interventions improved intention to engage in SDM and supported participants to identify questions that align with the Choosing Wisely campaign.There were some additional benefits of the Video intervention in reducing willingness to accept low-value treatment for low-back pain without asking questions; however, neither intervention changed participants’ self-efficacy to ask questions and be involved in decision-making nor affected perceptions of preparedness to engage in SDM or knowledge of rights to be involved in health care decision-making.The simple, low-cost nature of the interventions may make them appropriate for implementation within a suite of approaches to address low-value care at a population level.There is an increasing recognition of the need to reduce unnecessary and low-value medical care and decrease waste in the health sector. Unnecessary and potentially harmful health service use accounts for a significant proportion of total health expenditure.As part of the original Choosing Wisely campaign, 5 questions were developed for patients to ask healthcare providers to support better conversations about unnecessary tests, medications, and procedures.In Australia, the Choosing Wisely Australia® 5 Questions (The Choosing Wisely Australia® 5 Questions©NPS Medicinewise Ltd. Reproduced with permission. Visit Since then, a single prospective, randomized controlled trial in 3 intensive care units in Western Australia evaluated the impact of providing families with the Choosing Wisely questions as printed prompts prior to a family meeting. The primary outcome was family perceived involvement in decision-making. Of the 60 families who participated in the study, most (87.1% control, 79.3% intervention; The aim of this study was to evaluate the impact of the Choosing Wisely Australia® 5 Questions resource (“Questions”). The primary outcomes were 1) self-efficacy to ask questions and be involved in decision-making and 2) intention to engage in SDM. Secondary outcomes included intention to follow the treatment plan without further questioning, knowledge of the patients’ rights regarding SDM, positive attitude toward SDM, preparedness for SDM, acceptability of interventions, and proactive intervention use.