SynthesisBMJ (Clinical research ed.)1999
Decision aids for patients facing health treatment or screening decisions: systematic review.
Synthesis in BMJ (Clinical research ed.), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 266 papers, 10 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Role of Video Decision Aid in Pelvic Organ Prolapse Treatment Selection in Latina Women
CSDM: A Trial to Improve Communication and Shared Decision Making Using a Web-Based Tool
Options for Delivering Isoniazid-Rifapentine (3HP) for TB Prevention: the 3HP Options Implementation Trial
Impact of a Shared Decision Making Intervention in Paediatric Inflammatory Bowel Disease Therapeutic Decision-making
Who cites it
266 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- The Effect of Patient Decision Aid Attributes on Patient Outcomes: A Network Meta-Analysis of a Systematic Review.Medical decision making : an international journal of the Society for Medical Decision Making · 2025Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Individual Value Clarification Methods Based on Conjoint Analysis: A Systematic Review of Common Practice in Task Design, Statistical Analysis, and Presentation of Results.Medical decision making : an international journal of the Society for Medical Decision Making · 2018Pooled it
- Patients' Attitudes and Experiences of Disease-Modifying Antirheumatic Drugs in Rheumatoid Arthritis and Spondyloarthritis: A Qualitative Synthesis.Arthritis care & research · 2018Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Decision aids to help older people make health decisions: a systematic review and meta-analysis.BMC medical informatics and decision making · 2016Pooled it
- Do interventions designed to support shared decision-making reduce health inequalities? A systematic review and meta-analysis.PloS one · 2014Pooled it
- More in hope than expectation: a systematic review of women's expectations and experience of pain relief in labour.BMC medicine · 2008Pooled it
- A systematic review of information in decision aids.Health expectations : an international journal of public participation in health care and health policy · 2007Pooled it
- Interactive technologies and videotapes for patient education in cancer care: systematic review and meta-analysis of randomised trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2007Pooled it
- Prospective adverse event risk evaluation in clinical trials.Health care management science · 2022Trial
- Effectiveness of Decision Aid in Men with Localized Prostate Cancer: a Multicenter Randomized Controlled Trial at Tertiary Referral Hospitals in an Asia Pacific Country.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022Trial
- Comparative Effectiveness of a Web-Based Patient Decision Aid for Therapeutic Options for Sickle Cell Disease: Randomized Controlled Trial.Journal of medical Internet research · 2019Trial
- Facilitating informed decisions about breast cancer screening: development and evaluation of a web-based decision aid for women in their 40s.BMC medical informatics and decision making · 2017Trial
- Computerized patient-reported symptom assessment in radiotherapy: a pilot randomized, controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Trial
- Effect of a patient decision aid (PDA) for type 2 diabetes on knowledge, decisional self-efficacy, and decisional conflict.BMC health services research · 2016Trial
- Primum non nocere: shared informed decision making in low back pain--a pilot cluster randomised trial.BMC musculoskeletal disorders · 2014Trial
- Improving urban African Americans' blood pressure control through multi-level interventions in the Achieving Blood Pressure Control Together (ACT) study: a randomized clinical trial.Contemporary clinical trials · 2014Trial
- 'They leave at least believing they had a part in the discussion': understanding decision aid use and patient-clinician decision-making through qualitative research.Patient education and counseling · 2013Trial
- A decision aid to assist decisions on disclosure of mental health status to an employer: protocol for the CORAL exploratory randomised controlled trial.BMC psychiatry · 2012Trial
206 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo conduct a systematic review of randomised trials of patient decision aids in improving decision making and outcomes.
designWe included randomised trials of interventions providing structured, detailed, and specific information on treatment or screening options and outcomes to aid decision making. Two reviewers independently screened and extracted data on several evaluation criteria. Results were pooled by using weighted mean differences and relative risks.
results17 studies met the inclusion criteria. Compared with the controls, decision aids produced higher knowledge scores (weighted mean difference=19/100, 95% confidence interval 14 to 25); lower decisional conflict scores (weighted mean difference=-0.3/5, -0.4 to -0.1); more active patient participation in decision making (relative risk = 2.27, 95% confidence interval 1. 3 to 4); and no differences in anxiety, satisfaction with decisions (weighted mean difference=0.6/100, -3 to 4), or satisfaction with the decision making process (2/100,-3 to 7). Decision aids had a variable effect on decisions. When complex decision aids were compared with simpler versions, they were better at reducing decisional conflict, improved knowledge marginally, but did not affect satisfaction.
conclusionsDecision aids improve knowledge, reduce decisional conflict, and stimulate patients to be more active in decision making without increasing their anxiety. Decision aids have little effect on satisfaction and a variable effect on decisions. The effects on outcomes of decisions (persistence with choice, quality of life) remain uncertain.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.