Trial reportBMJ (Clinical research ed.)2001
Randomised controlled trial of an interactive multimedia decision aid on hormone replacement therapy in primary care.
Trial report in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 8 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
46 citing papers in PubMed, 8 syntheses or guidelines pooled it, 153 citations in OpenAlex.
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Pooled it
- Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Features of Computer-Based Decision Aids: Systematic Review, Thematic Synthesis, and Meta-Analyses.Journal of medical Internet research · 2016Pooled it
- Undetermined impact of patient decision support interventions on healthcare costs and savings: systematic review.BMJ (Clinical research ed.) · 2014Pooled 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
- Interventions for improving older patients' involvement in primary care episodes.The Cochrane database of systematic reviews · 2007Pooled it
- Trial
- Cost effectiveness of a web-based decision aid for parents deciding about MMR vaccination: a three-arm cluster randomised controlled trial in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Trial
- Trial
- Influence of decision aids on patient preferences for anticoagulant therapy: a randomized trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2007Trial
- Evaluation of a decision aid for women with breech presentation at term: a randomised controlled trial [ISRCTN14570598].BJOG : an international journal of obstetrics and gynaecology · 2007Trial
- Impact of a patient decision aid on care among patients with nonvalvular atrial fibrillation: a cluster randomized trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2005Trial
- A randomized trial among women with heavy menstruation -- impact of a decision aid on treatment outcomes and costs.Health expectations : an international journal of public participation in health care and health policy · 2004Trial
- Development and description of a decision analysis based decision support tool for stroke prevention in atrial fibrillation.Quality & safety in health care · 2002Trial
- Randomised controlled trial of an interactive multimedia decision aid on benign prostatic hypertrophy in primary care.BMJ (Clinical research ed.) · 2001Trial
- A Randomized Controlled Trial to Evaluate the Benefits of a Multimedia Educational Program for First-Time Hearing Aid Users.Ear and hearingTrial
- Article
- The Role of Images on Illness Behaviour: Interdisciplinary Theory, Evidence, and Ideas.Psychological reports · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether a decision aid on hormone replacement therapy influences decision making and health outcomes.
designRandomised controlled trial.
setting26 general practices in the United Kingdom.
participants205 women considering hormone replacement therapy.
interventionPatients' decision aid consisting of an interactive multimedia programme with booklet and printed summary. OUTCOME MEASURES: Patients' and general practitioners' perceptions of who made the decision, decisional conflict, treatment choice, menopausal symptoms, costs, anxiety, and general health status.
resultsBoth patients and general practitioners found the decision aid acceptable. At three months, mean scores for decisional conflict were significantly lower in the intervention group than in the control group (2.5 v 2.8; mean difference -0.3, 95% confidence interval -0.5 to -0.2); this difference was maintained during follow up. A higher proportion of general practitioners perceived that treatment decisions had been made "mainly or only" by the patient in the intervention group than in the control group (55% v 31%; 24%, 8% to 40%). At three months a lower proportion of women in the intervention group than in the control group were undecided about treatment (14% v 26%; -12%, -23% to -0.4%), and a higher proportion had decided against hormone replacement therapy (46% v 32%; 14%, 1% to 28%); these differences were no longer apparent by nine months. No differences were found between the groups for anxiety, use of health service resources, general health status, or utility. The higher costs of the intervention were largely due to the video disc technology used.
conclusionsAn interactive multimedia decision aid in the NHS would be popular with patients, reduce decisional conflict, and let patients play a more active part in decision making without increasing anxiety. The use of web based technology would reduce the cost of the intervention.
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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.