Evidence map›Paper›PMID 14521639›Full record

Trial reportJournal of general internal medicine2003

A randomized controlled trial comparing internet and video to facilitate patient education for men considering the prostate specific antigen test.

Dominick L Frosch, Robert M Kaplan, Vincent J Felitti

Abstract readClinical TrialComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 12 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 12 syntheses or guidelines pooled it.

  1. 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 · 2025
    Pooled it
  2. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Web-based decision aids for cancer clinical decisions: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
  4. Pooled it
  5. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017
    Pooled it
  6. Pooled it
  7. Pooled it
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  9. Addressing health literacy in patient decision aids.BMC medical informatics and decision making · 2013
    Pooled it
  10. Pooled it
  11. Pooled it
  12. A systematic review of information in decision aids.Health expectations : an international journal of public participation in health care and health policy · 2007
    Pooled it
  13. Oncology E-Learning for Undergraduate. A Prospective Randomized Controlled Trial.Journal of cancer education : the official journal of the American Association for Cancer Education · 2017
    Trial
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  15. An exploratory mixed-methods crossover study comparing DVD- vs. Web-based patient decision support in three conditions: The importance of patient perspectives.Health expectations : an international journal of public participation in health care and health policy · 2015
    Trial
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  20. A randomized trial of a computer-tailored decision aid to improve prostate cancer screening decisions: results from the Take the Wheel trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2010
    Trial

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Dominick L FroschSDSU/UCSD Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA. Frosch@wharton.upenn.edu
Robert M Kaplan
Vincent J Felitti

Funding

ODCDC CDC HHS UC57/CCU920678
6 · The paper itself

Abstract

backgroundLittle is known about the relative advantages of video versus internet-based decision aids to facilitate shared medical decision making. This study compared internet and video patient education modalities for men considering the prostate specific antigen (PSA) test.

methodsTwo hundred and twenty-six men, aged 50 years or older, and scheduled to complete a physical examination at an HMO Health Appraisal Clinic were randomly assigned to access a website (N = 114) or view a 23-minute videotape in the clinic (N = 112) prior to deciding whether they wanted to be screened for prostate cancer.

resultsThere were no between-groups differences in participants' ratings of convenience, effort, or satisfaction following exposure to the decision aid. Participants assigned to the video group were more likely to review the materials than individuals assigned to the internet group (98.2% vs 53.5%). Participants in the video group showed significantly greater increases in PSA knowledge and were more likely to decline the PSA test than individuals assigned to the internet group. However, participants in the internet group who reviewed the entire online presentation showed similar increases in PSA knowledge as video participants. Only 5% of all participants visited other websites to inform themselves about the PSA test.

conclusionsOverall, the video was significantly more effective than the Internet in educating participants about benefits and risks of PSA screening.

Indexed as

Diagnostic Techniques, UrologicalHealth Knowledge, Attitudes, PracticeConfidence IntervalsConsumer BehaviorDecision MakingHumansInternetMaleMass ScreeningMiddle AgedPatient Education as TopicProstate-Specific AntigenProstatic NeoplasmsSurveys and QuestionnairesVideo RecordingProstate-Specific Antigen

Identifiers

PMID14521639
PMCPMC1494924

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.