Evidence map›Paper›PMID 15117384›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2004

Evaluating decision aids--where next?

Alicia O'Cathain, Kate J Thomas

Abstract readEvaluation Study
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Trial
  2. Who uses decision aids? Subgroup analyses from a randomized controlled effectiveness trial of two prostate cancer screening decision support interventions.Health expectations : an international journal of public participation in health care and health policy · 2006
    Trial
  3. Article
  4. Article
  5. Patient factors in the implementation of decision aids in general practice: a qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2010
    Article
  6. Implementing breast cancer decision aids in community sites: barriers and resources.Health expectations : an international journal of public participation in health care and health policy · 2008
    Article
  7. Physicians' intentions and use of three patient decision aids.BMC medical informatics and decision making · 2007
    Article
  8. Article
  9. Evaluation of a decision aid for families considering p53 genetic counseling and testing.Genetics in medicine : official journal of the American College of Medical Genetics · 2006
    Article
  10. Treatment decision aids: conceptual issues and future directions.Health expectations : an international journal of public participation in health care and health policy · 2005
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Alicia O'CathainMedical Care Research Unit, School of Health and Related Research, University of Sheffield, Sheffield, UK. a.ocathain@sheffield.ac.uk
Kate J Thomas

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Decision aids have been developed to help patients become involved in decision-making about their individual health care. During the evaluation of a particular decision aid in maternity care--a set of 10 'Informed Choice' leaflets--we considered the lessons learnt for evaluation of decision aids in the future. Decision aids have been tested mainly in explanatory trials and have been found to be effective. We argue that existing decision aids should be subjected to more pragmatic trials to test their effectiveness in the real world. The small amount of evidence on their use in the real world shows that they face challenges, resulting in poor implementation. Therefore, we propose that implementation strategies are developed which take heed of the findings of research on getting evidence into practice, and in particular address structural barriers such as the lack of time available to health professionals. We recommend that these 'decision aid implementation packages' are developed in conjunction with both health professionals and patients, and identify and address potential barriers to both the delivery of patient involvement in decision-making, and the use of decision aids, in the real world. These 'packages' can then be submitted to pragmatic evaluation.

Indexed as

Decision Support TechniquesPatient ParticipationEvidence-Based MedicineFemaleHumansMaternal Health ServicesPregnancyRandomized Controlled Trials as TopicUnited Kingdom

Identifiers

PMID15117384
PMCPMC5060229

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.