ArticleHealth expectations : an international journal of public participation in health care and health policy2005
Treatment decision aids: conceptual issues and future directions.
Article in Health expectations : an international journal of public participation in health care and health policy, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 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.
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Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Decision-making and related outcomes of patients with complex care needs in primary care settings: a systematic literature review with a case-based qualitative synthesis.BMC primary care · 2022Pooled it
- The importance and complexity of regret in the measurement of 'good' decisions: a systematic review and a content analysis of existing assessment instruments.Health expectations : an international journal of public participation in health care and health policy · 2011Pooled it
- What matters most: protocol for a randomized controlled trial of breast cancer surgery encounter decision aids across socioeconomic strata.BMC public health · 2018Trial
- Effect of a patient decision aid (PDA) for type 2 diabetes on knowledge, decisional self-efficacy, and decisional conflict.BMC health services research · 2016Trial
- An exploration of decision aid effectiveness: the impact of promoting affective vs. deliberative processing on a health-related decision.Health expectations : an international journal of public participation in health care and health policy · 2015Trial
- Trial
- A treatment decision aid may increase patient trust in the diabetes specialist. The Statin Choice randomized trial.Health expectations : an international journal of public participation in health care and health policy · 2009 · on this mapTrial
- Medical communication and technology: a video-based process study of the use of decision aids in primary care consultations.BMC medical informatics and decision making · 2007Trial
- Survival models to support shared decision-making about advance care planning for people with advanced stage cystic fibrosis.BMJ open respiratory research · 2021Article
- Investigating Medical Student's Preferences for Internet-Based Healthcare Services: A Best-Worst Scaling Survey.Frontiers in public health · 2021Article
- Autonomy Challenges in Epigenetic Risk-Stratified Cancer Screening: How Can Patient Decision Aids Support Informed Consent?Journal of personalized medicine · 2019Review
- Article
- Understanding patients' and doctors' attitudes about shared decision making for advance care planning.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Feasibility of a randomized controlled trial to evaluate the impact of decision boxes on shared decision-making processes.BMC medical informatics and decision making · 2015Article
- Development and application of patient decision aids.Epidemiology and health · 2015Article
- Understanding why patients with immune thrombocytopenia are deeply divided on splenectomy.Health expectations : an international journal of public participation in health care and health policy · 2014Article
- Implementation of a self-management support approach (WISE) across a health system: a process evaluation explaining what did and did not work for organisations, clinicians and patients.Implementation science : IS · 2014Article
- On the suitability of fast and frugal heuristics for designing values clarification methods in patient decision aids: a critical analysis.Health expectations : an international journal of public participation in health care and health policy · 2013Article
- Women's perceptions of their involvement in treatment decision making for early stage breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2013Article
- Health innovations in patient decision support: Bridging the gaps and challenges.The Australasian medical journal · 2013Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the last 10 years, there has been a major growth in the development of treatment decision aids. Multiple goals have been identified for these tools. However, the rationale for and meaning of these goals at the conceptual level, the mechanisms through which decision aids are intended to achieve these goals, and value assumptions underlying the design of aids and associated values clarification exercises have often not been made explicit.
objectiveIn this paper, we present ideas to help inform the future development and evaluation of decision aids.
resultsWe suggest, (i) that the appropriateness of using any decision aid be assessed within the context of the wider decision-making encounter within which it is embedded; (ii) that goal setting activities drive measurement activities and not the other way round; (iii) that the rationale for and meaning of goals at the conceptual level, and mechanisms through which they are intended to have an impact be clearly thought through and made explicit; (iv) that value assumptions underlying both decision aids and associated values clarification exercises be communicated to patients; (v) that taxonomies developed and used to classify various types of decision aids include a section on value assumptions underlying each tool; (vi) that further debate and discussion take place on the role of explicit values clarification exercises as a component of or adjunct to treatment decision aids and the feasibility of implementing valid measures.
conclusionFurther debate and discussion is needed on the above issues.
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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.