Trial reportHealth expectations : an international journal of public participation in health care and health policy2009
A treatment decision aid may increase patient trust in the diabetes specialist. The Statin Choice randomized trial.
Trial report in Health expectations : an international journal of public participation in health care and health policy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 13 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
58 citing papers in PubMed, 13 syntheses or guidelines pooled it, 110 citations in OpenAlex.
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Trustworthy management in hospital settings: a systematic review.BMC health services research · 2023Pooled it
- Pooled it
- Impact of decision aids used during clinical encounters on clinician outcomes and consultation length: a systematic review.BMJ quality & safety · 2019Pooled it
- Decision aids that facilitate elements of shared decision making in chronic illnesses: a systematic review.Systematic reviews · 2019Pooled it
- Interventions for increasing the use of shared decision making by healthcare professionals.The Cochrane database of systematic reviews · 2018Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Assessments of the extent to which health-care providers involve patients in decision making: a systematic review of studies using the OPTION instrument.Health expectations : an international journal of public participation in health care and health policy · 2015Pooled it
- Genders of patients and clinicians and their effect on shared decision making: a participant-level meta-analysis.BMC medical informatics and decision making · 2014Pooled it
- Interventions for improving patients' trust in doctors and groups of doctors.The Cochrane database of systematic reviews · 2014Pooled it
- Peering into the black box: a meta-analysis of how clinicians use decision aids during clinical encounters.Implementation science : IS · 2014Pooled it
- Patients' perceptions of sharing in decisions: a systematic review of interventions to enhance shared decision making in routine clinical practice.The patient · 2012Pooled it
- Diagnostic accuracy of the TIMI risk score in patients with chest pain in the emergency department: a meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010Pooled it
- Shared Decision-Making for Patients Hospitalized with Acute Myocardial Infarction: A Randomized Trial.Patient preference and adherence · 2022Trial
- Effect of a patient decision aid (PDA) for type 2 diabetes on knowledge, decisional self-efficacy, and decisional conflict.BMC health services research · 2016Trial
- Trial
- The evaluation of a rectal cancer decision aid and the factors influencing its implementation in clinical practice.BMC surgery · 2014Trial
- Trial
- Trial
- Protocol for the Osteoporosis Choice trial. A pilot randomized trial of a decision aid in primary care practice.Trials · 2009Trial
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsDecision aids in practice may affect patient trust in the clinician, a requirement for optimal diabetes care. We sought to determine the impact of a decision aid to help patients with diabetes decide about statins (Statin Choice) on patients' trust in the clinician.
methodsWe randomized 16 diabetologists and 98 patients with type 2 diabetes referred to a subspecialty diabetes clinic to use the Statin Choice decision aid or a patient pamphlet about dyslipidaemia, and then to receive these materials from either the clinician during the visit or a researcher prior to the visit. Providers and patients were blinded to the study hypothesis. Immediately after the clinical encounter, patients completed a survey including questions on trust (range 0 to total trust = 100), knowledge, and decisional conflict. Researchers reviewed videotaped encounters and assessed patient participation (using the OPTION scale) and visit length.
resultsOverall mean trust score was 91 (median 97.2, IQR 86, 100). After adjustment for patient characteristics, results suggested greater total trust (trust = 100) with the decision aid [odds ratio (OR) 1.77, 95% CI 0.94, 3.35]. Total trust was associated with knowledge (for each additional knowledge point, OR 1.3, 95% CI 1.1, 1.6), patient participation (for each additional point in the OPTION scale, OR 1.1, 95% CI 1.1, 1.2), and decisional conflict (for every 5-point decrease in conflict, OR 1.5, 95% CI 1.2, 1.9). Total trust was not associated with visit length, which the decision aid did not significantly affect. There was no significant effect interaction across the trial factors.
conclusionsPreliminary evidence suggests that decision aids do not have a large negative impact on trust in the physician and may increase trust through improvements in the decision-making process.
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