Trial reportHealth expectations : an international journal of public participation in health care and health policy2009
Do audio-guided decision aids improve outcomes? A randomized controlled trial of an audio-guided decision aid compared with a booklet decision aid for Australian women considering labour analgesia.
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 6 papers, 2 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
6 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Assisting informed decision making for labour analgesia: a randomised controlled trial of a decision aid for labour analgesia versus a pamphlet.BMC pregnancy and childbirth · 2010Trial
- The effectiveness of decision-making support methods during pregnancy regarding epidural analgesia in labor: A scoping review.European journal of midwifery · 2025Article
- Effects of a pain self-management intervention combining written and video elements on health-related quality of life among people with different levels of education.Journal of pain research · 2015Article
- Helping pregnant women make better decisions: a systematic review of the benefits of patient decision aids in obstetrics.BMJ open · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the effectiveness of an audio-guided component: an audio-guided decision aid vs. a stand-alone booklet decision aid.
backgroundDespite extensive evaluation of decision aids in clinical settings the presentation style has not been properly assessed, and audio-guided decision aids are widely used although not supported by evidence-based research.
designRandomized controlled trial. SETTING AND
participantsTwo obstetric hospitals in Sydney, Australia. A total of 395 pregnant women having their first baby and approximately > or =36 weeks of gestation, planning a vaginal birth of a single infant and with self-assessed English sufficiency to read and listen to English-presented material.
interventionA decision aid for labour and childbirth analgesia that was presented in two ways: an audio-guided decision aid compared with a booklet only style decision aid.
main outcome measuresDecisional conflict, knowledge and anxiety.
resultsAlthough both groups improved their knowledge scores and decreased their decisional conflict there were no significant differences between groups: mean knowledge score - audio-guided group, 65.9 vs. booklet group, 64.3; mean difference, 1.7; 95% CI (-7.5, 4.2); mean decisional conflict score - audio-guided group, 23.6 vs. booklet group, 24.3; mean difference, 0.7; 95% CI (-1.4, 2.9). Acceptability and compliance were high. DISCUSSION AND
conclusionsThis evaluation highlights the lack of additional benefit in using audio-guided formats for presenting health information to consumers who are from a general English-speaking population. These results considered together with the increase in costs and work involved in producing audio components suggests that written and pictorial methods may be sufficient for decision aids aimed at a general audience.
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Registered trials
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