Trial reportBMC health services research2012
The impact of decision aids to enhance shared decision making for diabetes (the DAD study): protocol of a cluster randomized trial.
Trial report in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00388050 (Wiser Choices for Patients With Type II Diabetes), which is not on this map. Cited by 18 papers, 1 of them a synthesis 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.
Wiser Choices for Patients With Type II Diabetes: Diabetes Medication Choice
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Peering into the black box: a meta-analysis of how clinicians use decision aids during clinical encounters.Implementation science : IS · 2014Pooled it
- Association Between Primary Care Practitioner Empathy and Risk of Cardiovascular Events and All-Cause Mortality Among Patients With Type 2 Diabetes: A Population-Based Prospective Cohort Study.Annals of family medicine · 2019Trial
- Use of the Diabetes Medication Choice Decision Aid in patients with type 2 diabetes in Greece: a cluster randomised trial.BMJ open · 2016Trial
- 'They leave at least believing they had a part in the discussion': understanding decision aid use and patient-clinician decision-making through qualitative research.Patient education and counseling · 2013Trial
- Trial
- Shared decision making for patients with type 2 diabetes: a randomized trial in primary care.BMC health services research · 2013 · on this mapTrial
- Developing and Evaluating SEE-Diabetes: A Patient-Centered Educational Decision Support System for Diabetes Care.Journal of evaluation in clinical practice · 2025Article
- Interrupted Time Series of User-centered Clinical Decision Support Implementation for Emergency Department-initiated Buprenorphine for Opioid Use Disorder.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020Article
- Stroke Prophylaxis for Atrial Fibrillation? To Prescribe or Not to Prescribe-A Qualitative Study on the Decisionmaking Process of Emergency Department Providers.Annals of emergency medicine · 2019Article
- Patient decision aids: a content analysis based on a decision tree structure.BMC medical informatics and decision making · 2019Article
- Article
- Patients Decision Aid System Based on FHIR Profiles.Journal of medical systems · 2018Article
- Explanation and elaboration of the Standards for UNiversal reporting of patient Decision Aid Evaluations (SUNDAE) guidelines: examples of reporting SUNDAE items from patient decision aid evaluation literature.BMJ quality & safety · 2018Article
- Article
- Personalization and Patient Involvement in Decision Support Systems: Current Trends.Yearbook of medical informatics · 2015Review
- 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
- Adapting community based participatory research (CBPR) methods to the implementation of an asthma shared decision making intervention in ambulatory practices.The Journal of asthma : official journal of the Association for the Care of Asthma · 2014Article
- Insights from a conference on implementing comparative effectiveness research through shared decision-making.Journal of comparative effectiveness research · 2013Article
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShared decision making contributes to high quality healthcare by promoting a patient-centered approach. Patient involvement in selecting the components of a diabetes medication program that best match the patient's values and preferences may also enhance medication adherence and improve outcomes. Decision aids are tools designed to involve patients in shared decision making, but their adoption in practice has been limited. In this study, we propose to obtain a preliminary estimate of the impact of patient decision aids vs. usual care on measures of patient involvement in decision making, diabetes care processes, medication adherence, glycemic and cardiovascular risk factor control, and resource utilization. In addition, we propose to identify, describe, and explain factors that promote or inhibit the routine embedding of decision aids in practice. METHODS/
designWe will be conducting a mixed-methods study comprised of a cluster-randomized, practical, multicentered trial enrolling clinicians and their patients (n = 240) with type 2 diabetes from rural and suburban primary care practices (n = 8), with an embedded qualitative study to examine factors that influence the incorporation of decision aids into routine practice. The intervention will consist of the use of a decision aid (Statin Choice and Aspirin Choice, or Diabetes Medication Choice) during the clinical encounter. The qualitative study will include analysis of video recordings of clinical encounters and in-depth, semi-structured interviews with participating patients, clinicians, and clinic support staff, in both trial arms. DISCUSSION: Upon completion of this trial, we will have new knowledge about the effectiveness of diabetes decision aids in these practices. We will also better understand the factors that promote or inhibit the successful implementation and normalization of medication choice decision aids in the care of chronic patients in primary care practices.
trial registrationNCT00388050.
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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.