Trial reportJournal of the American Geriatrics Society2012
A pilot randomized controlled trial of a decision support tool to improve the quality of communication and decision-making in individuals with atrial fibrillation.
Trial report in Journal of the American Geriatrics Society, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 9 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
21 citing papers in PubMed, 9 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Effectiveness of patient decision aids for cardiovascular decisions: systematic review with sex/gender-based analysis.European journal of cardiovascular nursing · 2025Pooled it
- Effects of patient decision aids used pre-consult or in-consult on patient-clinician communication - secondary analysis of a systematic review with meta-analysis.BMC medical informatics and decision making · 2025Pooled it
- Shared decision-making interventions in neuro-oncology practice: a systematic review.Journal of neuro-oncology · 2025Pooled it
- Use of digital patient decision-support tools for atrial fibrillation treatments: a systematic review and meta-analysis.BMJ evidence-based medicine · 2025Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Systematic Review of Patient Decision Aids for Stroke Prevention Therapy in Atrial Fibrillation Management.Reviews in cardiovascular medicine · 2022Pooled it
- Decision aids that facilitate elements of shared decision making in chronic illnesses: a systematic review.Systematic reviews · 2019Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Decision aids to help older people make health decisions: a systematic review and meta-analysis.BMC medical informatics and decision making · 2016Pooled it
- Randomized Clinical Trial to Evaluate an Atrial Fibrillation Stroke Prevention Shared Decision-Making Pathway.Journal of the American Heart Association · 2023Trial
- Trial
- Electronic Clinical Decision Support System for Stroke Risk Screening in Patients With Atrial Fibrillation in Mental Health Care: Mixed Methods Study.JMIR cardio · 2025Article
- Instruments for Value Elucidation in Older Adults in Clinical Practice-A Scoping Review.Journal of the American Geriatrics Society · 2025Article
- Value of Patient-Centered Glycemic Control in Patients with Type 2 Diabetes.Current diabetes reports · 2021Review
- Shared Decision Making in Cardiac Electrophysiology Procedures and Arrhythmia Management.Circulation. Arrhythmia and electrophysiology · 2021Review
- A Patient Decision Aid for Anticoagulation Therapy in Patients With Nonvalvular Atrial Fibrillation: Development and Pilot Study.JMIR cardio · 2021Article
- Time-Limited Trials in the Intensive Care Unit to Promote Goal-Concordant Patient Care.Clinical pulmonary medicine · 2019Article
- A Review of Decision Aids for Patients Considering More Than One Type of Invasive Treatment.The Journal of surgical research · 2019Review
- Decision aid use during post-biopsy consultations for localized prostate cancer.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo design a tool for nonvalvular atrial fibrillation (NVAF) to inform individuals of their individual stroke and bleeding risks, assist in clarifying priorities, and promote communication.
designClustered randomized controlled trial.
settingPrimary care clinics.
participantsIndividuals with NVAF (N = 135).
interventionCompletion of tool before regularly scheduled visit. MEASUREMENTS: Primary outcomes included the 100-point informed and values clarity subscales of the decisional conflict scale (lower scores indicate individual is more informed and has greater clarity). Secondary outcomes included knowledge, patient-clinician communication, and change in treatment.
resultsSixty-nine individuals were enrolled in the intervention group and 66 in the control group. After their visit, intervention participants had lower scores on the informed (mean difference = -11.9, 95% confidence interval (CI) = -21.1 to -2.7) and values clarity subscales (mean difference = -14.6, 95% CI = -22.6 to -6.6). Greater proportions of intervention participants knew medications for reducing stroke risk (61% vs 31%, P < .001) and side effects (49% vs 37%, P = .07). Stroke (71% vs 12%) and bleeding risk (69% vs 20%) were discussed more frequently in the intervention than control group (P < .001). Five intervention participants expressed a preference for medication that was not concordant with their current treatment plan. There was no change in treatment plan in either group.
conclusionThe tool was effective in improving perceived and actual knowledge and values clarity and in increasing physician-patient communication but did not change treatment.
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What OpenQuestion holds
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.