Evidence map›Paper›PMID 23357414›Full record

Trial reportPatient education and counseling2013

Fostering informed decisions: a randomized controlled trial assessing the impact of a decision aid among men registered to undergo mass screening for prostate cancer.

Randi M Williams, Kimberly M Davis, George Luta, Sara N Edmond, Caroline S Dorfman, Marc D Schwartz, John Lynch, Chiledum Ahaghotu, Kathryn L Taylor

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 6 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 6 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Addressing Health Literacy in Patient Decision Aids: An Update from the International Patient Decision Aid Standards.Medical decision making : an international journal of the Society for Medical Decision Making · 2021
    Pooled it
  4. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Pooled it
  6. Pooled it
  7. The Genetic Education for Men (GEM) Trial: Development of Web-Based Education for Untested Men in BRCA1/2-Positive Families.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Trial
  8. Trial
  9. Trial
  10. Article
  11. Review
  12. Article
  13. Effect of a Prostate Cancer Screening Decision Aid for African-American Men in Primary Care Settings.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Randi M WilliamsGeorgetown University Medical Center, Lombardi Comprehensive Cancer Center, Washington, DC 20007, USA.
Kimberly M Davis
George Luta
Sara N Edmond
Caroline S Dorfman
Marc D Schwartz
John Lynch
Chiledum Ahaghotu
Kathryn L Taylor
Georgetown University · USGeorgetown University Medical Center · USHoward University · US

Funding

Prostate Cancer Screening: Fostering Informed DecisionsR01CA098967 · NCI · GEORGETOWN UNIVERSITY · PI TAYLOR, KATHRYN L · 2003 to 2005
$1.1M
NCI NIH HHS R01 CA098967NCI NIH HHS R01 CA98967-01
6 · The paper itself

Abstract

objectiveScreening asymptomatic men for prostate cancer is controversial and informed decision making is recommended. Within two prostate cancer screening programs, we evaluated the impact of a print-based decision aid (DA) on decision-making outcomes.

methodsMen (N=543) were 54.9 (SD=8.1) years old and 61% were African-American. The 2(booklet type: DA vs. usual care (UC))× 2(delivery mode: Home vs. Clinic) randomized controlled trial assessed decisional and screening outcomes at baseline, 2-months, and 13-months.

resultsIntention-to-treat linear regression analyses using generalized estimating equations revealed that DA participants reported improved knowledge relative to UC (B=.41, p<.05). For decisional conflict, per-protocol analyses revealed a group by time interaction (B=-.69, p<.05), indicating that DA participants were less likely to report decisional conflict at 2-months compared to UC participants (OR=.49, 95% CI: .26-.91, p<.05).

conclusionThis is the first randomized trial to evaluate a DA in the context of free mass screening, a challenging setting in which to make an informed decision. The DA was highly utilized by participants, improved knowledge and reduced decisional conflict. PRACTICE IMPLICATIONS: These results are valuable in understanding ways to improve the decisions of men who seek screening and can be easily implemented within many settings.

Indexed as

Decision MakingInformed ConsentPamphletsAdultAgedAppointments and SchedulesConflict, PsychologicalDistrict of ColumbiaEarly Detection of CancerHealth PromotionHumansInterviews as TopicLinear ModelsMaleMass ScreeningMiddle Aged

Identifiers

PMID23357414
PMCPMC3727283
OpenAlexW2106330724

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.