SynthesisCirculation. Cardiovascular quality and outcomes2014
Impact of sociodemographic patient characteristics on the efficacy of decision AIDS: a patient-level meta-analysis of 7 randomized trials.
Synthesis in Circulation. Cardiovascular quality and outcomes, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 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
24 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Quality and effectiveness of osteoporosis treatment decision aids: a systematic review and environmental scan.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Pooled it
- Experiences of women with cardiac disease in pregnancy: a systematic review and metasynthesis.BMJ open · 2018Pooled it
- Supporting shared decision making for older people with multiple health and social care needs: a realist synthesis.BMC geriatrics · 2018Pooled it
- Decision aids to help older people make health decisions: a systematic review and meta-analysis.BMC medical informatics and decision making · 2016Pooled it
- What is the effect of a decision aid in potentially vulnerable parents? Insights from the head CT choice randomized trial.Health expectations : an international journal of public participation in health care and health policy · 2020Trial
- Shared decision-making following disclosure of coronary heart disease genetic risk: results from a randomized clinical trial.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2017Trial
- Use of Low-Literacy Decision Aid to Enhance Knowledge and Reduce Decisional Conflict Among a Diverse Population of Adults With Rheumatoid Arthritis: Results of a Pilot Study.Arthritis care & research · 2016Trial
- Shared Decision Making for Antidepressants in Primary Care: A Cluster Randomized Trial.JAMA internal medicine · 2015Trial
- Can health information and decision aids decrease inequity in health care? A systematic review.BMJ public health · 2025Article
- Review
- Simplified rules-based tool to facilitate the application of up-to-date management recommendations in cardio-oncology.Cardio-oncology (London, England) · 2023Article
- Factors influencing the implementation of shared decision-making in breast cancer care: protocol for a mixed-methods study.BMJ open · 2023Article
- Trajectories of depressive symptoms among young adults in Texas 2014-2018: a multilevel growth curve analysis using an intersectional lens.Social psychiatry and psychiatric epidemiology · 2022Article
- Woman and girl-centred care for those affected by female genital mutilation: a scoping review of provider tools and guidelines.Reproductive health · 2022Article
- The Learning Curve for Shared Decision-making in Symptomatic Aortic Stenosis.JAMA cardiology · 2020Article
- Explaining professionalism in moral reasoning: a qualitative study.Advances in medical education and practice · 2019Article
- Views of general practice staff about the use of a patient-oriented treatment decision aid in shared decision making for patients with type 2 diabetes: A mixed-methods study.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- Decisional conflict in mental health care: a cross-sectional study.Social psychiatry and psychiatric epidemiology · 2018Article
- Shared Decisionmaking in the Emergency Department: A Guiding Framework for Clinicians.Annals of emergency medicine · 2017Article
- Shared Decision Making With Vulnerable Populations in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2016Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDecision aids (DAs) increase patient knowledge, reduce decisional conflict, and promote shared decision making (SDM). The extent to which they do so across diverse sociodemographic patient groups is unknown. METHODS AND
resultsWe conducted a patient-level meta-analysis of 7 randomized trials of DA versus usual care comprising 771 encounters between patients and clinicians discussing treatment options for chest pain, myocardial infarction, diabetes mellitus, and osteoporosis. Using a random effects model, we examined the impact of sociodemographic patient characteristics (age, sex, education, income, and insurance status) on the outcomes of knowledge transfer, decisional conflict, and patient involvement in SDM. Because of small numbers of people of color in the study population, we were not powered to investigate the role of race. Most patients were aged ≥65 years (61%), white (94%), and women (59%); two thirds had greater than a high school education. Compared with usual care, DA patients gained knowledge, were more likely to know their risk, and had less decisional conflict along with greater involvement in SDM. These gains were largely consistent across sociodemographic patient groups, with DAs demonstrating similar efficacy when used with vulnerable patients such as the elderly and those with less income and less formal education. Differences in efficacy were found only in knowledge of risk in 1 subgroup, with greater efficacy among those with higher education (35% versus 18%; P=0.02).
conclusionsIn this patient-level meta-analysis of 7 randomized trials, DAs were efficacious across diverse sociodemographic groups as measured by knowledge transfer, decisional conflict, and patient involvement in SDM. To the extent that DAs increase patient knowledge and participation in SDM, they have potential to impact health disparities related to these factors.
Indexed as
Identifiers
24823953What 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.