Evidence map›Paper›PMID 26088605›Full record

Trial reportBMC medical informatics and decision making2015

Exploring the relationship between patients' information preference style and knowledge acquisition process in a computerized patient decision aid randomized controlled trial.

Anna M Sawka, Sharon Straus, Gary Rodin, Richard W Tsang, James D Brierley, Lorne Rotstein, Phillip Segal, Amiram Gafni, Shereen Ezzat, David P Goldstein

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical informatics and decision making, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT01083550 phase2 / phase3completednot on this map

Decision Aid on Radioactive Iodine Treatment for Early Stage Papillary Thyroid Cancer (Randomized Controlled Trial)

TypeinterventionalSponsorUniversity Health Network, TorontoRan2010 to 2016Enrolled74ConditionsThyroid CancerArmsDecision aid exposure
NCT06980103 narecruitingnot on this mapstarted 2025, after this paper: background citation

Use of a Decision Aid to Resolve Uncertainty About Radioactive Iodine Treatment in Patients With Intermediate Risk Thyroid Cancer: The Radiance Trial

TypeinterventionalSponsorGeorgetown UniversityRan2025 to 2029Enrolled408ConditionsThyroid CancerArmsDecision Aid, Usual Care
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
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

10 authors.

Anna M SawkaDivision of Endocrinology, Toronto General Hospital, 200 Elizabeth Street, 12 EN-212, Toronto, ON, M5G 2C4, Canada. sawkaam@yahoo.com.
Sharon StrausDepartment of Medicine, St. Michael's Hospital, 30 Bond Street, Shuter 2-026, Toronto, ON, M5B 1W8, Canada.
Gary RodinDepartment of Psychosocial Oncology, Princess Margaret Hospital, University Health Network, 16th Floor Room 724, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.
Richard W TsangDepartment of Radiation Oncology, Princess Margaret Hospital, University Health Network, 5th Floor Room 963, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.
James D BrierleyDepartment of Radiation Oncology, Princess Margaret Hospital, University Health Network, 5th Floor Room 963, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.
Lorne RotsteinDepartment of Surgery, Toronto General Hospital, University Health Network, 200 Elizabeth Street, 10 EN-220, Toronto, ON, M5G 2C4, Canada.
Phillip SegalDivision of Endocrinology, Department of Medicine, Toronto General Hospital, University Health Network, 200 Elizabeth Street, 12 EN-216, Toronto, ON, M5G 2C4, Canada.
Amiram GafniDepartment of Clinical Epidemiology and Biostatistics, McMaster University, 1280 Main Street West, CRL-208, Hamilton, ON, L8S 4K1, Canada.
Shereen EzzatEndocrine Oncology Site Group, University Health Network, Toronto General Hospital, Endocrine Oncology 585 University Avenue, 9NU-986, Toronto, ON, M5G 2N2, Canada.
David P GoldsteinDepartment of Otolaryngology Head and Neck Surgery, Wharton Head and Neck Centre, University Health Network, 3-952, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.

Funding

Canadian Institutes of Health Research CNI-80701
6 · The paper itself

Abstract

backgroundWe have shown in a randomized controlled trial that a computerized patient decision aid (P-DA) improves medical knowledge and reduces decisional conflict, in early stage papillary thyroid cancer patients considering adjuvant radioactive iodine treatment. Our objectives were to examine the relationship between participants' baseline information preference style and the following: 1) quantity of detailed information obtained within the P-DA, and 2) medical knowledge.

methodsWe randomized participants to exposure to a one-time viewing of a computerized P-DA (with usual care) or usual care alone. In pre-planned secondary analyses, we examined the relationship between information preference style (Miller Behavioural Style Scale, including respective monitoring [information seeking preference] and blunting [information avoidance preference] subscale scores) and the following: 1) the quantity of detailed information obtained from the P-DA (number of supplemental information clicks), and 2) medical knowledge. Spearman correlation values were calculated to quantify relationships, in the entire study population and respective study arms.

resultsIn the 37 P-DA users, high monitoring information preference was moderately positively correlated with higher frequency of detailed information acquisition in the P-DA (r = 0.414, p = 0.011). The monitoring subscale score weakly correlated with increased medical knowledge in the entire study population (r = 0.268, p = 0.021, N = 74), but not in the respective study arms. There were no significant associations with the blunting subscale score.

conclusionsIndividual variability in information preferences may affect the process of information acquisition from computerized P-DA's. More research is needed to understand how individual information preferences may impact medical knowledge acquisition and decision-making.

Indexed as

Decision Support TechniquesHealth Knowledge, Attitudes, PracticePatient PreferenceAdultCarcinomaCarcinoma, PapillaryFemaleHumansMaleMiddle AgedThyroid Cancer, PapillaryThyroid Neoplasms

Identifiers

PMID26088605
PMCPMC4474358

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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.