SynthesisJournal of general internal medicine2016
Use of Decision Aids with Minority Patients: a Systematic Review.
Synthesis in Journal of general internal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 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
30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- A Systematic Review of Decision Aids in Hematologic Malignancies: What Are Currently Available and What Are We Missing?The oncologist · 2023Pooled it
- A Systematic Review of Shared Decision-Making Interventions for Service Users With Serious Mental Illnesses: State of the Science and Future Directions.Psychiatric services (Washington, D.C.) · 2021Pooled it
- Interventions to improve participation in health-care decisions in non-Western countries: A systematic review and narrative synthesis.Health expectations : an international journal of public participation in health care and health policy · 2019Pooled it
- Development of a Conceptual Framework for Understanding Shared Decision making Among African-American LGBT Patients and their Clinicians.Journal of general internal medicine · 2016Pooled it
- Use of a Linguistically Appropriate Decision Aid for Cervical Cancer Screening of South Asian Ethnic Minority Women in Hong Kong: A Pilot Randomised Controlled Trial.International journal of behavioral medicine · 2023Trial
- Impact of Pre-visit Contextual Data Collection on Patient-Physician Communication and Patient Activation: a Randomized Trial.Journal of general internal medicine · 2021Trial
- Shared Decision-Making for Prostate Cancer Screening in Racial and Ethnic Minority Populations: A Systematic Review.Journal of racial and ethnic health disparities · 2026Article
- The Development of Stakeholder-Driven and Theory-Informed Depression Care Decision Aid for Ethnoracially Diverse Communities in Primary Care.Community mental health journal · 2025Article
- A scoping review of web-based, interactive, personalized decision-making tools available to support breast cancer treatment and survivorship care.Journal of cancer survivorship : research and practice · 2025Article
- Barriers to and facilitators of sustaining a systemic lupus erythematosus (SLE) patient decision aid in regular rheumatology outpatient care in the USA.Rheumatology (Oxford, England) · 2025Observational
- Perceived impact of a decision-aid and planning tool for family building after cancer for young adult female cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- "It's within your own power": shared decision-making to support transitions to buprenorphine.Addiction science & clinical practice · 2025Article
- Impact of pre-treatment counseling on decisional regret of prostate cancer survivors Cross-sectional analysis of patient-reported experience following diagnosis or treatment.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025Article
- Patient-Provider Communication and Colorectal Cancer Screening Completion Using Multi-target Stool DNA Testing.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Article
- Can health information and decision aids decrease inequity in health care? A systematic review.BMJ public health · 2025Article
- Factors Influencing Shared Decision-Making Between Healthcare Providers and Lesbian, Gay, Bisexual, Transgender, and Queer People of Color About Intimate Partner Violence.Journal of interpersonal violence · 2025Article
- Development of a personalized shared decision-making tool for knee osteoarthritis and user-testing with African American and Latina women.Journal of family medicine and primary care · 2022Article
- Patient engagement strategies for adults with chronic conditions: an evidence map.Systematic reviews · 2022Article
- Peripartum racial/ethnic disparities.International anesthesiology clinics · 2021Article
- Differences in Implementation Outcomes of a Shared Decision-Making Program for Men with Prostate Cancer between an Academic Medical Center and County Health Care System.Medical decision making : an international journal of the Society for Medical Decision Making · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundOne potential approach to reducing health disparities among minorities is through the promotion of shared decision making (SDM). The most commonly studied SDM intervention is the decision aid (DA). While DAs have been extensively studied, we know relatively little about their use in minority populations. We conducted a systematic review to characterize the application and effectiveness of DAs in racial, ethnic, sexual, and gender minorities.
methodsWe searched PubMed for randomized controlled trials (RCTs) evaluating DAs between 2004 and 2013. We included trials that enrolled adults (> 18 years of age) with > 50 % representation by minority patients. Four reviewers independently assessed 597 initially identified articles, and those with inconclusive results were discussed to consensus. We abstracted decision quality, patient-doctor communication, and clinical treatment decision outcomes. Results were considered significantly modified by the DA if the study reported p < 0.05.
resultsWe reviewed 18 RCTs of DA interventions in minority populations. The majority of interventions (78 %) addressed cancer screening. The most common mode of delivery for the DAs was personal counseling (46 %), followed by multi-media (29 %), and print materials (25 %). Most of the trials studied racial (78 %) or ethnic (17 %) minorities with only one trial focused on sexual minorities and none on gender minorities. Ten studies tailored their interventions for their minority populations. Comparing intervention vs. control, decision quality outcomes improved in six out of eight studies and patient-doctor communication improved in six out of seven studies. Of the 15 studies that reported on clinical decisions, eight demonstrated significant changes in decisions with DAs. DISCUSSION: DAs have been effective in improving patient-doctor communication and decision quality outcomes in minority populations and could help address health disparities. However, the existing literature is almost non-existent for sexual and gender minorities and has not included the full breadth of clinical decisions that affect minority populations.
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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.