Evidence map›Paper›PMID 27050101›Full record

Trial reportPloS one2016

The Role of Personalised Choice in Decision Support: A Randomized Controlled Trial of an Online Decision Aid for Prostate Cancer Screening.

Glenn Salkeld, Michelle Cunich, Jack Dowie, Kirsten Howard, Manish I Patel, Graham Mann, Wendy Lipworth

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Review
  5. Article
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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

7 authors at 3 institutions in 2 countries.

Glenn SalkeldFaculty of Social Sciences, University Of Wollongong, Wollongong, NSW, Australia.
Michelle CunichFaculty of Pharmacy and Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia.
Jack DowieLondon School of Hygiene and Tropical Medicine, London, United Kingdom.
Kirsten HowardSydney School of Public Health, University of Sydney, Sydney, NSW, Australia.
Manish I PatelWestmead Clinical School, Westmead Hospital, Sydney, NSW, Australia.
Graham MannWestmead Institute for Medical Research, Westmead Hospital, Sydney, NSW, Australia.
Wendy LipworthCentre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, NSW, Australia.
The University of Sydney · AUWestmead Hospital · AULondon School of Hygiene & Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

importanceDecision support tools can assist people to apply population-based evidence on benefits and harms to individual health decisions. A key question is whether "personalising" choice within decisions aids leads to better decision quality.

objectiveTo assess the effect of personalising the content of a decision aid for prostate cancer screening using the Prostate Specific Antigen (PSA) test.

designRandomized controlled trial.

settingAustralia.

participants1,970 men aged 40-69 years were approached to participate in the trial.

intervention1,447 men were randomly allocated to either a standard decision aid with a fixed set of five attributes or a personalised decision aid with choice over the inclusion of up to 10 attributes. OUTCOME MEASURES: To determine whether there was a difference between the two groups in terms of: 1) the emergent opinion (generated by the decision aid) to have a PSA test or not; 2) self-rated decision quality after completing the online decision aid; 3) their intention to undergo screening in the next 12 months. We also wanted to determine whether men in the personalised choice group made use of the extra decision attributes.

results5% of men in the fixed attribute group scored 'Have a PSA test' as the opinion generated by the aid, as compared to 62% of men in the personalised choice group (χ2 = 569.38, 2df, p< 0001). Those men who used the personalised decision aid had slightly higher decision quality (t = 2.157, df = 1444, p = 0.031). The men in the personalised choice group made extensive use of the additional decision attributes. There was no difference between the two groups in terms of their stated intention to undergo screening in the next 12 months.

conclusionsTogether, these findings suggest that personalised decision support systems could be an important development in shared decision-making and patient-centered care.

trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12612000723886.

Indexed as

Decision Support TechniquesOnline SystemsPatient ParticipationAdultAgedHumansMaleMiddle AgedProstate-Specific AntigenProstatic NeoplasmsProstate-Specific Antigen

Identifiers

PMID27050101
PMCPMC4822955
OpenAlexW2315382271

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.