Evidence map›Paper›PMID 34151614›Full record

SynthesisMedical decision making : an international journal of the Society for Medical Decision Making2021

A Systematic Review and Meta-Analysis of Patient Decision Aids for Socially Disadvantaged Populations: Update from the International Patient Decision Aid Standards (IPDAS).

Renata W Yen, Jenna Smith, Jaclyn Engel, Danielle Marie Muscat, Sian K Smith, Julien Mancini, Lilisbeth Perestelo-Pérez, Glyn Elwyn, A James O'Malley, JoAnna K Leyenaar and 7 more

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medical decision making : an international journal of the Society for Medical Decision Making, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 7 pooled it
15.4field-weighted citation impact, top 1% 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

48 citing papers in PubMed, 7 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  3. Advancing equity and value in United States healthcare: an umbrella review.International journal for equity in health · 2026
    Pooled it
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  7. Pooled it
  8. A Video Decision Aid Decreases Fear of Colonoscopy After an Abnormal Fecal Immunochemical Test Result: A Pilot Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
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  19. "Hospice was Created by the KKK"-Black Americans' Perspectives on Hospice Care.Journal of racial and ethnic health disparities · 2026
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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

17 authors at 9 institutions in 6 countries.

Renata W YenThe Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth College, Lebanon, NH, USA.ORCID 0000-0002-6856-7631
Jenna SmithSydney Health Literacy Lab, School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-0480-8125
Jaclyn EngelThe Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth College, Lebanon, NH, USA.
Danielle Marie MuscatSydney Health Literacy Lab, School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Sian K SmithUniversity of Bath, School of Management, Bath, Somerset, UK.ORCID 0000-0002-9541-2221
Julien ManciniAix-Marseille Université, APHM, INSERM, IRD, SESSTIM, Marseille, Provence-Alpes-Cote d'Azu, France.ORCID 0000-0001-9500-8598
Lilisbeth Perestelo-PérezEvaluation Unit (SESCS), Canary Islands Health Service (SCS), REDISSEC, Tenerife, Spain.
Glyn ElwynThe Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth College, Lebanon, NH, USA.
A James O'MalleyThe Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth College, Lebanon, NH, USA.
JoAnna K LeyenaarThe Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth College, Lebanon, NH, USA.
Olivia MacSydney Health Literacy Lab, School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-6760-4779
Tamara CadetSchool of Social Work, Simmons University, Boston, MA, USA.ORCID 0000-0002-4660-8009
Anik GiguereDepartment of Family Medicine and Emergency Medicine, Laval University, Quebec, Canada.
Ashley J HoustenWashington University School of Medicine, St Louis, MO, USA.ORCID 0000-0002-7379-0678
Aisha LangfordNew York University School of Medicine, Division of Comparative Effectiveness and Decision Science, Department of Population Health, NYU Langone Medical Centre, New York, NY, USA.ORCID 0000-0003-1758-691X
Kirsten McCafferySydney Health Literacy Lab, School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Marie-Anne DurandThe Dartmouth Institute for Health Policy & Clinical Practice, Dartmouth College, Lebanon, NH, USA.
Dartmouth College · USThe University of Sydney · AUHarvard University · USInserm · FRNew York University · USServicio Canario de la Salud · ESUniversité Laval · CAUniversity of Bath · GBWashington University in St. Louis · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Shared decision-making and colorectal cancer screening behaviors among older adults with low health literacyK23AG062795 · NIA · UNIVERSITY OF PENNSYLVANIA · PI CADET, TAMARA J. · 2020 to 2024
$634k
NCI NIH HHS P30 CA023108NIA NIH HHS K23 AG062795
6 · The paper itself

Abstract

backgroundThe effectiveness of patient decision aids (PtDAs) and other shared decision-making (SDM) interventions for socially disadvantaged populations has not been well studied. PURPOSE: To assess whether PtDAs and other SDM interventions improve outcomes or decrease health inequalities among socially disadvantaged populations and determine the critical features of successful interventions. DATA SOURCES: MEDLINE, CINAHL, Cochrane, PsycINFO, and Web of Science from inception to October 2019. Cochrane systematic reviews on PtDAs. STUDY SELECTION: Randomized controlled trials of PtDAs and SDM interventions that included socially disadvantaged populations. DATA EXTRACTION: Independent double data extraction using a standardized form and the Template for Intervention Description and Replication checklist. DATA SYNTHESIS: Twenty-five PtDA and 13 other SDM intervention trials met our inclusion criteria. Compared with usual care, PtDAs improved knowledge (mean difference = 13.91, 95% confidence interval [CI] 9.01, 18.82 [I LIMITATIONS: Sixteen PtDA studies had an overall unclear risk of bias. Heterogeneity was high for most outcomes. Most studies only had short-term follow-up.

conclusionsPtDAs led to better outcomes among socially disadvantaged populations but did not reduce health inequalities. We could not determine which intervention features were most effective.[Box: see text].

Indexed as

Patient ParticipationVulnerable PopulationsCommunicationDecision Making, SharedDecision Support TechniquesHumanshealth disparitieshealth literacypatient decision aidspatient-provider communicationshared decision making

Identifiers

PMID34151614
PMCPMC8763253
OpenAlexW3173177335

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.