Evidence map›Paper›PMID 34565196›Full record

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

Clarifying Values: An Updated and Expanded Systematic Review and Meta-Analysis.

Holly O Witteman, Ruth Ndjaboue, Gratianne Vaisson, Selma Chipenda Dansokho, Bob Arnold, John F P Bridges, Sandrine Comeau, Angela Fagerlin, Teresa Gavaruzzi, Melina Marcoux and 11 more

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
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. It is linked to trial NCT05477420 (A Survey Study and Effect of Web-based Decision Aids on Preferences Shift), which is not on this map. Cited by 73 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 3 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.

NCT05477420 nacompletednot on this mapstarted 2022, after this paper: background citation

A Survey Study and Effect of Web-based Decision Aids on Preferences Shift

TypeinterventionalSponsorChinese University of Hong KongRan2022 to 2024Enrolled148ConditionsDepression, PsychotherapiesArmsDecision Aid
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. The Effect of Patient Decision Aid Attributes on Patient Outcomes: A Network Meta-Analysis of a Systematic Review.Medical decision making : an international journal of the Society for Medical Decision Making · 2025
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  14. "It's Either Have Surgery or Die": How Patients Perceive the Choice to Undergo High-Risk Abdominal Surgery for Cancer.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
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  19. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
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13 more citing papers are in PubMed but not listed here.

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

21 authors.

Holly O WittemanDepartment of Family and Emergency Medicine, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.ORCID 0000-0003-4192-0682
Ruth NdjaboueDepartment of Family and Emergency Medicine, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.ORCID 0000-0002-4716-6505
Gratianne VaissonDepartment of Family and Emergency Medicine, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.
Selma Chipenda DansokhoDepartment of Family and Emergency Medicine, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.
Bob ArnoldUPMC Palliative and Supportive Institute, Division of General Internal Medicine, Section of Palliative Care and Medical Ethics, University of Pittsburgh, Pittsburgh, PA, USA.
John F P BridgesDepartment of Biomedical Informatics, The Ohio State University College of Medicine, Columbus, OH, USA.
Sandrine ComeauDepartment of Family and Emergency Medicine, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.
Angela FagerlinDepartment of Population Health Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA.
Teresa GavaruzziDepartment of Developmental Psychology and Socialization, University of Padova, Padova, Italy.
Melina MarcouxDepartment of Family and Emergency Medicine, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.
Arwen PieterseLeiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0001-6395-0052
Michael PignoneDepartments of Internal Medicine and Population Health, Dell Medical School, University of Texas, Austin, TX, USA.
Thierry ProvencherDepartment of Family and Emergency Medicine, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.ORCID 0000-0003-2182-7835
Charles RacineDepartment of Family and Emergency Medicine, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.
Dean RegierSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Charlotte Rochefort-BrihayDepartment of Family and Emergency Medicine, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.
Praveen ThokalaSchool of Health and Related Research, University of Sheffield, Sheffield, UK.
Marieke WeerninkMunicipal Health Services (GGD), Enschede, The Netherlands.
Douglas B WhiteProgram on Ethics and Decision Making in Critical Illness, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Celia E WillsCollege of Nursing, Center on Healthy Aging, Self-Management and Complex Care, The Ohio State University, Columbus, OH, USA.
Jesse JansenDepartment of Family Medicine/CAPHRI, Maastricht University, Maastricht, The Netherlands.

Funding

Mentored Patient Oriented Research in Improving Surrogate Decision Making for Patients with Advanced Respiratory FailureK24HL148314 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Douglas B White · 2019 to 2026
$944k
CIHR FDN-148426NHLBI NIH HHS K24 HL148314
6 · The paper itself

Abstract

backgroundPatient decision aids should help people make evidence-informed decisions aligned with their values. There is limited guidance about how to achieve such alignment. PURPOSE: To describe the range of values clarification methods available to patient decision aid developers, synthesize evidence regarding their relative merits, and foster collection of evidence by offering researchers a proposed set of outcomes to report when evaluating the effects of values clarification methods. DATA SOURCES: MEDLINE, EMBASE, PubMed, Web of Science, the Cochrane Library, and CINAHL. STUDY SELECTION: We included articles that described randomized trials of 1 or more explicit values clarification methods. From 30,648 records screened, we identified 33 articles describing trials of 43 values clarification methods. DATA EXTRACTION: Two independent reviewers extracted details about each values clarification method and its evaluation. DATA SYNTHESIS: Compared to control conditions or to implicit values clarification methods, explicit values clarification methods decreased the frequency of values-incongruent choices (risk difference, -0.04; 95% confidence interval [CI], -0.06 to -0.02; LIMITATIONS: Some meta-analyses had high heterogeneity. We grouped values clarification methods into broad categories.

conclusionsCurrent evidence suggests patient decision aids should include an explicit values clarification method. Developers may wish to specifically consider multicriteria decision analysis. Future evaluations of values clarification methods should report their effects on decisional conflict, decisions made, values congruence, and decisional regret.

Indexed as

Decision Support TechniquesPatient ParticipationHumansResearch Designdecision makingpreference elicitationshared decision makingvalues clarification

Identifiers

PMID34565196
PMCPMC8482297

What OpenQuestion holds

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LicenceCC BY
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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.