SynthesisBMC medical informatics and decision making2025
Effects of patient decision aids used pre-consult or in-consult on patient-clinician communication - secondary analysis of a systematic review with meta-analysis.
Synthesis in BMC medical informatics and decision making, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Who cites it
2 citing papers in PubMed.
- Development of a Web-Based Multimedia Patient Decision Aid for Rheumatoid Arthritis: A User-Centered Design.Healthcare (Basel, Switzerland) · 2026Article
- Supporting Decision Making on ADHD Medication: Development and Evaluation of a Decision Aid for Parents.MDM policy & practiceArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient decision aids (PtDAs) provide benefits and risks of options for a specific decision, and help patients clarify their values. This study examined whether the timing of PtDA use—before (pre-consult) or during (in-consult) the clinical encounter—affects patient-clinician communication.
methodsWe conducted a secondary analysis of 209 randomized controlled trials (RCTs) in the 2024 Cochrane review of PtDAs compared to usual care. Eligible studies measured patient-clinician communication using observer-, patient- or clinician-reported instruments.
resultsThirty-six RCTs met inclusion criteria, reporting on communication outcomes: 21 evaluated pre-consult PtDAs and 15 in-consult PtDAs. Pre-consult PtDAs commonly addressed screening and treatment decisions, often using digital formats. In-consult PtDAs focused on treatment and were mostly paper-based. For pre-consult PtDAs, 68.6% of patients discussed the decision with their clinician versus 50.2% in usual care (p < 0.001), though no difference was found for patient-reported SDM-Q-9 scores. In-consult PtDAs significantly improved communication measured by the observer-rated OPTION12 instrument.
conclusionsThe effects of PtDAs varied by timing and measurement approach, with in-consult PtDAs potentially offering more structured support for shared decision making. No studies directly compared pre- and in-consult PtDAs. Future research should directly compare these approaches and use consistent communication measures.
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Registered trials
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