Trial reportMedical decision making : an international journal of the Society for Medical Decision Making2026
The Dutch Implantable Cardioverter-Defibrillator Decision Aid in Clinical Practice: A Stepped-Wedge Randomized Controlled Trial.
Trial report in Medical decision making : an international journal of the Society for Medical Decision Making, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
9 authors.
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Abstract
IntroductionThe role of shared decision making (SDM) has become increasingly pivotal, particularly in nuanced choices such as those involving implantable cardioverter-defibrillator (ICD) therapy. This study evaluates the impact of the Dutch ICD Decision Aid on SDM in patients up for ICD implantation or replacement.MethodsA stepped-wedge randomized controlled trial was conducted across 6 Dutch hospitals between February 2018 and September 2019, involving patients eligible for ICD implantation or pulse-generator exchange. SDM experiences of the patients and involved medical professionals were assessed using SDM-Q-9 and SDM-Q-Doc questionnaires, respectively. The Decisional Conflict Scale (DCS) scores measured effective decision making. The intervention group received the decision aid on top of standard care.ResultsA total of 150 patients and 233 health care providers were included in the study. For health care providers, SDM scores did not differ: the SDM-Q-Doc median score was 36 (28-38) in the control phase and 35 (33-40) in the intervention phase (
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