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Therapeutics
Decision aids reduced decisional conflict in patients with newly diagnosed hypertension

https://doi.org/10.1136/ebm.9.1.13

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    Montgomery AA, Fahey T, Peters TJ. A factorial randomised controlled trial of decision analysis and an information video plus leaflet for newly diagnosed hypertensive patients. Br J Gen Pract 2003;53:446–53.
    OpenUrlAbstract/FREE Full Text

    
 
 Q Do simple (video plus leaflet) or complex (decision analysis) decision aids assist patients with newly diagnosed hypertension in deciding whether to start drug treatment?

    Clinical impact ratings GP/FP/Primary care ★★★★☆☆☆

    METHODS

    Embedded ImageDesign:

    randomised controlled 2 × 2 factorial trial.

    Embedded ImageAllocation:

    concealed.*

    Embedded ImageBlinding:

    unblinded.*

    Embedded ImageFollow up period:

    2 weeks and 3 months.

    Embedded ImageSetting:

    21 general practices in Avon, UK.

    Embedded ImagePatients:

    217 patients (mean age 58 y, 52% men) who had sustained high blood pressure requiring discussion of drug treatment with a general practitioner and were not taking antihypertensive medication. Exclusion criteria included severe hypertension and secondary hypertension.

    Embedded ImageInterventions:

    decision analysis (computerised utility assessment interview with individualised risk assessment and decision analysis) (n = 52); video or leaflet (n = 55); decision analysis and video or leaflet (n = 51); or usual care (n = 59). Interventions lasted 1 hour.

    Embedded ImageOutcomes:

    degree of uncertainty about treatment course of action (total score on the 16 item Decisional Conflict Scale [DCS]); state anxiety; knowledge of …

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    Footnotes

    • ↵* See glossary.

    • A modified version of the abstract appears in Evidence-Based Nursing.

    • For correspondence: Dr A A Montgomery, Division of Primary Health Care, University of Bristol, Bristol, UK. alan.a.montgomerybristol.ac.uk

    • Source of funding: UK Medical Research Council.

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      BMJ Publishing Group Ltd
      BMJ Evidence-Based Medicine 2004; 9 32-32 Published Online First: 18 Feb 2004. doi: 10.1136/ebm.9.1.32