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Review: decision aids increase patients’ knowledge and realistic expectations and reduce decisional conflict

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 Q In people making treatment or screening decisions, what are the measurable effects of patient decision aids (interventions designed to help people make choices relevant to their own health status)?

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


Embedded ImageData sources:

6 medical and social sciences databases, journals that frequently reported decision aid studies, personal files, and experts in the field.

Embedded ImageStudy selection and assessment:

randomised controlled trials comparing decision aids with no intervention, usual care, alternative interventions, or a combination in people >14 years of age who were making decisions about screening or treatment options for themselves, a child, or a significant other. Quality was assessed using CREDIBLE criteria for decision aids and the Jadad scale for trials.

Embedded ImageOutcomes:

knowledge, expectations, decisional …

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  • For correspondence: Dr A O’Connor, University of Ottawa, Ottawa, Ontario, Canada.

  • Sources of funding: Canadian Institutes of Health Research; Nuffield Trust of University of Oxford UK; Ontario Ministry of Health Career Scientist; Leverhulme Trust Research Fellowship; Canadian Research Chair Program.