Student or educator? Sign up with your school email and get 6 months of Pro free.
CoChat
Sign Up
Cited by 693

The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.

Decision aids for people facing health treatment or screening decisions

Open access
O'Connor, Annette M., Bennett, Carol L, Stacey, Dawn, Barry, Michael, Col, Nananda F, Eden, Karen B, Entwistle, Vikki A, Fiset, Valerie, Holmes-Rovner, Margaret, Khangura, Sara, Llewellyn-Thomas, Hilary, Rovner, David·2009·Cochrane Database of Systematic Reviews
DOI 10.1002/14651858.cd001431.pub2
Open this paper in CoChat — free account

Abstract

BACKGROUND: Decision aids prepare people to participate in 'close call' decisions that involve weighing benefits, harms, and scientific uncertainty. OBJECTIVES: To conduct a systematic review of randomised controlled trials (RCTs) evaluating the efficacy of decision aids for people facing difficult treatment or screening decisions. SEARCH STRATEGY: We searched MEDLINE (Ovid) (1966 to July 2006); Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library; 2006, Issue 2); CINAHL (Ovid) (1982 to July 2006); EMBASE (Ovid) (1980 to July 2006); and PsycINFO (Ovid) (1806 to July 2006). We contacted researchers active in the field up to December 2006. There were no language restrictions. SELECTION CRITERIA: We included published RCTs of interventions designed to aid patients' decision making by providing information about treatment or screening options and their associated outcomes, compared to no intervention, usual care, and alternate interventions. We excluded studies in which participants were not making an active treatment or screening decision, or if the study's intervention was not available to determine that it met the minimum criteria to qualify as a patient decision aid. DATA COLLECTION AND ANALYSIS: Two review authors independently screened abstracts for inclusion, and extracted data from included studies using standardized forms. The primary outcomes focused on the effectiveness criteria of the International Patient Decision Aid Standards (IPDAS) Collaboration: attributes of the decision and attributes of the decision process. We considered other behavioural, health, and health system effects as secondary outcomes. We pooled results of RCTs using mean differences (MD) and relative risks (RR) using a random effects model. MAIN RESULTS: This update added 25 new RCTs, bringing the total to 55. Thirty-eight (69%) used at least one measure that mapped onto an IPDAS effectiveness criterion: decision attributes: knowledge scores (27 trials); accurate risk perceptions (11 trials); and value congruence with chosen option (4 trials); and decision process attributes: feeling informed (15 trials) and feeling clear about values (13 trials).This review confirmed the following findings from the previous (2003) review. Decision aids performed better than usual care interventions in terms of: a) greater knowledge (MD 15.2 out of 100; 95% CI 11.7 to 18.7); b) lower decisional conflict related to feeling uninformed (MD -8.3 of 100; 95% CI -11.9 to -4.8); c) lower decisional conflict related to feeling unclear about personal values (MD -6.4; 95% CI -10.0 to -2.7); d) reduced the proportion of people who were passive in decision making (RR 0.6; 95% CI 0.5 to 0.8); and e) reduced proportion of people who remained undecided post-intervention (RR 0.5; 95% CI 0.3 to 0.8). When simpler decision aids were compared to more detailed decision aids, the relative improvement was significant in knowledge (MD 4.6 out of 100; 95% CI 3.0 to 6.2) and there was some evidence of greater agreement between values and choice.In this review, we were able to explore the use of probabilities in decision aids. Exposure to a decision aid with probabilities resulted in a higher proportion of people with accurate risk perceptions (RR 1.6; 95% CI 1.4 to 1.9). The effect was stronger when probabilities were measured quantitatively (RR 1.8; 95% CI 1.4 to 2.3) versus qualitatively (RR 1.3; 95% CI 1.1 to 1.5).As in the previous review, exposure to decision aids continued to demonstrate reduced rates of: elective invasive surgery in favour of conservative options, decision aid versus usual care (RR 0.8; 95% CI 0.6 to 0.9); and use of menopausal hormones, detailed versus simple aid (RR 0.7; 95% CI 0.6 to 1.0). There is now evidence that exposure to decision aids results in reduced PSA screening, decision aid versus usual care (RR 0.8; 95% CI 0.7 to 1.0) . For other decisions, the effect on decisions remains variable.As in the previous review, decision aids are no better than comparisons in affecting satisfaction with decision making, anxiety, and health outcomes. The effects of decision aids on other outcomes (patient-practitioner communication, consultation length, continuance, resource use) were inconclusive.There were no trials evaluating the IPDAS decision process criteria relating to helping patients to recognize a decision needs to be made, understand that values affect the decision, or discuss values with the practitioner. AUTHORS' CONCLUSIONS: Patient decision aids increase people's involvement and are more likely to lead to informed values-based decisions; however, the size of the effect varies across studies. Decision aids have a variable effect on decisions. They reduce the use of discretionary surgery without apparent adverse effects on health outcomes or satisfaction. The degree of detail patient decision aids require for positive effects on decision quality should be explored. The effects on continuance with chosen option, pa

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1002/14651858.cd001431.pub2

Cites

6 of 6 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 6 references

Research works printed but not linked: 169

  1. Auvinen, 2004, A randomized trial of choice of treatment in prostate cancer: the effect of intervention on the treatment chosen, BJU International, 93, 52, 10.1111/j.1464-410X.2004.04554.x · DOI
  2. Auvinen, 2001, A randomized trial of the choice of treatment in prostate cancer: design and baseline characteristics, BJU International, 88, 708, 10.1046/j.1464-4096.2001.02421.x · DOI
  3. Barry, 1997, A randomized trial of a multimedia shared decision-making program for men facing a treatment decision for benign prostatic hyperplasia, Disease Management and Clinical Outcomes, 1, 5, 10.1016/S1088-3371(96)00004-6 · doi:10.1016/s1088-3371(96)00004-6
  4. Bekker, 2004, Applying decision analysis to facilitate informed decision making about prenatal diagnosis for Down syndrome: a randomised controlled trial, Prenatal Diagnosis, 24, 265, 10.1002/pd.851 · DOI
  5. Bekker, 2003, Understanding why decision aids work: linking process with outcome, Patient Education & Counseling, 50, 323, 10.1016/S0738-3991(03)00056-9 · DOI
  6. Bernstein, 1998, A randomized controlled trial of information-giving to patients referred for coronary angiography: effects on outcomes of care, Health Expectations, 1, 50, 10.1046/j.1369-6513.1998.00007.x · DOI
  7. Clancy, 1988, Guiding individual decisions: a randomized, controlled trial of decision analysis, American Journal of Medicine, 84, 283, 10.1016/0002-9343(88)90426-3 · DOI
  8. Davison, 1997, Empowerment of men newly diagnosed with prostate cancer, Cancer Nursing, 20, 187, 10.1097/00002820-199706000-00004 · DOI · Paper page
  9. Deschamps, 2004, Impact of pharmacist consultation versus a decision aid on decision making regarding hormone replacement therapy, International Journal of Pharmacy Practice, 12, 21, 10.1211/0022357022999 · DOI
  10. Deyo, 2000, Involving patients in clinical decisions: impact of an interactive video program on use of back surgery, Medical Care, 38, 959, 10.1097/00005650-200009000-00009 · DOI · Paper page
  11. Phelan, 2001, Helping patients decide about back surgery: a randomized trial of an interactive video program, Spine, 26, 206, 10.1097/00007632-200101150-00016 · DOI
  12. Dodin, 2001, Making a decision about hormone replacement therapy. A randomized controlled trial, Canadian Family Physician, 47, 1586
  13. Dolan, 2002, Randomized controlled trial of a patient decision aid for colorectal cancer screening, Medical Decision Making, 22, 125, 10.1177/02729890222063017 · DOI · Paper page
  14. Dunn, 1998, Videotape increases parent knowledge about poliovirus vaccines and choices of polio vaccination schedules, Pediatrics, 102, 1, 10.1542/peds.102.2.e26 · DOI
  15. Frosch, 2003, A randomized controlled trial comparing internet and video to facilitate patient education for men considering the prostate specific antigen test, Journal of General Internal Medicine, 18, 781, 10.1046/j.1525-1497.2003.20911.x · DOI
  16. Gattellari, 2003, Does evidence-based information about screening for prostate cancer enhance consumer decision-making? A randomised controlled trial, Journal of Medical Screening, 10, 27, 10.1258/096914103321610789 · DOI
  17. Gattellari, 2005, A community-based randomised controlled trial of three different educational resources for men about prostate cancer screening, Patient Education & Counseling, 57, 168, 10.1016/j.pec.2004.05.011 · DOI
  18. Goel, 2001, Randomized trial of a patient decision aid for choice of surgical treatment for breast cancer, Medical Decision Making, 21, 1, 10.1177/0272989X0102100101 · DOI · Paper page
  19. Green, 2001, An interactive computer program can effectively educate patients about genetic testing for breast cancer susceptibility, American Journal of Medical Genetics, 103, 16, 10.1002/ajmg.1500 · DOI
  20. Green, 2005, Use of an educational computer program before genetic counseling for breast cancer susceptibility: effects on duration and content of counseling sessions, Genetics in Medicine, 7, 221, 10.1097/01.GIM.0000159905.13125.86 · DOI
  21. Green, 2004, Effect of a computer-based decision aid on knowledge, perceptions, and intentions about genetic testing for breast cancer susceptibility: a randomized controlled trial, JAMA, 292, 442, 10.1001/jama.292.4.442 · DOI · Paper page
  22. Herrera, 1983, Parental information and circumcision in highly motivated couples with higher education, Pediatrics, 71, 133, 10.1542/peds.71.2.233 · DOI
  23. Hunter, 2005, A randomized trial comparing alternative approaches to prenatal diagnosis counseling in advanced maternal age patients, Clinical Genetics, 67, 303, 10.1111/j.1399-0004.2004.00405.x · DOI
  24. Johnson, 2006, A chairside aid for shared decision making in dentistry: a randomized controlled trial, Journal of Dental Education, 70, 133, 10.1002/j.0022-0337.2006.70.2.tb04069.x · DOI
  25. Kennedy, 2002, Effects of decision aids for menorrhagia on treatment choices, health outcomes, and costs: a randomized controlled trial, JAMA, 288, 2701, 10.1001/jama.288.21.2701 · DOI · Paper page
  26. Lalonde, 2006, Evaluation of a decision aid and a personal risk profile in community pharmacy for patients considering options to improve cardiovascular health: The OPTIONS pilot study, International Journal of Pharmacy Practice, 14, 51, 10.1211/ijpp.14.1.0007 · DOI
  27. Laupacis, 2006, A decision aid for autologous pre-donation in cardiac surgery - a randomized trial, Patient Education & Counseling, 61, 458, 10.1016/j.pec.2005.05.014 · DOI
  28. Legare, 2003, The effect of decision aids on the agreement between women's and physicians' decisional conflict about hormone replacement therapy, Patient Education & Counseling, 50, 211, 10.1016/S0738-3991(02)00129-5 · DOI
  29. Lerman, 1997, Controlled trial of pretest education approaches to enhance informed decision-making for BRCA1 gene testing, Journal of the National Cancer Institute, 89, 148, 10.1093/jnci/89.2.148 · DOI · Paper page
  30. Leung, 2004, Randomised trial comparing an interactive multimedia decision aid with a leaflet and a video to give information about prenatal screening for Down syndrome, Prenatal Diagnosis, 24, 613, 10.1002/pd.927 · DOI
  31. Man-Son-Hing, 1999, A patient decision aid regarding antithrombotic therapy for stroke prevention in atrial fibrillation: a randomized controlled trial, JAMA, 282, 737, 10.1001/jama.282.8.737 · DOI · Paper page
  32. McAlister, 2005, Impact of a patient decision aid on care among patients with nonvalvular atrial fibrillation: a cluster randomized trial, CMAJ, 173, 496, 10.1503/cmaj.050091 · DOI
  33. Bastian, 2002, Evaluating participants' use of a hormone replacement therapy decision-making intervention, Patient Education & Counseling, 48, 283, 10.1016/S0738-3991(02)00048-4 · DOI
  34. McBride, 2002, A tailored intervention to aid decisionmaking about hormone replacement therapy, American Journal of Public Health, 92, 1112, 10.2105/AJPH.92.7.1112 · DOI
  35. Miller, 2005, Facilitating informed decision making about breast cancer risk and genetic counseling among women calling the NCI''s Cancer Information Service, Journal of Health Communication, 10, 119, 10.1080/07366290500265335 · DOI
  36. Emmett, 2005, Three-year follow-up of a factorial randomised controlled trial of two decision aids for newly diagnosed hypertensive patients, British Journal of General Practice, 55, 551
  37. Montgomery, 2003, A factorial randomised controlled trial of decision analysis and an information video plus leaflet for newly diagnosed hypertensive patients, British Journal of General Practice, 53, 446
  38. Morgan MW A randomized trial of the ischemic heart disease shared decision making program: an evaluation of a decision aid Master's Thesis. University of Toronto. 1997
  39. Morgan, 2000, Randomized, controlled trial of an interactive videodisc decision aid for patients with ischemic heart disease, Journal of General Internal Medicine, 15, 685, 10.1046/j.1525-1497.2000.91139.x · DOI · Paper page
  40. Murray, 2001, Randomised controlled trial of an interactive multimedia decision aid on benign prostatic hypertrophy in primary care, BMJ, 323, 493, 10.1136/bmj.323.7311.493 · DOI · Paper page
  41. Murray, 2001, Randomized controlled trial of an interactive multimedia decision aid on hormone replacement therapy in primary care, BMJ, 323, 490, 10.1136/bmj.323.7311.490 · DOI
  42. Myers, 2005, Preparing African-American men in community primary care practices to decide whether or not to have prostate cancer screening, Journal of the National Medical Association, 97, 1143
  43. O'Connor, 1999, The effects of an 'explicit' values clarification exercise in a women's decision aid regarding postmenopausal hormone therapy, Health Expectations, 2, 21, 10.1046/j.1369-6513.1999.00027.x · DOI
  44. O'Connor, 1998, Randomized trial of a portable, self-administered decision aid for postmenopausal women considering long-term preventive hormone therapy, Medical Decision Making, 18, 295, 10.1177/0272989X9801800307 · DOI · Paper page
  45. Oakley, 2006, A pilot study assessing the effectiveness of a decision aid on patient adherence with oral bisphosphonate medication, Pharmaceutical Journal, 276, 536
  46. Partin, 2004, Randomized trial examining the effect of two prostate cancer screening educational interventions on patient knowledge, preferences, and behaviors, Journal of General Internal Medicine, 19, 835, 10.1111/j.1525-1497.2004.30047.x · DOI
  47. Phillips, 1995, The influence of video imaging on patients' perceptions and expectations, Angle Orthodontist, 65, 263
  48. Pignone, 2000, Videotape-based decision aid for colon cancer screening. A randomized, controlled trial, Annals of Internal Medicine, 133, 761, 10.7326/0003-4819-133-10-200011210-00008 · DOI · Paper page
  49. Rostom, 2002, A randomized trial of a computerized versus an audio-booklet decision aid for women considering post-menopausal hormone replacement therapy, Patient Education & Counseling, 46, 67, 10.1016/S0738-3991(01)00167-7 · DOI
  50. Holmes-Rovner, 1999, Patient decision support intervention: increased consistency with decision analytic models, Medical Care, 37, 270, 10.1097/00005650-199903000-00007 · DOI
  51. Rothert, 1997, An educational intervention as decision support for menopausal women, Research in Nursing & Health, 20, 377, 10.1002/(SICI)1098-240X(199710)20:5<377::AID-NUR2>3.0.CO;2-L · DOI
  52. Schapira, 2000, The effect of an illustrated pamphlet decision-aid on the use of prostate cancer screening tests, Journal of Family Practice, 49, 418
  53. Schwartz, 2001, Impact of educational print materials on knowledge, attitudes, and interest in BRCA1/BRCA2: testing among Ashkenazi Jewish women, Cancer, 92, 932, 10.1002/1097-0142(20010815)92:4<932::AID-CNCR1403>3.0.CO;2-Q · DOI
  54. Shorten, 2005, Making choices for childbirth: a randomized controlled trial of a decision-aid for informed birth after cesarean, Birth, 32, 252, 10.1111/j.0730-7659.2005.00383.x · DOI · Paper page
  55. Street, 1995, Increasing patient involvement in choosing treatment for early breast cancer, Cancer, 76, 2275, 10.1002/1097-0142(19951201)76:11<2275::AID-CNCR2820761115>3.0.CO;2-S · doi:10.1002/1097-0142(19951201)76:11<2275::aid-cncr2820761115>3.0.co;2-s
  56. Roosmalen, 2004, Randomised trial of a decision aid and its timing for women being tested for a BRCA1/2 mutation, British Journal of Cancer, 90, 333, 10.1038/sj.bjc.6601525 · DOI
  57. Roosmalen, 2004, Randomized trial of a shared decision-making intervention consisting of trade-offs and individualized treatment information for BRCA1/2 mutation carriers, Journal of Clinical Oncology, 22, 3293, 10.1200/JCO.2004.05.066 · DOI
  58. Volk, 1999, A randomized controlled trial of shared decision making for prostate cancer screening, Archives of Family Medicine, 8, 333, 10.1001/archfami.8.4.333 · DOI · Paper page
  59. Volk, 2003, Patient education for informed decision making about prostate cancer screening: a randomized controlled trial with 1-year follow-up, Annals of Family Medicine, 1, 22, 10.1370/afm.7 · DOI
  60. Vuorma, 2003, Impact of patient information booklet on treatment decision - a randomized trial among women with heavy menstruation, Health Expectations, 6, 290, 10.1046/j.1369-7625.2003.00225.x · DOI
  61. Vuorma, 2004, A randomized trial among women with heavy menstruation - impact of a decision aid on treatment outcomes and costs, Health Expectations, 7, 327, 10.1111/j.1369-7625.2004.00297.x · DOI
  62. Whelan, 2003, Helping patients make informed choices: a randomized trial of a decision aid for adjuvant chemotherapy in lymph node-negative breast cancer, Journal of the National Cancer Institute, 95, 581, 10.1093/jnci/95.8.581 · DOI · Paper page
  63. Whelan, 2004, Effect of a decision aid on knowledge and treatment decision making for breast cancer surgery: a randomized trial, JAMA, 292, 435, 10.1001/jama.292.4.435 · DOI · Paper page
  64. Wolf, 1996, The impact of informed consent on patient interest in prostate-specific antigen screening, Archives of Internal Medicine, 156, 1333, 10.1001/archinte.1996.00440110105014 · doi:10.1001/archinte.1996.00440110105014 · Paper page
  65. Wolf, 1998, Preferences of elderly men for prostate-specific antigen screening and the impact of informed consent, Journals of Gerontology Series A-Biological Sciences & Medical Sciences, 53, M195, 10.1093/gerona/53A.3.M195 · DOI
  66. Wolf, 2000, Does informed consent alter elderly patients' preferences for colorectal cancer screening? Results of a randomized trial, Journal of General Internal Medicine, 15, 24, 10.1046/j.1525-1497.2000.01079.x · DOI
  67. Wong, 2006, A randomised controlled trial of a decision-aid leaflet to facilitate women's choice between pregnancy termination methods, BJOG: An International Journal of Obstetrics & Gynaecology, 113, 688, 10.1111/j.1471-0528.2006.00930.x · DOI
  68. Adab, 2003, Randomised controlled trial of the effect of evidence based information on women's willingness to participate in cervical cancer screening, Journal of Epidemiology & Community Health, 57, 589, 10.1136/jech.57.8.589 · DOI
  69. Armstrong, 2005, Individualized survival curves improve satisfaction with cancer risk management decisions in women with BRCA1/2 mutations, Journal of Clinical Oncology, 23, 9319, 10.1200/JCO.2005.06.119 · DOI
  70. Brown, 2004, Education and role modelling for clinical decisions with female cancer patients, Health Expectations, 7, 303, 10.1111/j.1369-7625.2004.00294.x · DOI
  71. Brundage, 2001, Phase I study of a decision aid for patients with locally advanced non-small-cell lung cancer, Journal of Clinical Oncology, 19, 1326, 10.1200/JCO.2001.19.5.1326 · DOI
  72. Chadwick, 1991, Medical or surgical orchidectomy: The patients' choice, BMJ, 302, 572, 10.1136/bmj.302.6776.572 · DOI
  73. Chewning, 1999, Evaluation of a computerized contraceptive decision aid for adolescent patients, Patient Education & Counseling, 38, 227, 10.1016/S0738-3991(99)00014-2 · DOI
  74. Colella, 2004, Shared decision making in patients with newly diagnosed prostate cancer: a model for treatment education and support, Urologic Nursing, 24, 187-91, 195-6
  75. Coulter, 2003, Patient information and shared decision-making in cancer care, British Journal of Cancer, 89, S15, 10.1038/sj.bjc.6601080 · DOI
  76. Crang-Svalenius, 1996, Women's informed choice of prenatal diagnosis: early ultrasound examination-routine ultrasound examination-age-independent amniocentesis, Fetal Diagnosis & Therapy, 11, 20, 10.1159/000264274 · DOI
  77. Davison, 1999, Information and patient participation in screening for prostate cancer, Patient Education & Counseling, 37, 255, 10.1016/S0738-3991(98)00123-2 · DOI
  78. Flood, 1996, The importance of patient preference in the decision to screen for prostate cancer. Prostate Patient Outcomes Research Team, Journal of General Internal Medicine, 11, 342, 10.1007/BF02600045 · DOI · Paper page
  79. Frosch, 2001, Evaluation of two methods to facilitate shared decision making for men considering the prostate-specific antigen test, Journal of General Internal Medicine, 16, 391, 10.1046/j.1525-1497.2001.016006391.x · DOI
  80. Graham, 2000, Randomised controlled trial comparing effectiveness of touch screen system with leaflet for providing women with information on prenatal tests, BMJ, 320, 155, 10.1136/bmj.320.7228.155 · DOI
  81. Green, 2001, Education about genetic testing for breast cancer susceptibility: patient preferences for a computer program or genetic counselor, American Journal of Medical Genetics, 103, 24, 10.1002/ajmg.1501 · DOI
  82. Greenfield, 1985, Expanding patient involvement in care. Effects on patient outcomes, Annals of Internal Medicine, 102, 520, 10.7326/0003-4819-102-4-520 · DOI · Paper page
  83. Gruppen, 1994, Outcome bias and cognitive dissonance in evaluating treatment decisions, Academic Medicine, 69, S57, 10.1097/00001888-199410000-00042 · DOI
  84. Healton, 1999, Effects of ZDV-based patient education on intentions toward ZDV use, HIV testing and reproduction among a US cohort of women, AIDS Care, 11, 675, 10.1080/09540129947587 · DOI
  85. Hewison, 2001, Use of videotapes for viewing at home to inform choice in Down syndrome screening: a randomised controlled trial, Prenatal Diagnosis, 21, 146, 10.1002/1097-0223(200102)21:2<146::AID-PD3>3.0.CO;2-M · DOI
  86. Hickish, 1995, Patient preference for extended palliative chemotherapy for non-small cell lung cancer, Lancet, 345, 857, 10.1016/S0140-6736(95)92993-2 · DOI
  87. Hochlehnert, 2006, A computer-based information-tool for chronic pain patients Computerized information to support the process of shared decision-making, Patient Education & Counseling, 61, 92, 10.1016/j.pec.2005.02.014 · DOI
  88. Holloway, 2003, Cluster-randomised trial of risk communication to enhance informed uptake of cervical screening, British Journal of General Practice, 53, 620
  89. Hunt, 2005, The routine and the traumatic in prenatal genetic diagnosis: does clinical information inform patient decision-making?, Patient Education and Counseling, 56, 302, 10.1016/j.pec.2004.03.004 · DOI
  90. Hunter, 1999, An evaluation of a health education intervention for mid-aged women: five year follow-up of effects upon knowledge, impact of menopause and health, Patient Education & Counseling, 38, 249, 10.1016/S0738-3991(98)00143-8 · DOI
  91. LaCroix, 1999, Population-based strategy for improving informed decision making about hormone replacement therapy in managed care settings, Women's Health Issues, 9, 306, 10.1016/S1049-3867(99)00023-7 · DOI
  92. Lazcano Ponce, 2000, The power of information and contraceptive choice in a family planning setting in Mexico, Sexually Transmitted Infections, 76, 277, 10.1136/sti.76.4.277 · DOI
  93. Lewis, 2003, A Randomized Trial of Three Videos that Differ in the Framing of Information about Mammography in Women 40 to 49 Years Old, Journal of General Internal Medicine, 18, 875, 10.1046/j.1525-1497.2003.21152.x · DOI
  94. Maisels, 1983, Circumcision: the effect of information on parental decision making, Pediatrics, 71, 453, 10.1542/peds.71.3.453 · DOI
  95. Manns, 2005, The impact of education on chronic kidney disease patients'' plans to initiate dialysis with self-care dialysis: a randomized trial, Kidney International, 68, 1777, 10.1111/j.1523-1755.2005.00594.x · DOI · Paper page
  96. Markham, 2003, Limits to patient choice: Example from anaesthesia, BMJ, 326, 863, 10.1136/bmj.326.7394.863 · DOI
  97. Maslin, 1998, Shared decision-making using an interactive video disk system for women with early breast cancer, NT Research, 3, 444, 10.1177/174498719800300609 · DOI
  98. Maslin, 1998, Using an interactive video disk in breast cancer patient support, Nursing Times, 94, 4
  99. Mazur, 1994, The effect of physician's explanations on patients' treatment preferences: five-year survival data, Medical Decision Making, 14, 255, 10.1177/0272989X9401400307 · DOI
  100. McGinley, 2002, Effect of Web-based computer-tailoring on women's intention to continue or begin to use hormone replacement therapy to lower their risk for osteoporosis, University of Pennsylvania, Doctoral Disser, 166 p
  101. McInerney-Leo, 2004, BRCA1/2 testing in hereditary breast and ovarian cancer families: effectiveness of problem-solving training as a counseling intervention, American Journal of Medical Genetics. Part A, 130, 221, 10.1002/ajmg.a.30265 · DOI
  102. Michie, 1997, Patient decision making: An evaluation of two different methods of presenting information about a screening test, British Journal of Health Psychology, 2, 317, 10.1111/j.2044-8287.1997.tb00545.x · DOI
  103. Molenaar, 2001, Decision support for patients with early-stage breast cancer: effects of an interactive breast cancer CDROM on treatment decision, satisfaction, and quality of life, Journal of Clinical Oncology, 19, 1676, 10.1200/JCO.2001.19.6.1676 · DOI · Paper page
  104. Mulley, 2006, Developing skills for evidence-based surgery: Ensuring that patients make informed decisions, Surgical Clinics of North America, 86, 181, 10.1016/j.suc.2005.11.001 · DOI
  105. Myers, 2005, Decision counseling in cancer prevention and control, Health Psychology, 24, S71, 10.1037/0278-6133.24.4.S71 · DOI
  106. Newton, 2001, Women's responses to a mailed hormone replacement therapy workbook, Menopause, 8, 361, 10.1097/00042192-200109000-00011 · DOI
  107. O'Cathain, 2002, Use of evidence based leaflets to promote informed choice in maternity care: randomised controlled trial in everyday practice, BMJ, 324, 643, 10.1136/bmj.324.7338.643 · DOI
  108. O'Connor, 1996, Framing effects on expectations, decisions, and side effects experienced: the case of influenza immunization, Journal of Clinical Epidemiology, 49, 1721, 10.1016/S0895-4356(96)00177-1 · DOI · Paper page
  109. Pearson, 2005, Interacting effects of preoperative information and patient choice in adaptation to colonoscopy, Diseases of the Colon & Rectum, 48, 2047, 10.1007/s10350-005-0172-z · DOI
  110. Peele, 2005, Decreased use of adjuvant breast cancer therapy in a randomized controlled trial of a decision aid with individualized risk information, Medical Decision Making, 25, 301, 10.1177/0272989X05276851 · DOI
  111. Proctor, 2006, Patient satisfaction with 3 methods of postpartum contraceptive counseling: a randomized, prospective trial, Journal of Reproductive Medicine, 51, 377
  112. Rimer, 2001, The short-term impact of tailored mammography decision-making interventions, Patient Education & Counseling, 43, 269, 10.1016/S0738-3991(00)00172-5 · DOI
  113. Rimer, 2002, Effects of a mammography decision-making intervention at 12 and 24 months, American Journal of Preventive Medicine, 22, 247, 10.1016/S0749-3797(02)00417-8 · DOI
  114. Rovner, 2004, Decision aids for benign prostatic hyperplasia: Applicability across race and education, Medical Decision Making, 24, 359, 10.1177/0272989X04267010 · DOI
  115. Ryser, 2004, Breastfeeding attitudes, intention, and initiation in low-income women: the effect of the best start program, Journal of Human Lactation, 20, 300, 10.1177/0890334404266985 · DOI
  116. Sheridan, 2004, Information needs of men regarding prostate cancer screening and the effect of a brief decision aid, Patient Education & Counseling, 54, 345, 10.1016/j.pec.2003.12.003 · DOI
  117. Sorenson, 2004, Assessment of a decision aid to assist genetic testing research participants in the informed consent process, Genetic Testing, 8, 336, 10.1089/gte.2004.8.336 · DOI
  118. Steiner, 2003, Understanding risk: a randomized controlled trial of communicating contraceptive effectiveness, Obstetrics & Gynecology, 102, 709, 10.1016/S0029-7844(03)00662-8 · DOI
  119. Street, 1998, Preconsultation education promoting breast cancer screening: does the choice of media make a difference?, Journal of Cancer Education, 13, 152
  120. Tabak, 1995, Decision making in consenting to experimental cancer therapy, Cancer Nursing, 18, 89, 10.1097/00002820-199504000-00002 · DOI
  121. Thomson, 2006, A computerised guidance tree (decision aid) for hypertension, based on decision analysis: Development and preliminary evaluation, European Journal of Cardiovascular Nursing, 5, 146, 10.1016/j.ejcnurse.2005.10.003 · DOI
  122. Thornton, 1995, A randomised trial of three methods of giving information about prenatal testing, BMJ, 311, 1127, 10.1136/bmj.311.7013.1127 · DOI
  123. Valdez, 2001, Impact of a multimedia breast cancer education intervention on use of mammography by low-income Latinas, Journal of Cancer Education, 16, 221
  124. Wagner, 1995, The effect of a shared decisionmaking program on rates of surgery for benign prostatic hyperplasia. Pilot results, Medical Care, 33, 765, 10.1097/00005650-199508000-00002 · DOI
  125. Wallston, 1991, Desire for control and choice of antiemetic treatment for cancer chemotherapy, Western Journal of Nursing Research, 13, 12, 10.1177/019394599101300102 · DOI
  126. Wang, 2005, Genetic counseling for BRCA1/2: a randomized controlled trial of two strategies to facilitate the education and counseling process, American Journal of Medical Genetics. Part A, 134, 66, 10.1002/ajmg.a.30577 · DOI
  127. Willemsen, 2006, Helping smokers to decide on the use of efficacious smoking cessation methods: a randomized controlled trial of a decision aid, Addiction, 101, 441, 10.1111/j.1360-0443.2006.01349.x · DOI
  128. Wroe, 2005, Evaluation of a decision-making aid for parents regarding childhood immunizations, Health Psychology, 24, 539, 10.1037/0278-6133.24.6.539 · DOI
  129. Zapka, 2004, Patient education for colon cancer screening: a randomized trial of a video mailed before a physical examination, Annals of Internal Medicine, 141, 683, 10.7326/0003-4819-141-9-200411020-00009 · DOI
  130. Nagle, 2006, Evaluation of a decision aid for prenatal testing of fetal abnormalities: a cluster randomised trial [ISRCTN22532458], BMC Public Health, 6, 96, 10.1186/1471-2458-6-96 · DOI
  131. Bekker H Thornton JG Airey CM Connelly JB Hewison J Robinson MB Informed decision making: an annotated bibliography and systematic review Health Technology Assessment 1999 1 156 · DOI · Paper page
  132. Bekker, 2003, Is anxiety a suitable measure of decision aid effectiveness: A systematic review, Patient Education and Counselling, 50, 255, 10.1016/S0738-3991(03)00045-4 · DOI
  133. Briss, 2004, Promoting informed decisions about cancer screening in communities and healthcare systems, American Journal of Preventive Medicine, 26, 67, 10.1016/j.amepre.2003.09.012 · DOI · Paper page
  134. Deber, 1994, Physicians in health care management: 7. The patient-physician partnership: Changing roles and the desire for information, CMAJ, 151, 171
  135. Deber, 1994, Physicians and health care management: 8. The patient-physician partnership: Decision making, problem solving and the desire to participate, CMAJ, 151, 423
  136. Degner, 1992, Decision making during serious illness: what role do patients really want to play, Journal of Clinical Epidemiology, 45, 941, 10.1016/0895-4356(92)90110-9 · DOI · Paper page
  137. Elwyn, 2006, Developing a quality criteria framework for patient decision aids: online international Delphi consensus process, BMJ, 333, 417, 10.1136/bmj.38926.629329.AE · DOI · Paper page
  138. Ende, 1989, Measuring patients' desire for autonomy: decision making and information-seeking preferences among medical patients, Journal of General Internal Medicine, 4, 23, 10.1007/BF02596485 · DOI · Paper page
  139. Entwistle, 1998, Evaluating interventions to promote patient involvement in decision-making: by what criteria should effectiveness be judged?, Journal of Health Services Research and Policy, 3, 100, 10.1177/135581969800300208 · DOI
  140. Estabrooks CA Goel V Thiel E Pinfold SP Sawka C Williams JI Consumer decision aids: where do we stand? A systematic review of structured consumer decision aids Technical Report, Institute for Clinical Evaluative Sciences
  141. Gafni, 1998, The physician-patient encounter: The physician as a perfect agent for the patient versus the informed treatment decision-making model, Soc Sci Med, 47, 347, 10.1016/S0277-9536(98)00091-4 · DOI · Paper page
  142. Godlee, 2005, Clinical Evidence
  143. Gravel, 2006, Barriers and facilitators to implementing shared decision-making in clinical practice: a systematic review of health professionals' perceptions, Implementation Science, 1, 16, 10.1186/1748-5908-1-16 · DOI · Paper page
  144. Gruppen, 1994, Outcome bias and cognitive dissonance in evaluating treatment decisions, Academic Medicine, 69, S57, 10.1097/00001888-199410000-00042 · DOI
  145. Hays, 1993, The RAND 36-item Health Survey 1.0, Health Economics, 2, 217, 10.1002/hec.4730020305 · DOI · Paper page
  146. Llewellyn-Thomas, 1995, Presidential Address, Medical Decision Making, 15, 101, 10.1177/0272989X9501500201 · DOI · Paper page
  147. Makoul, 2006, An integrative model of shared decision making in medical encounters, Patient Education & Counseling, 60, 301, 10.1016/j.pec.2005.06.010 · DOI · Paper page
  148. Martin, 2002, 'Shared responsibility' becoming the new medical buzz phrase, CMAJ, 167, 295
  149. Molenaar, 2000, Feasibility and effects of decision aids, Medical Decision Making, 20, 112, 10.1177/0272989X0002000114 · DOI · Paper page
  150. Mulley, 1995, Outcomes research: Implications for policy and practice
  151. O'Connor, 1995, Validation of a decisional conflict scale, Medical Decision Making, 15, 25, 10.1177/0272989X9501500105 · DOI · Paper page
  152. O'Connor, 1997, Annotated bibliography of studies evaluating decision support interventions for patients, Canadian Journal of Nursing Research, 29, 113
  153. O'Connor, 1997, Physicians' opinions about decision aids for patients considering systemic adjuvant therapy for axillary-node negative breast cancer, Patient Education and Counseling, 30, 143, 10.1016/S0738-3991(96)00948-2 · DOI
  154. O'Connor, 1998, A decision aid for women considering hormone therapy after menopause: decision support framework and evaluation, Patient Education and Counselling, 33, 267, 10.1016/S0738-3991(98)00026-3 · DOI · Paper page
  155. O'Connor, 1999, Decision aids for patients considering options affecting cancer outcomes: evidence of efficacy and policy implications, Monograph of the National Cancer Institute, 25, 67, 10.1093/oxfordjournals.jncimonographs.a024212 · DOI · Paper page
  156. O'Connor, 2001, Validation of a decision regret scale, Medical Decision Making, 21, 545
  157. O'Connor, 2003, A survey of the decision-making needs of Canadians faced with complex health decisions, Health Expectations, 6, 97, 10.1046/j.1369-6513.2003.00215.x · DOI
  158. O'Connor, 2007, Toward the 'tipping point': decision aids and informed patient choice, Health Affairs, 26, 716, 10.1377/hlthaff.26.3.716 · DOI · Paper page
  159. Ratliff, 1999, What is a good decision?, Eff Clin Pract, 2, 185
  160. Rothert, 1987, Patient compliance and the decision making process of clinicians and patients, Journal of Compliance in Health Care, 2, 55
  161. 1997, The effects of informatics tools and decision aids to support shared patient decision making about medical screening and treatment
  162. Ruland, 2002, Developing, implementing, and evaluating decision support systems for shared decision making in patient care: a conceptual model and case illustration, Journal of Biomedical Informatics, 35, 313, 10.1016/S1532-0464(03)00037-6 · DOI
  163. Sepucha, 2004, Policy support for patient-centered care: the need for measureable improvements in decision quality, Health Affairs, Suppl Web Exclu, VAR54, 10.1377/hlthaff.var.54 · DOI · Paper page
  164. Spielberger, 1970, Manual for the state-trait anxiety inventory (Self-evaluations questionnaire)
  165. Stacey, 2007, Decision Coaching to support shared decision making: A framework, evidence, and implications for nursing practice, education, and policy, Worldviews on Evidence-Based Nursing, Dec, In press
  166. Whitney, 2003, A new model of medical decisions: exploring the limits of shared decision making, Medical Decision Making, 23, 275, 10.1177/0272989X03256006 · DOI · Paper page
  167. O'Connor, 1999, Decision aids for patients facing health treatment or screening decisions: systematic review, BMJ, 319, 731, 10.1136/bmj.319.7212.731 · DOI · Paper page
  168. O'Connor, 2001, Decision aids for people facing health treatment or screening decisions, Cochrane Database of Systematic Reviews
  169. O'Connor, 2003, Decision aids for people facing health treatment or screening decisions, Cochrane Database of Systematic Reviews, 10.1002/14651858.CD001431 · DOI · Paper page

Cited by

See all 693

Metadata

Authors
O'Connor, A. M., Bennett, C. L., Stacey, D., Barry, M., Col, N. F., Eden, K. B., Entwistle, V. A., Fiset, V., Holmes-Rovner, M., Khangura, S., Llewellyn-Thomas, H., & Rovner, D.
Venue
Cochrane Database of Systematic Reviews
Publisher
John Wiley & Sons, Ltd
Published
2009-07-08
Issue
3
Pages
CD001431-CD001431
ISSN
1361-6137 (ISSN-L)
DOI
10.1002/14651858.cd001431.pub2
OpenAlex
W4243595180
Cited by
693
References
6
Type
reference entry
Language
en
Open access
bronze

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

How to cite

Cite CoChat for the checks on this page, and the paper for its own findings.

This page
CoChat. (2026). Citation check: Decision aids for people facing health treatment or screening decisions. https://app.cochat.ai/papers/10.1002/14651858.cd001431.pub2
The paper
O'Connor, A. M., Bennett, C. L., Stacey, D., Barry, M., Col, N. F., Eden, K. B., Entwistle, V. A., Fiset, V., Holmes-Rovner, M., Khangura, S., Llewellyn-Thomas, H., & Rovner, D. (2009). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd001431.pub2

Data sources

Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.