Decision aids for people facing health treatment or screening decisions
Cochrane Database of Systematic ReviewsPublished 3 July 2009Open access
Annette M. O’Connor, Carol Bennett, Dawn Stacey, Michael J. Barry, Nananda F. Col, Karen Eden
Citations691
SJR quartileQ1
SJR score1.62
SNIP2.04
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TL;DR
Exposure to decision aids continued to demonstrate reduced rates of elective invasive surgery in favour of conservative options, decision aid versus usual care, and other health system effects as secondary outcomes.
Abstract
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, patient-practitioner communication, consultation length, and cost-effectiveness need further evaluation.
Keywords
Health ProfessionsEconomics, Econometrics and Finance
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Patient Education and CounselingA randomized trial of a computerized versus an audio-booklet decision aid for women considering post-menopausal hormone replacement therapy
70 Citations2002Alaa Rostom, Annette M. O’Connor +2 more
The results of this study have implications for future DA design, and other areas where patient Kn and understanding are important, such as in the setting of informed consent.
Medical CarePatient Decision Support Intervention
70 Citations1999Margaret Holmes‐Rovner, Jill Kroll +5 more
PDSs using any of 3 formats reduce uncertainty and assist women to make informed decisions and increased consistency with decision analytic models appears to be driven by better estimates of likelihood of outcomes.
American Journal of Medical GeneticsEducation about genetic testing for breast cancer susceptibility: Patient preferences for a computer program or genetic counselor
68 Citations2001Michael J. Green, Aideen McInerney‐Leo +2 more
A computer literate, mostly white group of women at moderate risk for inherited susceptibility to breast cancer preferred interacting with a genetic counselor for personal, individualized components of the genetic counseling process, but accepted or preferred a computer program for being self-paced, private, and informative.
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