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Evidence found and GRADE certainty

2,411 questions · 2,571 findings · 265 reviews

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No studies found 543 · 21.1%GRADE not reported 169 · 6.6%Very low 676 · 26.3%Low 731 · 28.4%Moderate 399 · 15.5%High 53 · 2.1%

Shared decision‐making (all components) vs usual care

Antibiotics prescribed or dispensed (6 weeks or less) · antibiotic use in acute respiratory infections

Shared decision making probably leads to lower antibiotics prescribed or dispensed (6 weeks or less) compared with usual care (moderate certainty).

1 finding from 1 review

Shared decision‐making (all components) vs usual care

Antibiotics prescribed or dispensed (12 months or greater) · antibiotic use in acute respiratory infections

Shared decision making showed no clear difference in antibiotics prescribed or dispensed (12 months or greater) compared with usual care (low certainty).

1 finding from 1 review

Shared decision‐making (all components) vs usual care

Patient initiated re‐consultations for the same illness episode · antibiotic use in acute respiratory infections

Shared decision making showed no clear difference in patient initiated re‐consultations for the same illness episode compared with usual care (moderate certainty).

1 finding from 1 review

Shared decision‐making (all components) vs usual care

Patient satisfaction with consultation · antibiotic use in acute respiratory infections

Shared decision making showed no clear difference in patient satisfaction with the consultation compared with usual care (low certainty).

1 finding from 1 review

LHWs to promote immunisation uptake in children vs usual care

Immunisation schedule up to date Interviews with mothers, record reviews · patients with improving immunisation uptake among children < 2 years whose vaccination is not up to date

LHWs to promote immunisation uptake in children probably leads to higher immunisation schedule up to date Interviews with mothers, record… compared with usual care (moderate certainty).

1 finding from 1 review

LHWs vs usual care

Mortality among children less than 5 years Verbal autopsy · patients with reducing mortality and morbidity in children <5 years

LHWs showed no clear difference in mortality among children less than 5 years Verbal autopsy compared with usual care (low certainty).

1 finding from 1 review

LHWs vs usual care

Morbidity e.g. fever, diarrhoea, ARI Verbal reports obtained during home visits, record reviews · patients with reducing mortality and morbidity in children <5 years

LHWs may leads to lower morbidity e.g. fever, diarrhoea, ARI Verbal reports obtained during… compared with usual care (low certainty).

1 finding from 1 review

Decision aids for informed consent vs usual care

Congruence between informed values and choice ‐ all studies Based on the proportion of participants who made a decision that aligned with what was most important to them. Assessed soon after exposure to the decision aid. · adults considering treatment or screening decisions

Patient decision aids probably leads to higher congruence between informed values and choice ‐ all studies Based on… compared with usual care (moderate certainty).

1 finding from 1 review

Decision aids for informed consent vs usual care

Participation in decision making: clinician‐controlled decision making ‐ all studies Assessed soon after consultation with clinician · adults considering treatment or screening decisions

Patient decision aids leads to lower participation in decision‐making: clinician‐controlled… compared with usual care (high certainty).

1 finding from 1 review