Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

139 questions · 139 findings · 12 reviews · Consumers and Communication

No studies found 20 · 14.4%GRADE not reported 17 · 12.2%Very low 43 · 30.9%Low 30 · 21.6%Moderate 21 · 15.1%High 8 · 5.8%

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

Interventions for involving patients in decision‐making about their health care vs usual care

Psychiatric symptoms Brief Psychiatric Rating Scale (BPRS; Overall 1988): 16 items with 7‐item Likert scale ('not present' to 'extremely severe') measured 6 months after intervention (Yamaguchi 2017). · patients with mental health disorders
1 finding from 1 review

Interventions for involving patients in decision‐making about their health care vs usual care

Depression (6 months or more) MADRS measured 6 months after intervention (Aljumah 2015). PHQ‐9 measured 6 months after intervention (LeBlanc 2015). QIDS‐J measured 6 months after intervention (Aoki 2019a). Hospital Anxiety and Depression Scale (HA... · patients with mental health disorders
1 finding from 1 review

Interventions for involving patients in decision‐making about their health care vs usual care

Patient readmissions · patients with mental health disorders

It is very uncertain whether shared decision‐making interventions changes readmission (6 months or more) Rehospitalisation at 8 months after… compared with usual care (very low certainty).

1 finding from 1 review

Interventions for involving patients in decision‐making about their health care vs usual care

Participation (SDM‐specific‐reported outcomes, immediately after intervention) Combined Outcome Measure for Risk Communication and Treatment Decision‐making Effectiveness (COMRADE; Edwards 2003) measured immediately after decision‐making (Aoki 201... · patients with mental health disorders
1 finding from 1 review

Voice‐enabling communication aid vs usual care with an aid

Proportion able to communicate · adults requiring an artificial airway with or without mechanical ventilator support

It is very uncertain whether voice‐enabling communication aid changes proportion able to communicate compared with usual care with an aid (very low certainty).

1 finding from 1 review