Cochrane · systematic review · CD001431
Decision aids for people facing health treatment or screening decisions
Stacey, D, Lewis, KB, Smith, M, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 1 · 14.3%High 6 · 85.7%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Show all 3 versionsPatient decision aids versus usual care for adults facing treatment or screening decisions
Population: adults considering treatment or screening decisions
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
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. Patient decision aids vs usual care | RR 1.75 [1.44, 2.13] | 21 studies · 9377 participants | Moderate Downgraded: risk of bias, inconsistency, publication bias |
Knowledge ‐ all studies Standardized on a scale from 0 (no knowledge) to 100 (perfect knowledge). Assessed soon after exposure to the decision aid. Patient decision aids vs usual care | no estimate extracted | 107 studies · 25492 participants | High |
Accurate risk perceptions ‐ all studies Based on the accuracy of perceived outcome probabilities according to the percentage of individuals whose judgments corresponded to the scientific evidence about the chances of an outcome for similar people.... Patient decision aids vs usual care | RR 1.94 [1.61, 2.34] | 25 studies · 7796 participants | High |
Decisional conflict: uninformed subscale ‐ all studies Standardized on a scale from 0 (informed) to 100 (uninformed). Assessed soon after exposure to the decision aid. Patient decision aids vs usual care | no estimate extracted | 58 studies · 12104 participants | High |
Decisional conflict: unclear about personal values subscale ‐ all studies Standardized on a scale from 0 (clear) to 100 (unclear). Assessed soon after exposure to the decision aid. Patient decision aids vs usual care | no estimate extracted | 55 studies · 11880 participants | High |
Participation in decision‐making: clinician‐controlled decision‐making ‐ all studies Based on the proportion of participants who indicated a passive role in decision‐making where the decision was primarily made by the clinician. Assessed soon afte... Patient decision aids vs usual care | RR 0.72 [0.59, 0.88] | 21 studies · 4348 participants | High |
Adverse events: decision regret ‐ all studies Standardized on a scale from 0 (no regret) to 100 (high regret). Assessed weeks to months after the decision is made. Patient decision aids vs usual care | no estimate extracted | 22 studies · 3707 participants | High |