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. 2017 Apr 12;2017(4):CD001431. doi: 10.1002/14651858.CD001431.pub5

Allen 2010.

Methods Cluster‐randomized to decision aid vs usual care
Participants 398 + 414 men considering prostate cancer screening in the USA
Interventions DA: computer tailored programme on clinical problem, outcome probabilities, explicit values clarification, others' opinion and guidance (step‐by‐step process for making the decision; interactive computer programme: inherently guided the patient through the decision aid and decision making process), tailored printout given to patients to promote discussion with others (practitioner, significant others)
Comparator: no intervention
Outcomes Primary outcomes: decisional status, knowledge, decision self‐efficacy, decisional consistency
Secondary outcomes: desire for involvement in decision making, decisional conflict, preferred options
Outcomes assessed pre‐ and postintervention
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "Sites were blocked on size and percent of male employees and randomly assigned by computer‐generated random numbers to condition within blocks" (p 2173, Setting)
Allocation concealment (selection bias) Unclear risk The study does not address this criterion.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk The study does not address this criterion.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Unclear blinding but outcomes measured were not subjective to interpretation
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No missing outcome data and low rate of attrition that was consistent between groups
Selective reporting (reporting bias) Unclear risk No mention of protocol
Other bias Low risk Intervention delivery: mention of money incentive to complete paperwork, but was judged to have no effect on outcomes measured (p 2175)