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

Bernstein 1998.

Methods Randomized to decision aid vs usual care
Participants 65 + 53 patients with coronary artery disease considering revascularization surgery in the USA
Interventions DA: Health Dialog video on options' outcomes, clinical problem, outcome probability, others' opinion
 Comparator: usual care (no information provided)
Outcomes Primary outcome: satisfaction with decision and decision making process
Secondary outcomes: uptake of option, knowledge, satisfaction with care, general health outcomes, condition specific health outcomes
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "Randomization was stratified by study site in blocks of 10" (p 3)
Allocation concealment (selection bias) Low risk "[R]andomization performed by a study coordinator opening opaque, sealed envelopes at study headquarters" (p 3)
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Neither subjects nor study staff were blinded to treatment assignment ‐ could lead to different satisfaction ratings based on knowing the treatment received
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Unclear blinding but outcomes were objectively measured
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Flow diagram (p 3); low attrition of eligible participants randomized and consistent between group
Selective reporting (reporting bias) Unclear risk No information provided indicating trial was included in central trials registry
Other bias Low risk Appears to be free of other potential biases