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

Chambers 2012.

Methods Randomized to DA vs usual care
Participants 74 + 77 healthcare workers who did not receive the influenza vaccine considering receiving the vaccine in Canada
Interventions DA: web‐based DA on options' outcomes, clinical problem, outcome probabilities, explicit values clarification and guidance
Comparator: usual care using pamphlet
Outcomes Primary outcomes: confidence in decision (post‐DA)
Secondary outcomes: impact on immunization intent (post‐DA), proportion undecided
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "The randomization list was generated using the randomization function in Excel 2002 (version 10.6856.6856 SP3)" (p 199)
Allocation concealment (selection bias) Low risk "The list was imported from Excel into a Microsoft SQL Server database. The online application would sequentially assign a random identification number and their decision aid status (seeing the decision aid or not) from the randomization list when users logged into the survey." (p 199)
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not reported whether or not they were blinded during the course of the intervention
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Questionnaire scores are objective and not subject to interpretation
Incomplete outcome data (attrition bias) 
 All outcomes High risk 65% completion rate in intervention arm and 77% completion rate in control arm: attrition could be different where the respondents and non‐respondents are different
Selective reporting (reporting bias) Low risk Protocol available
Other bias Unclear risk Figure 1 numbers for exclusion are not logical