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 |