Clancy 1988.
Methods | Randomized to decision aid vs usual care | |
Participants | 753 + 263 health physicians considering Hep B vaccine in the USA | |
Interventions | DA: pamphlet on options' outcomes, clinical problem, outcome probability, explicit values clarification (personal decision analysis), guidance/coaching Comparator: usual care (no information provided) | |
Outcomes | Uptake of option | |
Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Random numbers table; all incoming residents were assigned to Group 2 (non‐randomized residents identified as subgroup) (p 2) |
Allocation concealment (selection bias) | Unclear risk | No information provided |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | No blinding of participants or personnel. Did not report on how this may affect their findings |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Unclear blinding but decisions for screening were retrieved from health records (objective data) |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Flow chart not included. Insufficient information to make a judgment |
Selective reporting (reporting bias) | Unclear risk | No information provided |
Other bias | High risk | Potential selection bias ‐ non‐randomized residents were added to group 2 and therefore potential unbalanced distribution (p 287) Low response rate among those offered decision analysis |