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

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